【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。更多还原

【Abstract】 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 catheterization(IC) group(33 cases). TEAS group was based on that plus transcutanclus 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 function recovery time and complications were compared among three groups. Results: There were no complications in the three groups. TEAS group and electroacupuncture 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 electroacupuncture group was shorter than that of IC group. Conclusion: The application of transcutaneous electrical acupoint stimulation shows a good effect on bladder function recovery of spinal cord injury,but the specific mechanism still needs a large sample and multicenter randomized controlled trials to be studied.更多还原