摘要
目的:研究骶神经根磁刺激(SNRMS)对脊髓损伤(SCI)后神经源性膀胱(NB)患者排尿状况与膀胱功能的影响。方法:选取2022年1月—2024年1月三明市第二医院收治的80例SCI后NB患者作为研究对象。采用密封信封抽签法将其分为研究组(40例)及参考组(40例)。参考组开展膀胱功能训练,研究组则于参考组的基础上增用SNRMS。对比两组排尿状况与膀胱功能,临床症状,盆底肌电值,生活质量。结果:干预12周后研究组残余尿量、日排尿频次、日尿失禁频次均低于参考组,而单次排尿量多于参考组,差异有统计学意义(P<0.05);干预12周后两组NB症状评分表(NBSS)评分均低于入院时,且研究组低于参考组,差异有统计学意义(P<0.05);干预12周后两组各项盆底肌电值均高于入院时,且研究组高于参考组,差异有统计学意义(P<0.05);干预12周后两组生活质量评分均高于入院时,且研究组高于参考组,差异有统计学意义(P<0.05)。结论:SNRMS可明显改善SCI后NB患者排尿状况与膀胱功能,缓解临床症状,提升生活质量。
Objective:To investigate the effects of sacral nerve root magnetic stimulation(SNRMS)on urinary status and bladder function in patients with neurogenic bladder(NB)after spinal cord injury(SCI).Method:A total of 80 patients with NB after SCI admitted to the Second Hospital of Sanming City from January 2022 to January 2024 were selected as the study objects.They were divided into a study group(n=40)and a reference group(n=40)using a sealed envelope drawing method.The reference group underwent bladder function training,while the study group received SNRMS in addition to the training.The urinary status and bladder function,clinical symptoms,pelvic floor electromyography(PFEG)values,and quality of life were compared between the two groups.Result:After 12 weeks of intervention,the residual urine volume,daily urinary frequency,and daily urinary incontinence frequency in the study group were lower than those in the reference group,while the single voiding volume was higher(P<0.05).After 12 weeks of intervention,the Neurogenic Bladder Symptom Score(NBSS)scores in both groups were lower than those at admission,and the study group had lower scores than the reference group(P<0.05).After 12 weeks of intervention,the PFEG values in both groups were higher than those at admission,and the study group had higher values than the reference group(P<0.05).After 12 weeks of intervention,the quality of life scores in both groups were higher than those at admission,and the study group had higher scores than the reference group(P<0.05).Conclusion:SNRMS can significantly improve urinary status and bladder function in patients with NB after SCI,alleviate clinical symptoms,and enhance quality of life.
作者
吴晓倩
刘凤英
苏木琼
温扬明
WU Xiaoqian;LIU Fengying;SU Muqiong;WEN Yangming(Sanming Second Hospital,Sanming 366000,China;不详)
出处
《中外医学研究》
2026年第8期77-80,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
脊髓损伤
神经源性膀胱
骶神经根磁刺激
排尿状况
膀胱功能
Spinal cord injury
Neurogenic bladder
Sacral nerve root magnetic stimulation
Urinary condition
Bladder function
