骶3神经电针治疗逼尿肌无力症的临床研究

Effect of Third Sacral Nerve Root Electro-acupuncture Therapy on Acontractile Detrusor

目的观察骶3神经根电针治疗逼尿肌无力症的疗效。方法将84例逼尿肌无力患者分成2组,每组分别进行单纯导尿和骶神经电针刺激。观察治疗前和治疗8周后的排尿日记(包括排尿次数、夜尿次数、排尿量等)及尿动力学检查指标(包括最大膀胱容量、最大逼尿肌收缩压、逼尿肌有效收缩时间、最大尿流率、平均尿流率和残余尿量等)。结果与治疗比较,治疗组排尿次数、夜尿次数和残余尿减少(P<0.05);最大膀胱容量无显著性差异(P>0.05),最大逼尿肌收缩压、逼尿肌有效收缩时间、最大尿流率、平均尿流率和残余尿量改善(P<0.05)。结论骶3神经根电针治疗逼尿肌无力症疗效确切。

Objective To observe the effect of third sacral nerve root electro-acupuncture on acontractile detrusor.Methods84 patients with acontractile detrusor were divided into 2 groups received urethral catheterization alone（control）or electro-acupuncture on third sacral nerve（treatment）respectively.The voiding diary（including urination times,nocturia times and urinary volume）and urodynamics test（including maximum bladder volume,maximum systolic pressure detrusor,the effective time of detrusor contraction,maximum urinary flow rate,average urinary flow rate and residual urine volume）were observed before and 8 week after treatment.ResultsCompared with those before treatment,the urination times,nocturia times and residual urine volume decreased（P0.05）in treatment group,while maximum systolic pressure detrusor,the effective time of detrusor contraction,maximum urinary flow rate,average urinary flow rate and residual urine volume improved（P0.05）,but the maximum bladder capacity showed no significant difference（P0.05）.ConclusionElectro-acupuncture on third sacral nerve is an effective intervention for acontractile detrusor.