摘要
目的 观察经皮穴位电刺激治疗脊髓损伤膀胱功能障碍的临床疗效。方法 将99例脊髓损伤膀胱功能障碍患者随机分为经皮穴位电刺激组（TEAS组）、电针组和间歇导尿组（IC组）各33例,TEAS组在间歇导尿基础上采用经皮穴位电刺激法;电针组在间歇导尿基础上采用针灸穴位疗法;IC组拔除尿管,每4~6小时试自排尿后立即导尿1次。1个月后对3组患者膀胱功能康复情况、膀胱功能康复时间及并发症发生情况进行比较。结果 治疗后3组均无并发症的出现,TEAS组与电针组均对膀胱功能康复情况有较好的疗效,而IC组疗效稍差;同时TEAS组与电针组自主导尿时间与停止导尿时间均较IC组短。结论 应用经皮穴位电刺激在脊髓损伤膀胱功能康复有着良好的效果,但其具体机理仍需大样本、多中心随机对照试验研究。
Objective ： To discuss the clinical curative effect of transcutaneous electrical acupoint stimulation on bladder dysfunction of spinal cord injury. Methods： 99 patients of bladder dysfunction of spinal cord injury were randomly divided into TEAS group （33 cases）,electroacupuncture group （33 cases） and Intermittent eatheterization（IC） group （33 cases）. TEAS group was based on that plus transcutanelus electrical acupoint stimulation and the electroacupuncture group was plused acupuncture therapy;IC group pulled out the catheter,once urination immediately after catheterization every 4 to 6 hours. 1 months later, bladder function rehabilitation, bladder func- tion recovery time and complications were compared among three groups. Results： There were no complications in the three groups. TEAS group and electroaeupuncture group showed better curative effects on the condition of bladder function recovery than that of IC group. Meanwhile ,the independent urethral catheterization time and the stopped urethral catheterization time of TEAS group and eleetroaeupuncture group was shorter than that of IC group. Conclusion： The application of transcutaneous electrical acupoint stimulation shows a good effect on blad- der function recovery of spinal cord injury,but the specific mechanism still needs a large sample and multicenter randomized controlled trials to be studied.
出处
《中国中医急症》
2016年第7期1386-1388,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
佛山市医学攻关项目(201308029)
关键词
脊髓损伤
膀胱功能障碍
经皮穴位电刺激
间歇导尿
Spinal cord injury
Bladder dysfunction
Transcutaneous electrical acupoint stimulation
Intermittent catheterization
