评估电刺激先进方法对脊髓损伤患者肠道和膀胱功能管理的有效性；文献系统综述
Evaluation the Efficiency of Electrical Stimulation Advanced Methods on Management of Bowel and Bladder Functions in Spinal Cord Injury Subject; A Systematic Review of Literature.
作者信息
Fallahzadeh Abarghuei Abolghasem, Karimi Mohammad Taghi
机构信息
Occupational Therapy Department, Faculty of Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran.
Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Bull Emerg Trauma. 2022 Jan;10(1):1-8. doi: 10.30476/BEAT.2021.89300.1227.
OBJECTIVE
To evaluate the efficiency of various methods used for SCI subjects in this regard based on the available literature.
METHODS
A search was done in some data bases such as Google scholar, ISI web of knowledge, PubMed, and Scopus. Some keywords such as bowel, bladder control and management were used in combination with SCI. The studies' quality was evaluated with Pedro scale.
RESULTS
From 100 articles found, 21 papers were selected based on abstracts and titles. The quality of the studies varied between 5 and 7 based on Pedro scale. There were 3 studies on abdominal muscles stimulation, 1 on stimulation of tibial nerve, 8 on stimulation of sacral nerve root, 2 on combination of stimulation and exercise, 4 on Brindley bladder control and 3 on sacralizotomy.
CONCLUSION
The bowel and bladder management functions is not the main problem of SCI subjects anymore. Some advantages of the mentioned procedures used for SCI subjects are including improved quality of life, socialization, and decreased bladder infection.
目的
基于现有文献评估在这方面用于脊髓损伤（SCI）受试者的各种方法的有效性。
方法
在谷歌学术、ISI 知识网络、PubMed 和 Scopus 等一些数据库中进行检索。使用了一些关键词，如肠道、膀胱控制与管理，并与脊髓损伤相结合。采用佩德罗量表评估研究质量。
结果
从找到的100篇文章中，根据摘要和标题选择了21篇论文。根据佩德罗量表，研究质量在5到7之间。有3项关于腹部肌肉刺激的研究，1项关于胫神经刺激的研究，8项关于骶神经根刺激的研究，2项关于刺激与运动相结合的研究，4项关于布林德利膀胱控制的研究以及3项关于骶骨化手术的研究。
结论
肠道和膀胱管理功能不再是脊髓损伤受试者的主要问题。用于脊髓损伤受试者的上述程序的一些优点包括生活质量提高、社交能力增强以及膀胱感染减少。
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