神经肌肉电刺激辅助治疗脊髓损伤神经源性膀胱的临床探析

目的：探讨神经肌肉电刺激辅助治疗脊髓损伤神经源性膀胱（NB）的临床疗效。方法将72例脊髓损伤NB患者随机分为电刺激组和常规组各36例。常规组仅接受康复治疗结合膀胱训练等常规治疗，观察组在常规组治疗基础上辅助接受神经肌肉电刺激治疗。比较两组治疗后的总有效率、24 h排尿次数、每次排尿量、残余尿量以及神经功能评分（ASIA评分）。结果治疗后观察组的总有效率、24 h 排尿次数、每次排尿量、残余尿量方面均优于常规组分别为97.2％ vs.55.6％，（5.1±1.2）次vs （8.3±2.2）次，（189.9±11.4）ml vs （145.3±10.8）ml，（90.2±2.4） ml vs （110.1±3.3）ml，均为P＜0.05]。两组的ASIA评分比较差异无统计学意义（P＞0.05）。两组均无发生明显不良反应。结论神经肌肉电刺激辅助治疗能明显改善脊髓损伤NB患者临床症状，有利于患者康复，是一种治疗NB的好的辅助疗法。

Clinical analysis of treatment with neuromuscular electrical stimulation in neurogenic bladder caused by spinal cord injury

Objective To explore the clinical effects of treatment with neuromuscular electrical stim-ulation in neurogenic bladder （NB）caused by spinal cord injury. Methods Seventy-two cases of NB caused by spinal cord injury were divided into the electrical stimulation group （n=36）and the conventional therapy group （n=36）randomly. The conventional therapy group received conventional therapy,the electrical stimu-lation group received conventional therapy and neuromuscular electrical stimulation. The total efficiency,24 h frequency of urination,urinary output,residual urine volume each time and ASIA score were compared in two groups after treatment. Results The total efficiency,24 h frequency of urination,urinary output,residual u-rine volume each time and ASIA score of the electrical stimulation group were better than those of conventional therapy group 97.2% vs. 55.6%,（5.1 ±1.2）times vs. （8.3 ±2.2）times,（189.9 ±11.4）ml vs.（145.3 ±10.8）ml,（90.2 ±2.4）ml vs. （110.1 ±3.3）ml,P〈0.05]. There was no statistical differ-ence of ASIA scores in two groups. There was no obvious adverse events in both groups. Conclusion Neuro-muscular electrical stimulation has specific advantage in treatment of NB caused by spinal cord injury,which can significantly improve the clinical symptoms and is conducive to the rehabilitation of patients.