Department of Rehabilitation, The First People's Hospital of Fuyang, 429 Beihuan Road, Fuyang District, Hangzhou, 311400, Zhejiang, China.
Eur Spine J. 2023 Jul;32(7):2441-2447. doi: 10.1007/s00586-023-07760-y. Epub 2023 May 22.
Neurogenic bladder (NGB) is a serious complication after spinal cord injury (SCI), a destructive neurological disease. This study focused on exploring the efficacy of the magnetic stimulation of sacral nerve roots combined with Tui-na in treating NGB after SCI.
One hundred patients with NGB after SCI were studied, and intermittent clean catheterization was performed with a water intake program, and patients were grouped into four groups by the random number table method: general treatment group, Tui-na group, magnetic stimulation group, and combined treatment group. A series of relevant factors (voiding diary, urodynamics, and quality of life scores) and clinical efficacy of patients in the four groups before and after treatment were observed.
The magnetic stimulation of sacral nerve roots alone, Tui-na alone, and the combination of both were all effective in improving bladder function and quality of life in patients with NGB after SCI, including improvements in voiding frequency, single urine output, maximum urine output, residual urine output, bladder volume and quality of life scores in patients with NGB after SCI. The efficacy of the magnetic stimulation of sacral nerve roots combined with Tui-na was better than that of the magnetic stimulation of sacral nerve roots alone and the Tui-na alone.
This research demonstrates that the magnetic stimulation of sacral nerve roots combined with Tui-na treatment could effectively improve the urinary system and the quality of life of patients with NGB after SCI, which is worthy of clinical promotion and application.
神经源性膀胱(NGB)是一种严重的脊髓损伤(SCI)并发症,是一种破坏性的神经系统疾病。本研究旨在探讨骶神经根磁刺激联合推拿治疗 SCI 后 NGB 的疗效。
研究了 100 例 SCI 后 NGB 患者,采用间歇性清洁导尿和饮水计划,采用随机数字表法将患者分为四组:一般治疗组、推拿组、磁刺激组和联合治疗组。观察四组患者治疗前后一系列相关因素(排尿日记、尿动力学、生活质量评分)和临床疗效。
单独骶神经根磁刺激、单独推拿以及两者联合均能有效改善 SCI 后 NGB 患者的膀胱功能和生活质量,包括改善 SCI 后 NGB 患者的排尿频率、单次尿量、最大尿量、残余尿量、膀胱容量和生活质量评分。骶神经根磁刺激联合推拿的疗效优于单独骶神经根磁刺激和单独推拿。
本研究表明,骶神经根磁刺激联合推拿治疗能有效改善 SCI 后 NGB 患者的泌尿系统和生活质量,值得临床推广应用。