《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (05): 562-566.

• 特稿 • 上一篇    下一篇

不同频率经皮神经电刺激改善脑卒中后尿失禁的比较

刘艺，许纲，黄敬   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-05-25 发布日期:2015-05-25

Comparison of Transcutaneous Electrical Nerve Stimulation for Post-stroke Urinary Incontinence in Various Frequency

LIU Yi, XU Gang, HUANG Jing   

  1. Department of Rehabilitation and Neurology, Tenth People's Hospital, Tongji University, Shanghai 200072, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-25 Online:2015-05-25

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摘要： 目的比较两种频率经皮神经电刺激(TENS)治疗脑卒中后尿失禁的效果。方法81 例脑卒中后尿失禁患者分为A组(n=27)、B组(n=27)和C组(n=27)。A组和B组予双相方波脉、宽150 μs TENS每次30 min，每天1 次治疗，A组频率20 Hz，B组75Hz；C组予常规内科治疗，共90 d。治疗前后，分别采用膀胱过度活动症状评分(OABSS)、Barthel 指数(BI)、排尿日记进行评估。结果治疗后，A组、B组OABSS、BI 总分、排尿日记较之治疗前改善(P<0.05)，A组明显优于B组(P<0.01)，C组与治疗前无显著性差异(P>0.05)。结论频率20 Hz的TENS对改善尿失禁症状有更好的疗效。

关键词: 脑卒中, 尿失禁, 经皮神经电刺激, 频率

Abstract: Objective To compare the effects of 2 kinds of frequency of transcutaneous electrical nerve stimulation (TENS) on urinary incontinence after stroke. Methods 81 patients with post-stroke urinary incontinence were randomized into group A (n=27), group B (n=27) and group C (n=27), who accepted TENS (biphasic square waves with pulse durations of 150 μs) in 20 Hz, 75 Hz and medcine only, respectively, for 90 days. They were assessed with Overactive Bladder Symptom Scores (OABSS), Barthel Index (BI), and voiding diary before and after treatment. Results The OABSS, BI and voiding diary improved significantly after treatment (P<0.05) in groups A and B, and improved more in the group A than in the group B. There was not significant improvement in the group C (P>0.05). Conclusion TENS of 20 Hz is more effective to reduce the incontinence post stroke.

Key words: stroke, urinary incontinence, transcutaneous electrical nerve stimulation, frequency