电针结合膀胱功能训练对胸腰段爆裂骨折伴低张力型膀胱患者排尿功能的影响

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Abstract Objective To investigate the effects of electroacuncture combined with bladder control training on urinary function in patients after thoracolumber fracture with hypotonic bladder. Methods From March 2016 to March 2018, 43 cases with thoracolumber fracture with hypotonic bladder who treated in Honghui Hospital, Xi′an Jiaotong University were selected. They were divided into treatment group (n = 22) and control group (n = 21), according to the treatment methods. Treatment group was treated with electroacupuncture combined with bladder control training, and control group was treated with electroacupuncture. The treatment lasted for 8 weeks and clinical effect was evaluated. Bladder capacity, residual urine volume, urination frequency and quality of life questionnai-core 30 (QOL-C30) scores were compared. Results After 8 weeks of treatment, the total effective rate of treatment group was higher than that of control group, and the difference was statistically significant (P < 0.05). The reduction rate of residual urine volume in treatment group was higher than that in control group, and the increase rate of the number of independent and assisted urination was higher than that in control group, with statistically significant differences (all P < 0.05). Before treatment, there was no statistically significant difference between two groups in each urination volume, maximum urination volume, maximum bladder volume and bladder urination pressure (P > 0.05). After treatment, each urinary volume, maximum urination volume, maximum bladder volume and bladder urination pressure of two groups were higher than those before treatment, and treatment group was higher than control group, with statistically significant differences (all P < 0.05). There was no significant difference in scores of somatic symptoms, social symptoms, psychological symptoms and physical symptoms before treatment. After 8 weeks of treatment, scores of somatic symptoms, social symptoms, psychological symptoms and physical symptoms in two groups were higher than those before treatment, and treatment group was higher than control group, with statistically significant differences (all P < 0.05). Comclusion Electroacupuncture combined with bladder contol training can effectively improve urinary function in patients after thoracolumberfracture with hypotonic bladder, prevent long-term complications and improve quality of life.

Key words： Spinal cord injury Electroacupuncture Bladder control training Hypotonic bladder Urinary unction

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	LIU Xifang1
	2 JI Xiaoyan2 ZHANG Qian3 LI Hanxiao2 YANG Minyi1

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LIU Xifang1,2 JI Xiaoyan2 ZHANG Qian3 LI Hanxiao2 YANG Minyi1. Effect of electroacupuncture combined with bladder control training on urinary function in patients after thoracolumber fracture with hypotonic bladder[J]. 中国医药导报, 2020, 17(10): 90-93.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I10/90

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