中风后尿失禁综合康复优化方案研究

Study of Optimizing Program of Comprehensive Rehabilitation in the Treatment of Urinary Incontinence after Stroke

目的:对中风后尿失禁患者给予优化的综合康复进行治疗,探讨中风后尿失禁综合康复治疗的优化方案。方法:120例中风后尿失禁患者随机分为治疗组和对照组。治疗组给予优化的综合康复治疗方案,包括温针、穴位注射、功能性电刺激、膀胱训练、盆底肌肉训练等;对照组给予营养神经、活血化瘀、改善循环等药物。两组患者在治疗后1个月进行疗效评估,并进行统计学分析。结果:治疗组治疗后膀胱容量为(405.67±33.28)m L、最大排尿量为(284.39±27.18)m L,对照组膀胱容量为(392.21±39.45)m L、最大排尿量为(274.16±29.19)m L,差异有统计学意义(P<0.05)。两组患者治疗后尿失禁程度均轻于治疗前尿失禁程度,治疗后治疗组尿失禁程度轻于对照组,差异具有统计学意义(P<0.05)。治疗组治疗后生存质量量表得分为(88.76±6.12)分,对照组为(86.49±6.18)分,差异具有统计学意义(P<0.05)。治疗组总有效率高于对照组(96.67%vs 86.67%),差异具有统计学意义(P<0.05)。结论:对中风后尿失禁患者给予优化的综合康复方案进行治疗,可以有效改善患者膀胱功能,减轻尿失禁程度,提高治疗有效率,提高患者的生存质量。

Objective：To observe the effects of comprehensive rehabilitation optimizing program in the treatment of urinary incontinence after stroke through clinical research. Methods：A randomized controlled study method was adopted and a total of 120 patients were randomly divided into the treatment group（60 cases）and the control group（60 cases）. The treatment group received comprehensive rehabilitation optimizing program. The control group received drug treatment. The treatment course was set as 30 days in both groups. Results：After treatment,the bladder capacity of the treatment group was（405.67±33.28）m L in comparison with（392.21±39.45）m L of the control group. The maximum urine volume of the treatment group was（284.39±27.18）m L in comparison with（392.21±39.45）m L of the control group. The WHOQOL-BREF score of the treatment group was（88.76±6.12）scores in comparison with（86.49±6.18）scores of the control group. Total effective rate of the treatment group was higher than the control group（96.67% vs 86.67%）. The treatment group presented statistical significance in comparison with the control group（P〈0.05）. Conclusion：Comprehensive rehabilitation optimizing program can improve urinary incontinence after stroke.