八髎穴低频理疗治疗女性非神经原性逼尿肌收缩功能低下的疗效观察

Efficacy of low frequency physical therapy on “Baliao point” for female patients with non-neurogenic detrusor underactivity

目的观察八髎穴低频理疗对女性非神经原性逼尿肌收缩功能低下(DU)的疗效。方法回顾性分析60例行尿动力学检查的女性非神经原性DU患者临床资料,根据膀胱顺应性的变化,分为顺应性正常组(30例)和顺应性低下组(30例),疗程为2周,比较两组患者经八髎穴低频理疗治疗前后最大尿流率(Qmax)、最大尿流率时逼尿肌压力(Pdetmax)、最大尿流率时腹压(Pabdmax)和排尿量(Vv)等尿动力学指标差异。结果顺应性低下组患者治疗后Qmax、Pdetmax、Pabdmax和Vv均出现改善趋势,但治疗前后比较差异无统计学意义。顺应性正常组患者治疗后与治疗前相比,Qmax、Pdetmax和Vv显著增加,Pabdmax显著降低,差异均有统计学意义(P<0.05),且与顺应性低下组治疗后比较组间差异也有统计学意义(P<0.05)。结论八髎穴低频理疗治疗顺应性正常女性非神经原性DU患者有一定疗效。

Objective To observe the clinical efficacy of low frequency physical therapy on ＂Baliao point＂ for female patients with non-neurogenic detrusor underactivity. Methods Based on bladder compliance 60 female patients with non- neurogenic detrusor underactivity were divided into normal compliance group （n=30） and low compliance group （n=30）. The treatment course was 2 weeks. The changes of maximum flow rate （Qmax）, maximum flow rate pressure of detrusor （Pdetmax）, maximum flow rate pressure of abdominal （Pabdmax） and voiding volume（Vv） were compared before and after low frequency physical therapy on ＂Baliao point＂. Results The levels of Qmax、 Pdetmax、 Pabdmax and Vv in low compliance group were not significantly changed after treatment. However, the levels of Q Pdetmmax and Vv in the normal compliance group were improved, but Pabdmax was decreased significantly （P〈0.05）. After treatment there were significant difference between two groups （P〈0.05）. Conclusion Low frequency physical therapy on ＂Baliao point＂ has a certain efficacy for the treatment of female patients with non-neurogenic detrusor underactivity and normal compliance.