骶3 神经电针治疗脊髓损伤后逼尿肌反射亢进的临床效果

目的观察骶3 神经根电针治疗脊髓损伤后逼尿肌反射亢进的疗效。方法采用骶3 神经根电针治疗脊髓损伤后逼尿肌反射亢进的患者32 例，观察治疗前和治疗8 周后的排尿日记、尿动力学检查和生活质量评分。结果治疗后，患者排尿次数、漏尿次数、充盈末期逼尿肌压减少(P<0.05)，残余尿量无明显改变(P>0.05)，排尿量、最大膀胱容量、膀胱顺应性、生活质量评分较治疗前改善(P<0.05)。结论骶3 神经根电针治疗脊髓损伤后逼尿肌反射亢进疗效满意。

Effect of Electroacupuncture on Nerve Root of Sacral Spinal Nerve 3 for Detrusor Hyperreflexia after Spinal Cord Injury

Objective To observe the effect of electroacupuncture on nerve root of sacral spinal nerve 3 for detrusor hyperreflexia after spinal cord injury. Methods 32 spinal cord injury patients with detrusor hyperreflexia accepted electroacupuncture at sacral 3 nerve root.Their voiding diary, urodynamics and quality of life were observed before and 8 weeks after treatment. Results The frequency of urination,urine leakage, and filling the final detrusor pressure decreased (P<0.05), and the urine output, maximum bladder capacity, bladder compliance,score of quality of life increased (P<0.05) after treatment. There was no significant change in residual urine volume after treatment (P>0.05). Conclusion Electroacupuncture on nerve root of sacral spinal nerve 3 is effective on detrusor hyperreflexia after spinal cord injury.