| 电刺激盆底肌结合主动训练治疗不完全性脊髓损伤后排尿功能障碍 |
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| 引用本文： | 王冰水,刘卫,牟翔,袁华.电刺激盆底肌结合主动训练治疗不完全性脊髓损伤后排尿功能障碍[J].中国康复,2010,25(1):28-29. |
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| 作者姓名： | 王冰水 刘卫 牟翔 袁华 |
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| 作者单位： | 第四军医大学西京医院物理医学与康复科,西安,710032 |
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| 摘 要： | 目的:探讨电刺激结合盆底肌训练对脊髓损伤后排尿功能障碍的影响。方法:不完全性脊髓损伤患者8例,治疗时将刺激电极置于患者直肠内,刺激频率20Hz,每次治疗30min;同时配合盆底肌主动训练,每次收缩和放松各5s,反复10遍为1次,休息3～5min,连续2次。治疗前和治疗结束后,记录24h排尿次数、溢尿次数、单次排尿量、残余尿量、对日常生活的影响及尿动力学检查。结果:连续治疗2个月后,8例患者排尿功能均有不同程度改善,单次排尿量及最大尿流率增加,残余尿减少,对日常生活的影响减小。结论:电刺激结合盆底肌主动训练可改善不完全性脊髓损伤患者的排尿功能,提高日常生活的质量。
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| 关 键 词： | 电刺激 盆底肌 主动训练 脊髓损伤 尿失禁 |
Effect of Electrical Stimulation Combined with Active Exercise of Pelvic Floor Muscle in Treatment of Urinary Incontinence in Patients with Incomplete Spinal Cord Injury |
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| Institution: | WANG Bing-shui, LIU Wei, MOU Xiang, et al. Department of Physiotherapy and Rehabilitation Medicine, Xijing Hospital, The Fourth Military Medical University, Xi’an 710032, China |
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| Abstract: | Objective:To study the effect of electrical stimulation combined with active exercise of pelvic floor muscle in the treatment of urinary incontinence in patients with incomplete spinal cord injury. Methods: Eight patients with incomplete spinal cord injury were involved. The stimulating electrode was placed in rectum. With frequency output of 20 Hz, each stimulation session lasted for 30 min. While doing active exercise of the pelvic floor muscle, the patient was asked to keep contraction for 5 s and then a... |
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| Keywords: | electrical stimulation pelvic floor muscle active exercise spinal cord injury urinary incontinence |
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