间歇性导尿配合音频电疗、微波治疗脊髓损伤后痉挛性膀胱的效果研究

目的 探讨脊髓损伤(SCI)后痉挛性膀胱患者恢复膀胱功能和自主排尿的方法.方法 对实验组30例患者间歇导尿6次/d,音频电疗、微波治疗各2次/d;对照组30例患者采用传统的留置尿管方法,观察2组患者膀胱功能恢复的情况.结果 实验组患者恢复自行排尿成功率显著高于对照组,差异有统计学意义(P＜0.01).实验组膀胱容量增加、残余尿量减少优于对照组(P＜0.05).结论 间歇性导尿结合音频电疗、微波进行膀胱功能训练能有效地促进SCI后痉挛性膀胱患者膀胱功能的恢复.

Research in intermittent urethral catheterization combined with audio frequency electrotherapy and microwave therapy in the treatment of patients with spastic bladder after spinal cord injury

Objective To discuss methods for recovery of bladder function and autonomous urination for patients with spastic bladder after spinal cord injury. Methods Patients in the experimental group(30 cases)received intermittent urethral catheterization 6 times per day,audio frequency electrotherapy and microwave therapy 2 times per day.The control group(30 cases)adopted routine urethral catheterization.The recovery of bladder function of the two groups Was observed.Results The rate of autonomous urination in the experimental group was higher than that of the control group(P＜0.01).Increase of bladder capacity and decrease of remnant urine volume in the experimental group was better than that of the control group(P＜0.05).Conclusions Intermittent urethral catheterization combined with audio frequency electrotherapy and microwave therapy could effectively promote the recovery of bladder function for patients with spastic bladder after spinal cord injury.