生物反馈电刺激用于脊髓损伤病人自主排尿训练的研究.docVIP

精品论文 参考文献 生物反馈电刺激用于脊髓损伤病人自主排尿训练的研究 陈燕颜1 刘德清2 杨幸华1 肖喜辉1 　　（1广东省工伤康复医院 脊髓损伤康复科 广东 广州 510440） 　　（2广东省工伤康复医院 创伤骨折康复科 广东 广州 510440） 　　【摘要】 目的：研究脊髓损伤患者行生物反馈电刺激治疗对患者自主排尿训练的效果。方法：临床纳入96例我院2013年4月至2015年4月期间收治的脊髓损伤患者，根据随机数字表法将所有患者分为两组各48例。其中48例患者采用盆底肌肉锻炼法进行治疗作为对照组，另48例患者在上述基础上给予生物反馈电刺激治疗作为观察组。结果：对照组、观察组总有效率分别为77.08%、93.75%，观察组明显较高，P＜0.05。治疗前两组患者尿流动力学无差异，P＞0.05；治疗后观察组患者最大膀胱测压容积、充盈末逼尿肌压力以及最大尿流速均优于对照组，P＜0.05。结论：生物反馈电刺激可有效提高脊髓损伤患者自主排尿功能，减少尿失禁的发生，值得临床应用及推广。 　　【关键词】 脊髓损伤；自主排尿；训练 　　【中图分类号】R681.5 【文献标识码】A 【文章编号】2095-1752（2016）18-0056-02 　　The study of biofeedback electrical stimulation in patients with spinal cord injury Chen Yanyan,Yang Xinghua, Xiao Xihui. Physiatry Department of Spinal Injury, Work Injury Rehabilitation Hospital of Guangdong Province, Guangdong Province, Guangzhou 510440,China; Liu Deqing. Physiatry Department of Trauma Fracture, Work Injury Rehabilitation Hospital of Guangdong Province, Guangdong Province, Guangzhou 510440,China 　　【Abstract】Objective To study the effect of biofeedback electrical stimulation treatment on patients with spinal cord injury.Method 96 cases of patients with spinal cord injury treated in our hospital from April 2013 to April 2015 according to the random number table method, all patients were divided into two groups, each of 48 cases. 48 patients were treated by pelvic floor muscle exercise as the control group, and the other 48 patients were treated with biofeedback electrical stimulation on the basis of the above.Result The total effective rate of the control group and observation group were 77.08% and 93.75% respectively, and the observation group was significantly higher, P lt; 0.05. There was no difference in the urine flow dynamics between the two groups before treatment, P gt; 0.05; After treatment, the observation group patients at the end of the maximum cystometric capacity and filling detrusor pressure and maximum urinary flow rate were better than the control group, P lt; 0.