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低频脉冲电刺激联合电针治疗脑卒中后尿潴留的临床研究▲
Clinical study of low frequency impulse electrostimulation combined with electro-acupuncture in the treatment of urinary retention after stroke

微创医学 页码:396-400

作者机构:广西壮族自治区民族医院,广西南宁市 532399

基金信息:广西壮族自治区中医药管理局自筹经费科研课题(编号:GZZC2020514)

DOI:10.11864/j.issn.1673.2024.04.08

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  • 参考文献

目的 探讨低频脉冲电刺激联合电针治疗脑卒中后尿潴留的临床效果。方法 选取160例脑卒中后尿潴留患者为研究对象,采取随机数字表法将其分为观察组和对照组,各80例。对照组患者在对症治疗基础上采用低频脉冲电刺激治疗,观察组在对照组治疗基础上联合电针治疗。比较两组患者治疗相关指标(膀胱残余尿量、治疗后首次排尿时间、住院时间和导尿管留置时间)、治疗显效率、泌尿系感染发生率和生活质量。结果 治疗后两组患者的膀胱残余尿量均少于治疗前且观察组膀胱残余尿量少于对照组,观察组首次排尿时间、住院时间和导尿管留置时间均明显短于对照组;治疗2周后观察组的治疗总显效率高于对照组(88.75% vs. 75.00%);治疗期间观察组的泌尿系感染发生率低于对照组(18.75% vs. 48.75%);治疗后观察组的简易生活质量评价量表各维度评分均高于对照组,差异均有统计学意义(均P<0.05)。结论 采用低频脉冲电刺激联合电针治疗脑卒中后尿潴留能够有效改善患者的排尿功能及临床症状,降低治疗期间泌尿系统感染发生率,提高患者生活质量。

Objective To investigate the clinical effect of low frequency impulse electrostimulation combined with electro-acupuncture in the treatment of urinary retention after stroke. Methods A total of 160 patients with urinary retention after stroke were selected as study objects and divided into observation group and control group with 80 cases in each group by random number table method. Patients in the control group were treated with low frequency impulse electrostimulation on the basis of symptomatic treatment, while the observation group were treated with electro-acupuncture on the basis of the control group. The treatment-related indicators (residual bladder volume, first urination time after treatment, hospital stay and catheter indwelling duration), treatment effective rate, incidence of urinary tract infection and life quality were compared between the two groups. Results After treatment, the residual bladder volume in both groups was less than that before treatment, which was less in the observation group than in the control group; and the first urination time, hospital stay and catheter indwelling duration in the observation group were obviously shorter than those in the control group. After 2 weeks of treatment, the total treatment effective rate of the observation group was higher than that of the control group (88.75% vs. 75.00%). During the treatment, the incidence of urinary tract infection in the observation group was lower than that in the control group (18.75% vs. 48.75%). After treatment, the scores of all dimensions of the 36‑item Short‑Form in the observation group were higher than those in the control group, with statistically significant differences (all P<0.05). Conclusion Low frequency impulse electrostimulation combined with electro-acupuncture in the treatment of urinary retention after stroke can effectively improve the urination function and clinical symptoms of patients, reduce the incidence of urinary tract infection during the treatment, and improve patients' life quality.

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