间歇性清洁导尿结合重复经颅磁刺激治疗对神经源性膀胱的治疗作用研究

Effect of clean intermittent catheterization combined with repetitive transcranial magnetic stimulation on neurogenic bladder

摘要:

目的：观察间歇性清洁导尿结合重复经颅磁刺激对神经源性膀胱的治疗作用。方法：选取2017年7月至2019年8月来重庆医科大学附属康复医院就诊的30例低张力型神经源性膀胱患者，随机奇偶排列分为对照组和观察组，每组15例。奇数对照组患者仅行间歇性清洁导尿，偶数观察组患者在行间歇性清洁导尿的同时加用重复经颅磁刺激。比较2组治疗前后膀胱残余尿量及日常生活能力。结果：2组治疗后膀胱残余尿量较治疗前均改善（P<0.01），观察组残余尿量明显优于对照组（P<0.01）。结论：间歇性清洁导尿结合重复经颅磁刺激治疗能够更好地减少神经源性膀胱患者的残余尿量，有效改善患者的生活质量。

Abstract:

Objective：To observe the therapeutic effects of clean intermittent catheterization combined with repetitive transcranial magnetic stimulation on neurogenic bladder. Methods：Thirty patients with hypotonic neurogenic bladder admitted to our hospital from July 2017 to August 2019 were odd-even randomly divided into control group（n=15） and observation group（n=15）. The patients in 15 odd-numbered control group were only given intermittent clean urethral catheterization，while those in 15 even-numbered obser－vation group were given repetitive transcranial magnetic stimulation. The residual urine volume of bladder before and after treatment and the activity of daily living were compared between the two groups. Results：The residual urine volume of bladder in the observation group and the control group was improved after treatment（P<0.01），and the residual urine volume in the observation group was sig－nificantly better than that in the control group（P<0.01）. Conclusion：Clean intermittent catheterization combined with repetitive tran－scranial magnetic stimulation can better reduce the residual urine volume and effectively improve the quality of life of patients with neurogenic bladder.