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李 华,王玉龙.脊髓损伤后运动功能对膀胱功能重建的影响[J].中国康复医学杂志,2009,24(2):129~132
脊髓损伤后运动功能对膀胱功能重建的影响    点此下载全文
李 华  王玉龙
深圳市第二人民医院,南方医科大学附属深圳医院康复医学科,深圳,518035
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摘要:
      目的:探讨脊髓损伤后运动功能对膀胱功能重建的影响。方法:将45例SCI 患者随机分为治疗组(n=23)和对照组(n=22),治疗组在常规康复治疗基础上,每日行膀胱功能训练1次,共计治疗4周。分别于治疗前及治疗4周后,采用膀胱残余尿量、日单次最大排尿量、受排尿症状影响的生存质量评分及运动评分来评定患者的膀胱功能及运动功能。结果:治疗前,两组患者的残余尿量、日单次最大排尿量及受排尿症状影响的生存质量评分,以及运动功能评分差异无显著性(P>0.05)。治疗4周后,治疗组残余尿量少于对照组,差异具有显著性(P<0.01);日单次最大排尿量多于对照组,差异具有显著性(P<0.01);受排尿症状影响的生存质量评分低于对照组,差异具有显著性(P<0.01)。治疗4周后,分别将两组患者的运动功能评分与治疗前相比较,治疗后比治疗前有显著提高,差异具有显著性意义(P<0.05);将治疗组的运动功能评分与对照组相比较,差异无显著性意义(P>0.05)。治疗4周后,分别将治疗组患者的运动功能评分与残余尿量及日单次最大排尿量进行相关性分析,相关系数分别为r=-0.095、r=0.304,患者的运动功能评分与残余尿量及日单次最大排尿量无明显的相关性(P>0.05)。结论:脊髓损伤患者运动功能与膀胱功能重建无明显的相关性,但膀胱训练能促进膀胱功能恢复,改善患者生存质量,有助于SCI后膀胱功能的重建。
关键词:脊髓损伤  膀胱功能重建  运动功能
The influence of locomotor function on the functional reconstruction of bladder on the patient of spinal cord injury    Download Fulltext
Department of Rehabilitation Medicine, the Second People′s Hospital of Shenzhen, Affiliated Shenzhen Hospital of Nanfang Medical University, Shenzhen,518035
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Abstract:
      Objective:To investigate the influence of locomotor function on the functional reconstruction of bladder in patients of spinal cord injury. Method: Forty-five patients with spinal cord injury were randomly divided into two groups: the treatment group(n=23) and the control group(n=22). Both groups received the similar treatments with rehabilitation training, while the patients in the treatment group were additionally treated with the bladder training once a day for 4 weeks. We compared the two groups by means of residual urine level, daily maximal single urinary voided volume, scores of locomotor function and scores of the quality of life to evaluate recovery of motor function and bladder function before the treatment and after 4 weeks treatment,respectively. Result:No significant difference was found in residual urine level, daily maximal single urinary voided volume, scores of locomotor function, and scores of the quality of life for the patients between the two groups before treatment. After 4 weeks treatment, residual urine level was lower than the control group(P<0.01), daily maximal single urinary voided volume was higher in the treatment group than the control group(P<0.01). Scores of the quality of life were decreased in the treatment group than the control group(P<0.01).After 4 weeks treatment, the scores of locomotor function in the 2 groups improved significantly as compared with that before treatment(P<0.05). But no significant difference was found in the scores of locomotor function between the two groups(P>0.05). After 4 weeks treatment, we analyzed the correlation between the scores of locomotor function with residual urine level and daily maximal single urinary voided volume, the scores of locomotor function was irrelevant to residual urine level and daily maximal single urinary voided volume(P>0.05). Conclusion:Motor function of the patient with spinal cord injury may be irrelevant to bladder functional reconstruction, but the bladder training could promote bladder functional recovery and improve the quality of life of the patient with spinal cord injury.
Keywords:spinal cord injury  functional reconstruction of bladder  locomotor function
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