针刺联合生物反馈治疗脊髓损伤后神经源性膀胱的疗效观察

目的:探讨针刺联合生物反馈治疗脊髓损伤后神经源性膀胱的治疗效果。方法:将2016年6月到2018年1月来我院就诊的脊髓损伤所致神经源性膀胱患者50例随机分成对照组和治疗组,每组25例。对照组予患者实施生物反馈治疗,治疗组予患者实施生物反馈联合针刺治疗。以上两组患者均实行基础的康复训练、清洁间歇导尿及反射性排尿训练,并实行定时定量的饮水计划。分别于治疗前后行尿流动力学检查比较患者的膀胱内压力、残余尿量,记录患者的日排尿次数、最大排尿量以及患者的LUTS(Lower urinary tract symptoms)评分。结果:治疗后,对两组患者的治疗有效率、最大排尿量、日排尿次数、残余尿量、膀胱内压力以及LUTS评分的数据进行对比,治疗组的效果明显优于对照组(p0.05)。结论:针刺联合生物反馈治疗脊髓损伤所致神经源性膀胱的效果更佳。

Observation on Acupuncture combined with Biofeedback in Treatment of Neurogenic Bladder Due to Spinal Cord Injury

ABSTRACT Objective: To explore the therapeutic effect of acupuncture therapy combined with biofeedback rehabilitation instrument on neurogenic bladder caused by spinal cord injury. Methods: A total of 50 patients with neurogenic bladder caused by spinal cord injury in our hospital from June 2016 to January 2018 were randomly divided into the control group and the treatment group, 25 patients respectively. The control group was treated with biofeedback rehabilitation instrument, and the treatment group was treated with biofeedback electrical stimulation combined with acupuncture treatment. The two groups of patients underwent basic rehabilitation training, clean intermittent catheterization and reflex urination training, and a quantitative drinking water plan was implemented. The bladder internal pressure, residual urine, the daily urination rate, maximum urine volume and LUTS score of the patients were compared before and after the treatment. Results: After treatment, the treatment group was superior to control group on the therapeutic efficicney, largest number of urination, residual urine, bladder pressure and LUTS score (p<0.05). Conclusion: Acupuncture therapy combined with biofeedback is more effective in the treatment of neurogenic bladder caused by spinal cord injury.