Effect of functional magnetic stimulation at different frequencies on urination rehabilitation of patients with urinary retention after stroke
10.3969/j.issn.1006-5725.2023.24.015
- VernacularTitle:不同频率功能性磁刺激对脑卒中后尿潴留患者排尿功能康复的影响
- Author:
Feng SHENG
1
;
Mingwei LIU
;
Anqin DONG
;
Xian LI
Author Information
1. 河南大学附属南石医院康复医学科(河南南阳 473000)
- Keywords:
cerebral apoplexy;
urinary retention;
functional magnetic stimulation;
micturition function
- From:
The Journal of Practical Medicine
2023;39(24):3233-3237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of functional magnetic stimulation(FMS)at different frequen-cies on the recovery of urination function in patients with urinary retention after stroke.Methods A total of 200 patients with urinary retention after stroke admitted to our hospital from January 2020 to January 2022 were recruited as the research objects.They were divided into 5 Hz,10 Hz,20 Hz,and control groups by simple random method,with 50 patients in each group.All four groups were treated with conventional medication,rehabilitation therapy,and intermittent catheterization.The 5 Hz group,10 Hz group,and 20 Hz group were treated with FMS at 5 Hz,10 Hz,and 20 Hz,respectively,and the control group was treated with sham stimulation at the same site and parameters as the 5 Hz group.Bladder pressure volume index,urination status,recovery time of spontaneous urina-tion,Quality of Life Questionnaire(SQLP)score,and urinary retention efficacy were compared among the four groups.Results There were no significant differences in bladder pressure volume,urination,recovery time of spontaneous urination,and SQLP score among the four groups before treatment(P>0.05).After treatment,the bladder volume and pressure of the first four groups were both increased,with those of the 5 Hz group,10 Hz group,and 20 Hz group significantly higher than those of the control group,while the residual urine volume of the first four groups was significantly lowered,with that of the 5 Hz group,10 Hz group,and 20 Hz group significantly lower than that of the control group(P<0.05),even showing an effect of dose-response;The average daily urination frequency and average single urination volume of the first four groups were all increased,with those of the 5 Hz group,10 Hz group and 20 Hz group all significantly higher than those of the control group,while the average daily urination frequency was all reduced,with that of the 5 Hz group,10 Hz group and 20 Hz group significantly less than the control group(P<0.05),even showing an effect of dose-response;The SQLP scores of the first four groups were all lowered,with those of the 5 Hz,10 Hz and 20 Hz groups significantly lower than those of the control group(P<0.05),and the recovery time of spontaneous urination in the 5 Hz,10 Hz,and 20 Hz groups was significantly shorter than that of the control group,showing an effect of dose-response;The total effective rate of urinary retention in the 5 Hz,10 Hz and 20 Hz groups was significantly higher than that in the control group(P<0.05),showing an effect of dose-response.Conclusion FMS at 5 Hz,10 Hz and 20 Hz can improve the urination function and quality of life of patients with urinary retention after stroke,showing a dose-responsive efficacy.The clinical efficacy by FMS at 20 Hz is better than that at 5 Hz and 10 Hz.
