| 郑逸逸,陈淑芳,张豪杰,刘淑凤,王楚怀.骶神经磁刺激对脊髓损伤后逼尿肌无力型膀胱的疗效分析[J].中国康复医学杂志,2024,(1):82~86 |
| 骶神经磁刺激对脊髓损伤后逼尿肌无力型膀胱的疗效分析 点此下载全文 |
| 郑逸逸 陈淑芳 张豪杰 刘淑凤 王楚怀 |
| 中山大学附属第一医院康复医学科，广州市，510080 |
| 基金项目： |
| DOI：10.3969/j.issn.1001-1242.2024.01.012 |
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| 摘要： |
| 摘要
目的：探讨骶神经磁刺激对脊髓损伤后逼尿肌无力型膀胱的影响。
方法：采取随机分组的方法将36例脊髓损伤合并逼尿肌无力型膀胱患者分为试验组与对照组。两组患者均接受常规康复治疗，试验组对S3神经根进行重复功能性磁刺激（repetitive functional magnetic stimulation， rFMS）治疗。于治疗前、治疗4周后分别观察2组患者的简易膀胱容量测定、膀胱超声及焦虑自评量表等指标。
结果：2组患者最大自排尿量、平均自排尿量、残余尿量、膀胱初感觉容量及焦虑自评评分与治疗前相比均有所改善，治疗后试验组的最大自排尿量、平均自排尿量均显著优于对照组，具有显著性差异（P<0.05）。
结论：重复功能磁刺激作用于骶神经根对治疗脊髓损伤后逼尿肌无力型患者疗效明显优于常规治疗，疗法为临床上治疗逼尿肌无力型神经源性膀胱提供新思路。 |
| 关键词：骶神经磁刺激 脊髓损伤 逼尿肌无力 尿潴留 |
| The effect of magnetic stimulation of the sacral nerve on detrusor weakness after spinal cord injury Download Fulltext |
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| The First Affiliated Hospital， Sun Yat-sen University，Guangzhou，510080 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To investigate the effect of the magnetic stimulation of the sacral nerve on detrusor weakness after spinal cord injury.
Method： 36 individuals with detrusor weakness after spinal cord injury were divided into experimental group and control group after randomization. Both groups received conventional rehabilitation treatment， besides，the experimental group received repetitive functional magnetic stimulation(rFMS) on S3 nerve roots. Before treatment and after 4-weeks treatment， the simple bladder capacity， bladder ultrasound， self-rating anxiety scale were observed.
Result： The maximum automatic micturition volume，average automatic micturition volume，residual urine volume，initial uriesthesis，and anxiety self-evaluation score of the two groups were improved after intervention. And the improvements are more in experimental group (P<0.05).
Conclusion： The effect of the rFMS on individuals with detrusor weakness after spinal cord injury is significantly better than conventional intervention，which provides a new idea for the clinical treatment of neurogenic bladder with detrusor weakness. |
| Keywords:magnetic stimulation of the sacral nerve spinal cord injury acontractile detrusor disorder urinary retention |
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