| 周洸玉,张真真,尹莲君,刘佩婉,林浩辉,陈杰阳,陈俊琦.不同频率功能性磁刺激联合运动想象疗法治疗脊髓损伤后神经源性膀胱尿潴留的疗效对比研究[J].,2024,(12):2255-2258 |
| 不同频率功能性磁刺激联合运动想象疗法治疗脊髓损伤后神经源性膀胱尿潴留的疗效对比研究 |
| Comparative Study on the Efficacy of Different Frequency Functional Magnetic Stimulation Combined with Motor Imagery Therapy in the Treatment of Neurogenic Bladder Urinary Retention after Spinal Cord Injury |
| 投稿时间：2023-11-06 修订日期：2023-11-28 |
| DOI：10.13241/j.cnki.pmb.2024.12.009 |
| 中文关键词: 功能性磁刺激 运动想象疗法 脊髓损伤 神经源性膀胱 尿潴留 疗效 |
| 英文关键词: Functional magnetic stimulation Motor imagery therapy Spinal cord injury Neurogenic bladder Urinary retention Efficacy |
| 基金项目:广东省中医药局面上科研项目（20172099） |
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| 中文摘要: |
| 摘要 目的：观察不同频率功能性磁刺激（FMS）联合运动想象疗法治疗脊髓损伤（SCI）后神经源性膀胱（NB）尿潴留的疗效。方法：将2021年8月至2023年4月期间我院收治的116例SCI后NB尿潴留患者，按随机数字表法分为5Hz组（n=58，5HzFMS联合运动想象疗法治疗）和20Hz组（n=58，20HzFMS联合运动想象疗法治疗）。对比两组排尿情况、尿流动力学指标、肌电图指标、各项量表评分。结果：治疗后，20Hz组日自主排尿次数少于5Hz组，日均单次排尿量、日单次最大尿量多于5Hz组（P<0.05）；20Hz组最大尿流速、最大膀胱容量、充盈期逼尿肌压力、H反射波幅、F波引出率、生活质量综合评定量表-74（GQOL-74）评分高于5Hz组，膀胱残余尿量、H反射潜伏期、F波潜伏期、NB症状评分表（NBSS）、国际下尿路功能症状（LUTS）评分低于5Hz组（P<0.05）。结论：与5Hz频率FMS相比，20Hz频率FMS联合运动想象疗法治疗SCI后NB尿潴留，可缓解临床症状，促进膀胱功能恢复，进一步改善患者的生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the efficacy of different frequency functional magnetic stimulation (FMS) combined with motor imagery therapy in the treatment of neurogenic bladder (NB) urinary retention after spinal cord injury (SCI). Methods: 116 patients with NB urinary retention after SCI who were admitted to our hospital from August 2021 to April 2023 were divided into 5Hz group (n=58, 5HzFMS combined with motor imagery therapy) and 20Hz group (n=58, 20HzFMS combined with motor imagery therapy) according to the random number table method. The urination, urodynamic indexes, electromyography indexes and various scale scores were compared between two groups. Results: After treatment, the number of daily spontaneous urination in 20Hz group was less than that in 5Hz group, and the average daily single urination volume and the maximum daily single urination volume were more than those in 5Hz group (P<0.05). The maximum urinary flow rate, maximum bladder capacity, detrusor pressure during filling period, H reflex amplitude, F wave extraction rate and quality of life comprehensive scale-74(GQOL-74) score in 20Hz group were higher than those in 5Hz group, and the bladder residual urine volume, H reflex latency, F wave latency, NB symptom score (NBSS) and international lower urinary tract function symptom (LUTS) score were lower than those in 5Hz group(P<0.05). Conclusion: Compared with 5Hz frequency FMS, 20Hz frequency FMS combined with motor imagery therapy for NB urinary retention after SCI can alleviate clinical symptoms, promote bladder function recovery, and further improve the quality of life of patients. |
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