生物反馈训练法对不同节段脊髓损伤病人排尿及膀胱功能恢复的影响

【摘要】〓目的〓探讨生物反馈训练法对不同节段脊髓损伤病人排尿及膀胱功能恢复的影响。方法〓自2011年10月~2013年7月收治共收治外伤行脊髓损伤病人86例,其中男53例,女33例,年龄21~64岁,平均40.2±4.6岁。将患者随机分为两组:观察组45例,采用生物反馈训练法对不同节段脊髓损伤病人排尿训练;对照组41例,采用传统方法留置尿管及进行常规护理。结果〓实验组经过3~10次生物反馈训练(平均5.9次),其拔除尿管时间、拔除尿管例数自主排尿、一周后残余尿量均较对照组明显好转。两组疗效判定有显著性差异(P<0.05)。结论〓生物反馈训练法能有效提高不同节段脊髓损伤病人排尿及膀胱功能恢复,以颈髓、腰髓、胸髓恢复较好,马尾及骶尾髓损伤效果差。

Effect of biofeedback training on the recovery of the patient with spinal cord injury in different segment and urinary bladder function

Objective To investigate the effects of biofeedback rehabilitation training on urinary reflex and bladder function in patients with spinal cord injury. Methods From October 2011 to July 2013, 86 patients with traumatic spinal cord injury were treated with biofeedback training, including 53 male cases, 33 female cases, and aged from 21 to 64 years, with the average of 40.2. The patients were randomly divided into two groups, experimental group （n=45） and control group （n= 41 ）.The patients in experimental group patients were trained urination by biofeedback training method. The controls received the traditional method of indwelling catheter and routine nursing care. Results After 3-10 times of biofeedback training （average 5.9） in the experimental group patients, the time of catheter, catheter removal of residual urine volume, the number of autonomous urination after a week were lower than those in controls （P〈0.05）. Conclusion In our study, the biological feedback training effectively improved urination and bladder function in patients with different segment of the spinal cord injury. The patients with cervical, lumbar and thoracic spinal cord injury showed much better efficacy than cauda equina and sacrococcygeal spinal cord injury.