摘要 目的 探讨本体感觉神经肌肉促进疗法结合盆底肌电刺激对脊髓损伤后神经源性膀胱患者的临床疗效。方法 选取某三甲骨专科医院2019年06月--2021年06月收治入院脊髓损伤患者60例，采用随机数余数分组法将患者分为两组，分别是常规组30例和实验组30例。常规组采用日常常规护理（留置导尿术、清洁间歇导尿术、Crede手法、盆底肌训练等）+盆底肌电刺激等疗法，实验组患者采用“常规护理+盆底肌电刺激+本体感觉神经肌肉促进疗法”联合进行治疗护理。在干预前及干预后4周、12周、24周分别对两组患者的膀胱功能（自主排尿量、残余尿量、膀胱容量、日排尿次数）、泌尿系感染发生率、生活质量的提高进行效果评价。结果 干预24周后患者的膀胱功能的各项指标及生活质量均有统计学意义（均P<0.01）。泌尿系感染发生率两组无明显差异。结论 本体感觉神经肌肉促进疗法结合盆底肌电刺激治疗对脊髓损伤后神经源性膀胱的康复护理，对患者膀胱功能重建、提高生存质量、树立自信心、重返家庭及社会具有重要意义。

Abstract Object To investigate the clinical effect of Proprioceptive Neuromuscular Facilitation combined with pelvic floor electromyographic stimulation in the Treatment of Neurogenic Bladder in Patients with Spinal Cord Injury. Method A total of 60 patients with spinal cord injury in one of the Third-class Orthopaedic Hospitals from January 2019 to December 2020 were selected. The patients were randomly divided into two groups by group method of random number remainde: the conventional group and the experimental group. The conventional group were given routine nursing (retention catheterization, Clean Intermittent self-catheterization, Crede's method, pelvic floor muscle training, etc.) + pelvic floor electromyographic stimulation and other therapies, while the experimental group were given "routine nursing + pelvic floor electromyographic stimulation + Proprioceptive Neuromuscular Facilitation" treatment and nursing. Before and after the 4, 12 and 24 weeks intervention, practical?effects were evaluated through compare the bladder function (voluntary urine volume, residual urine volume, bladder volume, daily frequency of urination), incidence of urinary tract infection and the improvement of life quality of patients in 2 groups. Result After intervention for 24 weeks, parameters of bladder function and life quality of patient was statistically significant(P<0.01). There was no significant difference in the incidence of urinary tract infection between the two groups. Conclusion Proprioceptive Neuromuscular Facilitation combined with pelvic floor electromyographic stimulation in the Treatment of Neurogenic Bladder in Patients with Spinal Cord Injury is of great importance for the reconstruction of bladder function, improvement of life quality, establishment of self-confidence and return to family and society.

创新研究群体科学基金