《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (09): 802-803.

• 临床研究 • 上一篇    下一篇

药物配合电刺激治疗逼尿肌无力症的疗效分析

刁伟霖1a; 张海滨1a; 张盘德1b; 李棠煊1a; 杨明1a   

  1. 1.中山大学附属佛山医院a.泌尿外科;b.康复科,广东佛山市 528000
  • 收稿日期:2006-03-21 出版日期:2006-09-01 发布日期:2006-09-01

Effect of Medicine Combined with Electric Stimulation Therapy on Acontractile Detrusor

DIAO Wei-lin, ZHANG Hai-bin,ZHANG Pan-de, et al   

  1. Department of Urology, Foshan Hospital of Zhongshan Medical College, Foshan 528000, Guangdong, China
  • Received:2006-03-21 Published:2006-09-01 Online:2006-09-01

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摘要： 目的探讨逼尿肌无力症的有效治疗方法。方法逼尿肌无力症患者98例,分为电疗组32例,药物组32例和综合治疗组34例,分别进行电疗、药物、电疗加药物的治疗,以尿动力学检查和临床指标进行评价。结果3组患者治疗后逼尿肌肌力均显著增强(P<0.001),综合治疗组明显优于其他2组(χ2=9.976,P<0.01)。综合治疗组的治愈率(88.23%)明显优于电疗组(68.75%)和药物组(59.38%),有非常显著性差异(P<0.01);而电疗组和药物组间无显著性差异(P>0.05)。结论药物配合电刺激治疗逼尿肌无力症优于单纯电疗或药物治疗。

关键词: 逼尿肌无力症, 尿动力学, 电疗, 电针, 药物

Abstract: ObjectiveTo investigate the effective approach for the treatment of detrusor underactivity. Methods98 patients with detrusor underactivity were randomly divided into electrotherapy group (electroacupuncture, interference current stimulation, n=32), medicine group (n=32) and electrotherapy-medicine group (n=34). The patients were assessed with examination of urodynamics and clinical parameters before and after treatment. ResultsThe detrusor strength were stronger after treatment in all the 3 groups (P<0.001), but electrotherapy-medicine group was more stronger than the other 2 groups (P<0.01). The cure rate in the 3 groups were 68.75%, 59.38% and 88.23% respectively, the patients in electrotherapy-medicine group gained significantly better results than the other 2 groups (x2=9.976, P<0.01). The difference of cure rate between the electrotherapy group and the medicine group was not significant (P>0.05). ConclusionElectric stimulation therapy combined with medicine is an effective intervention for treatment of detrusor underactivity and is better than electric stimulation therapy or drugs only.

Key words: acontractile detrusor, urodynamics, electric stimulation therapy, electroacupuncture, medicine