摘要
目的探讨超声引导下定位骶神经进行电针刺激治疗女性膀胱过度活动症(OAB)的临床疗效。方法74例OAB女性患者随机分为观察组和对照组,每组各37例。对照组行徒手经验定位骶神经,观察组行超声引导定位骶神经,均行电针刺激骶神经根。比较治疗前后两组的日均排尿次数、尿急症状评分、膀胱过度活动症评分(OABSS),并进行疗效评估。结果两组患者在治疗1个月、治疗3个月及治疗后6个月时的日均排尿次数、尿急症状评分、OABSS评分较治疗前均有所改善(P<O.05)。治疗1个月时,观察组的尿急症状评分、OABSS评分均低于对照组(P<0.05)。治疗3个月时,观察组的日均排尿次数少于对照组(P<0.05),OABSS评分低于对照组(P<0.05)。治疗后6个月,观察组的OABSS评分低于对照组(P<0.05)。结论超声引导定位骶神经后进行电刺激治疗女性OAB的疗效显著且安全可靠。
Objective To investigate the clinical effect of sonographically located sacral nerve electroacupuncture in the treatment of female overactive bladder(OAB).Methods Seventy-four OAB female patients were randomly divided into observation group and control group,with 37 cases in each group.The control group received manual and experiential location of the sacral nerve,while the observation group received ultrasonic guided location of the sacral nerve,and electroacupuncture stimulation of the sacral nerve root.The average number of urination,emergency symptom score and OABSS score were compared before and after treatment,and the efficacy was evaluated.Results Compared with before treatment,the daily number of urination,emergency symptom score and OABSS score in 2 groups were improved at 1 month,3 months and 6 months after treatment(P<0.05).After 1 month of treatment,the scores of urgency and OABSS in the observation group were lower than those in the control group(P<0.05).After 3 months of treatment,the daily urination frequency of the observation group was lower than that of the control group(P<0.05),and OABSS score was lower than that of the control group(P<0.05).At 6 months after treatment,OABSS score in the observation group was lower than that in the control group(P<0.05).Conclusion Ultrasound-guided localization of sacral nerves followed by electrical stimulation in the treatment of OAB in women is effective and safe.
出处
《浙江临床医学》
2021年第12期1787-1789,共3页
Zhejiang Clinical Medical Journal
基金
浙江省医药卫生科技计划项目(2020RC093、2021KY230)
杭州市医药卫生科技项目(A20200066)。
关键词
超声引导
骶神经定位
电针疗法
膀胱过度活动症
Ultrasound guidance
Sacral nerve positioning
Electroacupuncture therapy
Overactive bladder
