摘要
目的探讨脊髓损伤伴二便障碍患者应用盆底康复治疗的临床效果。方法40例脊髓损伤伴二便障碍患者,随机分为观察组和对照组,各20例。对照组采用常规康复治疗,观察组在对照组基础上加强盆底肌训练。比较两组患者治疗效果以及治疗前后的尿动力学指标(最大尿流率、膀胱顺应性)、Barthel评分。结果观察组总有效率90.0%高于对照组的55.0%,差异具有统计学意义(P<0.05)。治疗后,观察组患者最大尿流率(32.6±2.5)ml/s、膀胱顺应性(0.47±0.10)ml/kPa均高于对照组的(28.2±2.4)ml/s、(0.40±0.10)ml/kPa,差异均具有统计学意义(P<0.05)。治疗后,观察组Barthel评分(7.1±1.1)分高于对照组的(3.3±0.3)分,差异具有统计学意义(P<0.05)。结论脊髓损伤伴二便障碍患者运用盆底康复治疗的效果突出,操作简单便捷,值得临床应用。
Objective To discuss the clinical effect of pelvic floor rehabilitation in patients with urination and defecation disorder caused by spinal cord injury.Methods A total of 40 patients with urination and defecation disorder caused by spinal cord injury were randomly divided into observation group and control group,with 20 cases in each group.The control group was treated with conventional rehabilitation,and the observation group received pelvic floor muscle training on the basis of the control group.The therapeutic effect,urodynamic indexes(maximum urinary flow rate,bladder compliance)and Barthel index score before and after treatment were compared between the two groups.Results The total effective rate 90.0%of the observation group was higher than 55.0%of the control group,and the difference was statistically significant(P<0.05).After treatment,the maximum urinary flow rate(32.6±2.5)ml/s and bladder compliance(0.47±0.10)ml/kPa in the observation group were higher than(28.2±2.4)ml/s and(0.40±0.10)ml/kPa in the control group,and the differences were statistically significant(P<0.05).After treatment,the Barthel index score(7.1±1.1)points of the observation group was higher than(3.3±0.3)points of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of pelvic floor rehabilitation therapy for patients with urination and defecation disorder caused by spinal cord injury is outstanding,and the operation is simple and convenient,which is worthy of clinical application.
作者
刘会
张丽仪
袁勇
葛行新
LIU Hui;ZHANG Li-yi;YUAN Yong(Department of Rehabilitation,General Hospital of Xuzhou Mining Group,Xuzhou 221000,China)
出处
《中国实用医药》
2022年第16期189-192,共4页
China Practical Medicine
关键词
盆底康复治疗
脊髓损伤
二便障碍
盆底肌
Pelvic floor rehabilitation
Spinal cord injury
Urination and defecation disorder
Pelvic floor
