摘要
目的观察运动想象疗法治疗外伤性脊髓损伤（SCI）后神经源性膀胱患者的疗效。方法采用随机数字表法将70例外伤性SCI后神经源性膀胱患者分为实验组及对照组。2组患者均给予常规膀胱功能干预，包括间歇导尿、逼尿肌反射诱发排尿、手法排尿等，实验组在此基础上辅以运动想象疗法。于治疗前、治疗2个月后分别检测2组患者尿失禁次数、平均膀胱容量、最大排尿量、残余尿量等指标，同时对2组患者生活质量进行评定。结果治疗后2组患者尿失禁次数、平均膀胱容量、残余尿量、排尿量及生活质量评分均明显改善（P〈0．05），并且上述指标均以实验组的改善幅度较显著，与对照组问差异均具有统计学意义（P〈0．05）。结论在常规膀胱功能干预基础上辅以运动想象疗法，可进一步改善SCI后神经源性膀胱患者排尿功能，显著提高其生活质量。
Objective To explore the clinical efficacy of motor imagery therapy in treating neurogenie blad- der dysfunction after traumatic spinal cord injury （SCI）. Methods Seventy patients with neurogenic bladder con- trol problems after SCI were randomly divided into an experimental group and a control group using a random number table. All patients of the two groups were given general bladder function intervention, including intermittent catheter- ization, inducing voiding by reflex detrusor contraction, Cred6＇s maneuver urination, etc. Additionally, the patients in the experimental group were given supplemental motor imagery therapy. The times of urinary incontinence, average bladder capacity, maximum voided volume and residual urine volume of the two groups were measured before treat- ment and at 2 months after treatment. The two groups＇ outcomes were quantified using a quality of life （QOL） score. Results Incidents of urinary incontinence, average bladder capacity, residual urine volume, voided volume and the QOL score showed significant improvements in both groups, but the experimental group showed better improvements than the control group. The differences were statistically significant. Conclusion The combination of general blad- der function intervention with motor imagery therapy can improve the voiding function of patients with neurogenic blad- der disorders after SCI more significantly and enhance their QOL.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2012年第12期928-930,共3页
Chinese Journal of Physical Medicine and Rehabilitation
基金
浙江省医药卫生科学研究基金（2009A024）
关键词
运动想象
脊髓损伤
神经源性膀胱
排尿功能障碍
Motor imagery
Spinal cord injury
Neurogenic bladder disorders
Voiding dysfunction
