《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (8): 734-737.

• 专题 • 上一篇    下一篇

不同部位电针刺激对脊髓损伤逼尿肌无反射型神经源性膀胱逼尿肌压力的影响

孙迎春，李建军，程先宽，陈之罡，张强，景珊，周洁晨
   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院，北京市100068
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-25 发布日期:2014-08-25

Effect of Electroacupuncture on Different Sites on Detrusor Pressure of Detrusor Areflexia Neurogenic Bladder after Spinal Cord Injury

SUN Ying-chun, LI Jian-jun, CHENG Xian-kuan, CHEN Zhi-gang, ZHANG Qiang, JING Shan, ZHOU Jie-chen.
   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Bo'ai Hospital, China Rehabilitation Reserch Center, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-25 Online:2014-08-25

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被引次数

27

摘要： 目的通过观察电针刺激不同部位对脊髓损伤后逼尿肌无反射型神经源性膀胱逼尿肌压力的影响，寻求最佳刺激部位。方法选择符合脊髓损伤神经学分类国际标准第6 版(ASIA 2006)残损诊断和分级标准的108 例不完全性脊髓损伤患者为研究对象，随机分为导尿组、对照组和试验组，每组36 例。导尿组只行间歇导尿；对照组采用电针刺激八髎和会阳等穴，并进行间歇导尿；试验组采用经颅电针刺激足运感区、腹六区等穴，并进行间歇导尿。检测治疗前后的逼尿肌压力，并比较三组疗效。结
果治疗后，三组自主排尿、导尿量、残余尿比较均有显著性差异(P<0.05)；对照组和试验组治疗前后逼尿肌压力和逼尿肌反射比较均有显著性差异(P<0.05)，导尿组治疗前后比较无显著性差异(P>0.05)；治疗后对照组和试验组与导尿组比较均有显著性差异(P<0.05)；对照组和试验组有显著性差异(P<0.05)。结论电针刺激能改善不完全性脊髓损伤后逼尿肌无反射型神经源性膀胱患者自主排尿功能。

关键词: 脊髓损伤, 神经源性膀胱, 电针, 尿流动力学

Abstract: (SCI) to find optimal locations for electroacupuncture. Methods 108 incomplete SCI patients were selected following International Standards for Neurological Classification of Spinal Cord Injury (ASIA 2006) and randomly assigned to urethral catheterization group, control group, and experiment group with 36 cases in each group. The urethral catheterization group was only given intermittent catheterization, the control group was given electroacupuncture of Baliao (BL31 to BL34) and Huiyang (BL35) as the main points and intermittent catheterization, and the experiment group was treated with transcranial electrical stimulation of foot motor sensory area and Abdominal Area Six as the main points and intermittent catheterization. They were assessed with voiding diary and urodynamic test before and after treatment. Results There were significant differences among the urethral catheterization group, the control group, and the experiment group in automatic micturition volume, urethral catheter output and residual urine volume after treatment (P<0.05). Detrusor pressure and reflection was significantly different in the control group and the experiment group before and after treatment (P<0.05), but not in the urethral catheterization group (P>0.05). There was significant difference in detrusor pressure and reflection in the urethral catheterization group from both the control group and the experiment group after treatment (P<0.05). Conclusion Electroacupuncture can promote automatic micturition in patients with detrusor areflexia neurogenic bladder after incomplete SCI.

Key words: spinal cord injuries, neurogenic bladder, electroacupuncture, urodynamics