| 张倩,王雪丹,沈润斌,等.电针八髎穴联合盆底肌电刺激对脊髓损伤后尿失禁病人排尿情况、尿流动力学及生活质量的影响[J].安徽医药,2023,27(12):2421-2424. |
| 电针八髎穴联合盆底肌电刺激对脊髓损伤后尿失禁病人排尿情况、尿流动力学及生活质量的影响 |
| Influences of electroacupuncture at Baliao point combined with pelvic floor muscle electrical stimulation on urination, urodynamics and quality of life in patients with urinary incontinence after spinal cord injury |
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| DOI：10.3969/j.issn.1009-6469.2023.12.019 |
| 中文关键词: 脊髓损伤 尿失禁 针刺穴位 电刺激疗法 电针 八髎穴 盆底肌电刺激 |
| 英文关键词: Spinal cord injuries Urinary incontinence Acupuncture points Electric stimulation therapy Electroacupunc. ture Baliao point Pelvic floor muscle electrical stimulation |
| 基金项目:河北省中医药管理局科研计划项目( 2018480) |
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| 中文摘要: |
| 目的探讨电针八髎穴联合盆底肌电刺激对脊髓损伤后尿失禁病人排尿情况、尿流动力学及生活质量的影响。方法选择 2020年 2月至 2022年 5月在河北省沧州中西医结合医院治疗的 94例脊髓损伤后尿失禁病人，按其入院时间列出 1~ 94个号码，通过电子计算机自动逐一摇出两组号码:电刺激组( n=47，盆底肌电刺激治疗)、联合组( n=47，在电刺激组基础上实施电针八髎穴治疗)，均进行 6周治疗。比较两组排尿情况、尿流动力学指标及生活质量。结果治疗 6周后，两组日排尿次数、日尿失禁次数均少于治疗前(P<0.05)联合组日排尿次数、日尿失禁次数分别为( 5.72±1.81)次、(3.85±1.23)次，均明显少于电刺激组的( 8.21±2.75)次、(5.23±1.87)次(，P<0.05)；两组最大逼尿肌压力( MDP)、残余尿量均小于治疗前( P<0.05)联合组 MDP、残余尿量分别为( 6.75±5.29)cmH2O、(66.52±22.40)mL，均明显小于电刺激组的( 54.80±6.13)cmH2O、(87.56±26.7，1)mL(P<0.05)；两组单次排尿量、最大尿流率( Qmax)均大于治疗前( P<0.05)联合组单次排尿量、 Qmax分别为( 257.49±48.60)mL、(17.82±4.11)mL/s，均明显大于电刺激组的( 207.33±46.85)mL、(14.56±3.89mL/s(P<0.05)；两组尿失禁生活质量问卷( I-QOL)各维度评分及总分均高于治疗前( P<0.05)，且联合组均明显较电刺激组高( P<0.05)。结论对脊髓损伤后尿失禁病人实施电)，针八髎穴联合盆底肌电刺激治疗，可有效改善尿流动力学及排尿情况，显著提高生活质量。 |
| 英文摘要: |
| Objective To investigate the influences of electroacupuncture at Baliao point combined with pelvic floor muscle electri.cal stimulation on urination, urodynamics and quality of life in patients with urinary incontinence (UI) after spinal cord injury (SCI).Methods A total of 94 patients with UI after SCI treated in Hebei Cangzhou Hospital of Integrated Traditional Chinese and WesternMedicine from February 2020 to May 2022 were selected. According to their admission time, patients were numbered with 1~94, and thetwo groups of numbers were automatically rolled out one by one through the computer, and assigned into electric stimulation group (n= 47, pelvic floor electromyography stimulation) and combined group (n=47, electroacupuncture at Baliao point on the basis of electricstimulation group). Both groups were treated for 6 weeks. The urination, urodynamic indexes and quality of life were compared betweenthe two groups.Results After 6 weeks of treatment, the daily urination frequency and daily UI frequency in both groups were less than those before treatment (P<0.05), and the daily urination frequency and UI frequency of the combined group, were significantly lowerthan the electric stimulation group [(5.72±1.81) times vs. (8.21±2.75) times, (3.85±1.23) times vs. (5.23±1.87) times; P<0.05]; the maxi.mum detrusor pressure (MDP) and residual urine volume of the two groups were lower than those before treatment (P<0.05), and theMDP and residual urine volume in the combined group were significantly lower than the electric stimulation group [(6.75±5.29) cmH2O vs. (54.80±6.13) cmH2O, (66.52±22.40) mL vs. (87.56±26.71) mL; P<0.05]. The single urine output and maximum urine flow rate (Qmax)in both groups were greater than those before treatment (P<0.05), and the single urination volume and Qmax of the combined group were significantly higher than the electric stimulation group [(257.49±48.60) mL vs. (207.33±46.85) mL, (17.82±4.11) mL/s vs. (14.56±3.89) mL; P<0.05]. The scores of each dimension and total score of Urinary Incontinence Quality of Life Questionnaire (I-QOL) in the two groups were higher than those before treatment (P<0.05), and the scores of combined group were obviously higher than those of electrical stimulation group (P<0.05).Conclusion Electroacupuncture at Baliao point combined with pelvic floor muscle electrical stimulationtherapy for patients with UI after SCI can effectively ameliorate urodynamics and urination, thus obviously enhancing the quality of life. |
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