蒋金金,尹凯月,宋娜,等.多靶点重复磁刺激对脊髓损伤后尿潴留患者的影响[J].中华物理医学与康复杂志,2022,44(5):433-436
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| 多靶点重复磁刺激对脊髓损伤后尿潴留患者的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2022.05.011 |
| 中文关键词: 重复磁刺激 脊髓损伤 尿潴留 初级运动皮质 骶神经根 |
| 英文关键词: Magnetic stimulation Spinal cord injury Urinary retention Primary motor cortex Sacral nerve roots |
| 基金项目:河北省医学科学研究课题计划（20200081） |
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| 中文摘要: |
| 目的 观察初级运动皮质和骶神经根多靶点重复磁刺激对脊髓损伤后尿潴留的影响。 方法 选取脊髓损伤后尿潴留患者40例，采用随机数字表法将其分为试验组和对照组，每组20例。两组患者均进行常规治疗和骶神经根重复磁刺激治疗，试验组在此基础上增加双侧初级运动皮质（M1区）重复磁刺激治疗。治疗前、治疗8周后（治疗后），对两组患者的膀胱容量压力指标、残余尿量和生活质量评分进行评定。 结果 治疗后，两组患者最大膀胱压力、初始尿意时膀胱容量、残余尿量及生活质量评分均较组内治疗前显著改善（P＜0.05）。试验组治疗后初始尿意时膀胱容量［(182.5±42.3)ml］、残余尿量［(179.0±85.4)ml］及生活质量评分［(3.0±1.1)分］较对照组改善优异，差异有统计学意义（P＜0.05）。两组患者治疗后最大膀胱压力比较，差异无统计学意义（P＞0.05）。 结论 初级运动皮质和骶神经根多靶点重复磁刺激能够显著改善脊髓损伤后尿潴留患者膀胱的感觉功能，减少残余尿量，提高生活质量。 |
| 英文摘要: |
| Objective To observe any effect of magnetic stimulation of the primary motor cortex and sacral nerve roots on urinary retention after spinal cord injury. Methods Forty patients experiencing urine retention after a spinal cord injury were randomly divided into an experimental group and a control group, each of 20. Both groups received conventional treatment and repeated magnetic stimulation of the roots of the sacral nerve. The experimental group also received repeated magnetic stimulation of the bilateral primary motor cortices (M1 region). Bladder capacity and pressure indices, residual urine volume and life quality were evaluated in both groups before and after 8 weeks of treatment. Results After the treatment, the average maximum bladder pressure, first sensation capacity, residual urine volume and life quality score of both groups had improved significantly, but the improvements in average first sensation capacity, residual urine volume and life quality score of the experimental group were significantly greater than those of the control group. There was, however, no significant difference in the groups′ average maximum bladder pressure after the treatment. Conclusion Magnetic stimulation of the primary motor cortex and sacral nerve roots can significantly improve the sensory function of the bladder, reduce residual urine volume and improve the life quality of persons experiencing urinary retention after a spinal cord injury. |
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