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

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±26.71)mL(P<0.05);两组单次排尿量、最...

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

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.