《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (3): 224-225.

• 论文 • 上一篇    下一篇

骶3 神经电针治疗脊髓损伤后逼尿肌反射亢进的临床效果

王彦彬，徐智慧，诸靖宇，黄邦高，周鹏   

  1. 杭州市第三人民医院泌尿外科，浙江杭州市310009。
  • 收稿日期:2013-03-05 修回日期:2013-04-07 出版日期:2014-03-25 发布日期:2014-03-25

Effect of Electroacupuncture on Nerve Root of Sacral Spinal Nerve 3 for Detrusor Hyperreflexia after Spinal Cord Injury

WANG Yan-bin, XU Zhi-hui, ZHU Jing-yu, et al.   

  1. Department of Urology, the Third People's Hospital of Hangzhou, Hangzhou 310009, Zhejiang,China
  • Received:2013-03-05 Revised:2013-04-07 Published:2014-03-25 Online:2014-03-25

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摘要： 目的观察骶3 神经根电针治疗脊髓损伤后逼尿肌反射亢进的疗效。方法采用骶3 神经根电针治疗脊髓损伤后逼尿肌反射亢进的患者32 例，观察治疗前和治疗8 周后的排尿日记、尿动力学检查和生活质量评分。结果治疗后，患者排尿次数、漏尿次数、充盈末期逼尿肌压减少(P<0.05)，残余尿量无明显改变(P>0.05)，排尿量、最大膀胱容量、膀胱顺应性、生活质量评分较治疗前改善(P<0.05)。结论骶3 神经根电针治疗脊髓损伤后逼尿肌反射亢进疗效满意。

关键词: 脊髓损伤, 逼尿肌反射亢进, 骶神经, 电针, 尿动力学

Abstract: Objective To observe the effect of electroacupuncture on nerve root of sacral spinal nerve 3 for detrusor hyperreflexia after spinal cord injury. Methods 32 spinal cord injury patients with detrusor hyperreflexia accepted electroacupuncture at sacral 3 nerve root.Their voiding diary, urodynamics and quality of life were observed before and 8 weeks after treatment. Results The frequency of urination,urine leakage, and filling the final detrusor pressure decreased (P<0.05), and the urine output, maximum bladder capacity, bladder compliance,score of quality of life increased (P<0.05) after treatment. There was no significant change in residual urine volume after treatment (P>0.05). Conclusion Electroacupuncture on nerve root of sacral spinal nerve 3 is effective on detrusor hyperreflexia after spinal cord injury.

Key words: spinal cord injury, detrusor hyperreflexia, sacral nerve, electroacupuncture, urodynamics