《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (11): 903-904.

• 专题 • 上一篇    下一篇

电针对脊髓损伤患者膀胱功能影响的尿动力学分析

孙岚; 李建军; 王征美   

  1. 北京博爱医院 北京市 100068
  • 收稿日期:2005-07-08 出版日期:2005-11-25 发布日期:2005-11-25

Urodynamic effects of electroacupuncture on neurogenic bladder in patients with spinal cord injury

SUN Lan, LI Jian-jun, WANG Zheng-mei   

  1. Department of Chinese Traditional Medicine, Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-07-08 Published:2005-11-25 Online:2005-11-25

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被引次数

84

摘要： 目的应用标准的尿动力学测定方法分析电针刺激对脊髓损伤患者神经源性膀胱的影响。方法对15例逼尿肌反射亢进的脊髓损伤患者在尿流动力学测定的同时电针刺激关元(Ren4)、中极(Ren3),比较针刺前后膀胱容量(VH2O)、膀胱压(Pves)、逼尿肌压力(Pdet)和膀胱顺应性(BC)的变化情况。结果患者VH2O)由(124.00±77.37)ml增加至(144.47±85.87)ml(P<0.01),Pves由(65.33±23.90)cmH2O降为(55.27±17.52)cmH2O(P<0.05),Pdet由(52.87±18.68)cmH2O降为(44.93±15.82)cmH2O(P<0.05),BC由(2.35±2.05)ml/cmH2O增至(3.48±3.04)ml/cmH2O(P<0.01)。结论电针刺激对脊髓损伤患者的膀胱功能有良性的调节作用。

关键词: 脊髓损伤, 电针, 尿动力学, 神经源性膀胱, 逼尿肌反射亢进

Abstract: ObjectiveTo investigate the effects of electroacupuncture in Guanyuan(Ren4) and Zhongji(Ren3) on the functions of neurogenic bladder in patients with spinal cord injury(SCI) with the standard urodynamic measure.Methods15 patients with neurogenic bladder after SCI were included into the study.During urodynamic measure,they accepted electroacupuncture in Guanyuan(Ren4) and Zhongji(Ren3).The changes of the bladder storage volume(VH2O),bladder pressure(Pves),detrusor pressure(Pdet) and bladder compliance(BC) before and after electroacupuncture were recorded.ResultsThe patients' VH2O increased from(124.00±77.37) ml to(144.47±85.87) ml(P<0.01),Pves decreased from(65.33±23.90) cmH2O to(55.27±17.52) cmH2O(P<0.05),Pdet decreased from(52.87±18.68) cmH2O to(44.93±15.82) cmH2O(P<0.05)and BC increased from(2.35±2.05) ml/cmH2O to(3.48±3.04) ml/cmH2O(P<0.01).ConclusionElectroacupuncture is effective on neurogenic bladder recovery in patients with SCI.

Key words: spinal cord injury, electroacupuncture, urodynamics, neurogenic bladder, detrusor hyperreflexia