
浏览全部资源
扫码关注微信
联勤保障部队第九〇九医院
纸质出版日期:2023,
网络出版日期:2023-7-31,
扫 描 看 全 文
林小英. 超声波治疗脊髓损伤后神经源性低顺应性膀胱感染的临床研究[J]. 临床超声医学杂志, 2023,25(7).
linxiaoying. Study on the effect of ultrasonic therapy on low compliance neurogenic bladder infection after spinal cord injury[J]. Journal of Clinical Ultrasound in Medicine, 2023,25(7).
目的:观察不同波长的超声波治疗脊髓损伤后低顺应性神经源性膀胱感染患者的感染状况。方法:收集2020.1-2022.6厦门大学附属东南医院康复医学科脊髓损伤神经源性膀胱患者40名,分为常规组、20kHz超声波刺激,30kHz超声波刺激,40kHz超声波刺激组,每组10名。常规组进行灌注疗法及抗胆碱能药物酒石酸托特罗定片进行清洁及扩容治疗,不同波长的超声波组患者在常规治疗的基础上进行超声波治疗,连续2个月,每周治疗6天。检测患者治疗前后的最大膀胱容量、残余尿量、尿白细胞数和细菌数,中段尿的细菌培养。结果:各组患者治疗前的最大膀胱容量、残余尿量、尿白细胞数、细菌数、尿中段细菌培养物的差异均不显著。与常规组相比,20kHz超声波刺激、30kHz超声波刺激、40kHz超声波刺激组患者的最大膀胱容量显著升高,残余尿量、尿白细胞数、细菌数、大肠埃希氏菌和肺炎克雷伯杆菌例数均显著降低,其他细菌完全消失,其中30kHz超声波刺激超声波刺激的治疗效果最合适。结论:30kHz超声波刺激超声波治疗可改善脊髓损伤后低顺应性神经源性膀胱尿动力,抑制感染的发生。
Objective: To observe the ultrasonic therapy of patients with low compliance neurogenic bladder infection after spinal cord injury treated with ultrasound of different wavelengths. Methods: 40 patients with neurogenic bladder caused by spinal cord injury in the Department of rehabilitation medicine
Southeast Hospital Affiliated to Xiamen University from January 2020 to June 2022 were collected and divided into routine group
20kHz ultrasonic stimulation
30kHz ultrasonic stimulation and 40kH zultrasonic stimulation groups
with 10 patients in each group. The routine group was treated with perfusion therapy and the anticholinergic drug tolterodine tartrate tablets for cleaning and volume expansion. The patients in the ultrasound group with different wavelengths were treated with ultrasound on the basis of routine treatment for 2 consecutive months and 6 days per week. Before and after treatment
the maximum bladder volume
residual urine volume
the number of leukocytes and bacteria in urine
and the bacterial culture in the middle urine were detected. Results: there were no significant differences in the maximum bladder volume
residual urine volume
urinary leukocyte count
bacterial count and bacterial culture in the middle of urine before treatment in each group. Compared with the routine group
the maximum bladder volume of patients in 20kHz ultrasonic stimulation
30kHz ultrasonic stimulation and 40kHz ultrasonic stimulation groups was significantly increased
the residual urine volume
the number of urine leukocytes
the number of bacteria
the number of Escherichia coli and Klebsiella pneumoniae were significantly decreased
and other bacteria were completely disappeared. The therapeutic effect of 30kHz ultrasonic stimulation is the most suitable. Conclusions: 30kHz ultrasonic stimulation treatment could improve the urodynamics of low compliance neurogenic bladder after spinal cord injury and inhibit the occurrence of infection.
超声波低顺应性神经源性膀胱尿动力学感染
ultrasonicLow compliance neurogenic bladderUrodynamicsBladder infection
0
浏览量
98
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621