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| 电针联合经颅直流电刺激治疗脊髓损伤神经源性膀胱的康复疗效 |
| Rehabilitation Effect of Electroacupuncture Combined with Transcranial Direct Current Stimulation on Spinal Cord Injury Neurogenic Bladder |
| 投稿时间：2024-09-21 修订日期：2024-09-21 |
| DOI： |
| 中文关键词: 电针 经颅直流电刺激 脊髓损伤神经源性膀胱 康复疗效 尿流动力学 生活质量 |
| 英文关键词: : Electroacupuncture tDCS SCI-NB Rehabilitation effect Urodynamics Life quality |
| 基金项目:浙江中医药大学附属医院重点科研专项,编号：2021FSYYZZ24 |
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| 中文摘要: |
| 目的 探讨电针联合经颅直流电刺激(tDCS)对脊髓损伤神经源性膀胱(spinal cord injury neurogenic bladder,SCI-NB)的康复疗效。方法 将38例SCI-NB患者随机均分为对照组19例和联合治疗组19例。其中对照组仅采用常规膀胱康复基础治疗,联合治疗组则在对照组基础上每天增加1次电针及经颅直流电刺激(tDCS)治疗。每周治疗5d,连续治疗 8 周。分别于治疗前、治疗8周后通过排尿日记及尿流动力学检查评价患者的膀胱功能,并通过功能独立性量表(FIM)及改良 Barthel 指数(MBI)评价生活质量。结果 治疗8周后,两组排尿功能指标如日均单次排尿量、24h 排尿次数、24 h尿失禁次数较治疗前均明显改善,且联合治疗组对患者的改善作用显著高于对照组(P < 0.05); 两组尿流动力学指标如膀胱残余尿量、充盈期膀胱逼尿肌压力及最大膀胱容量较治疗前同样得到明显改善,且联合治疗组显著优于对照组(P < 0.05); 两组FIM和MBI评分较治疗前均增高,且联合治疗组高于对照组(P < 0.05)。 |
| 英文摘要: |
| Objective: To investigate the rehabilitation effect of electroacupuncture combined with transcranial direct current stimulation (tDCS) on spinal cord injury neurogenic bladder (SCI-NB).Methods: A total of 38 patients with SCI-NB were randomly divided into control group and treatment group, with 19 cases in each group. Among them, patients in the control group only received conventional basic bladder rehabilitation treatment, while patients in the combined treatment group were treated with electroacupuncture and tDCS once a day on the basis of control group. Treatment was performed 5 days a week, continuous treatment for 8 weeks. The bladder function of the patients was evaluated by urination diary and urodynamic examination before and 8 weeks after treatment, and the quality of life was assessed by Functional Independence Scale (FIM) and modified Barthel Index (MBI). |
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