间歇导尿结合生物反馈电刺激治疗脑梗死后早期潴留的应用探讨

发布时间：2017-12-27 14:23

本文关键词：间歇导尿结合生物反馈电刺激治疗脑梗死后早期潴留的应用探讨　出处：《中国卒中杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的观察脑梗死后尿潴留患者尿流动力学相关指标的变化,探讨间歇导尿结合生物反馈电刺激治疗的有效性和作用机制。方法入选2014年1月-2016年1月急性脑梗死后尿潴留患者98例,对所有患者进行一般情况检查,根据患者和(或)家属意愿分为治疗组48例和对照组50例,对照组采用无菌间歇导尿结合膀胱功能训练治疗,治疗组在对照组基础上采用生物反馈电刺激治疗仪。分别于治疗前和治疗后1周测定两组情况,包括生活质量精简问卷评分(Subjective Quality of Life Profile,SQLP)和尿流动力学指标。结果两组的尿潴留情况均逐渐好转,治疗组经治疗7次后,恢复自主排尿时间早于对照组(P0.01),治疗组的膀胱容量、残余尿量和最大尿流率改善优于对照组(P0.01)。结论间歇导尿结合生物反馈电刺激治疗改善脑梗死后早期尿潴留状况效果更好。
[Abstract]:Objective To observe the changes of urinary dynamic parameters in patients with urinary retention after cerebral infarction, and to explore the effectiveness and mechanism of intermittent catheterization combined with biofeedback electrical stimulation. Methods in January 2014 98 cases of urinary retention in patients with acute cerebral infarction after -2016 year in January, the general situation of the examination of all the patients, according to the wishes of the families of patients and (or) 48 cases were divided into treatment group and control group 50 cases, control group using sterile intermittent catheterization combined with bladder function training treatment, the treatment group in the control group based on the use of biofeedback therapy instrument. The two groups were measured before treatment and 1 weeks after treatment respectively, including Subjective Quality of Life Profile (SQLP) and urinary dynamic parameters. Results urinary retention in the two groups gradually improved. After 7 times of treatment, the time of self urination in the treatment group was earlier than that in the control group (P0.01). The bladder volume, residual urine volume and maximum urinary flow rate in the treatment group were better than those in the control group (P0.01). Conclusion intermittent catheterization combined with biofeedback electrical stimulation can improve the early urinary retention after cerebral infarction.
【作者单位】：中国人民武装警察部队黑龙江省总队医院医务处;中国人民武装警察部队福建省总队医院康复科;中国人民武装警察部队后勤学院附属医院神经内科;
【分类号】：R743.3;R694.55
【正文快照】： 国内外报道,卒中后尿失禁的发生率波动潴留很可能是卒中急性期的一过性症状,目前在32%~79%[1-3],既往通常认为卒中后急性尿研究表明,随着卒中后神经功能的改善,尿潴留也常常随之改善,故而临床重视度不足,由此1.2.1对照组采用无菌间歇导尿结合膀胱功导致处理不当或不及时,造

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