盆底肌训练对神经源性逼尿肌过度活动的效果

doi:10.3969/j.issn.1006-9771.2021.09.015

Abstract

Abstract:

Objective To investigate the effect of pelvic floor muscle training on detrusor overactivity in patients with spinal cord injury.Methods From August, 2019 to August, 2020, 17 patients with incomplete spinal cord injury were randomly divided into control group (n = 8) and experimental group (n = 9). Both groups accepted tolterodine tartrate 4 mg a day orally for twelve weeks, while the experimental group accepted pelvic floor muscle training. They were measured urodynamic indexes, and assessed with Neurogenic Bladder Symptom Scale and Patient Perception of Bladder Condition before and after treatment.Results All the urodynamic indexes and scores of the scales improved in both groups after treatment (t > 3.674, |Z| > 2.646, P < 0.05), while the indexes of maximum bladder volume, first contraction pressure volume of detrusor, leakage point pressure of detrusor, maximum contraction pressure of detrusor and neurogenic bladder symptom score improved more in the experimental group than in the control group (|t| > 2.194, P < 0.05).Conclusion Pelvic floor muscle training based on medicine can release the detrusor overactivity in patients with spinal cord injury.

Key words: spinal cord injury, neurogenic bladder, detrusor overactivity, pelvic floor muscle training, rehabilitation

LI Liang,LIAO Li-min,WU Juan,JING Hua-fang,GAO Yi,WANG Yue. Effect of Pelvic Floor Muscle Training on Neurogenic Detrusor Overactivity[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(9): 1093-1097.

Figures/Tables 8

References 37

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项目	对照组 (n = 8)	试验组 (n = 9)	χ²/F值	P值
性别(男/女, n)	6/2	6/3	0.142	0.707
年龄(岁)	44.25±12.40	42.22±13.74	0.035	0.754
病程(月)	13.75±6.43	13.66±4.63	0.673	0.976
损伤分级(C/D, n)	7/1	6/3	1.022	0.312
肌力分级(3/4, n)	7/1	7/2	0.275	0.599

组别	n	治疗前	治疗后	t值	P值
对照组	8	120.87±47.40	163.87±46.73	-7.243	< 0.001
试验组	9	121.77±42.42	205.00±29.63	-11.566	< 0.001
t值		0.041	2.194
P值		0.968	0.044

组别	n	治疗前	治疗后	t值	P值
对照组	8	104.12±45.62	130.62±38.77	-5.539	< 0.001
试验组	9	96.44±41.84	176.00±30.40	-8.021	< 0.001
t值		-0.360	2.702
P值		0.724	0.016

组别	n	治疗前	治疗后	t值	P值
对照组	8	61.87±12.04	50.50±9.97	10.651	< 0.001
试验组	9	61.22±26.12	38.33±12.25	4.443	0.002
t值		-0.065	-2.226
P值		0.949	0.042

组别	n	治疗前	治疗后	t'值	P值
对照组	8	65.37±10.28	54.37±10.13	12.702	< 0.001
试验组	9	68.33±27.20	41.22±7.04	3.674	0.006
t'值		0.303	-3.139
P值		0.768	0.007

Effect of Pelvic Floor Muscle Training on Neurogenic Detrusor Overactivity

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组别	n	治疗前	治疗后	t值	P值
对照组	8	79.37±32.01	63.75±27.22	6.063	0.001
试验组	9	94.22±55.26	51.66±26.92	4.206	0.003
t值		0.666	-0.919
P值		0.516	0.373

组别	n	治疗前	治疗后	t'值	P值
对照组	8	56.50±3.70	45.37±7.53	6.406	< 0.001
试验组	9	50.89±8.26	38.55±5.05	7.327	< 0.001
t'值		-1.839	-2.215
P值		0.092	0.043

组别	n	治疗前	治疗后	Z值	P值
对照组	8	5.00(4.00,5.75)	4.00(3.25,4.75)	-2.646	0.016
试验组	9	5.00(4.00,5.50)	4.00(3.00,4.50)	-2.714	0.008
Z值		-0.051	-0.311
P值		1	0.952

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