Functional magnetic stimulation of the sacral nerve roots in treating diabetic neurogenic bladder
10.3760/cma.j.issn.0254-1424.2024.09.010
- VernacularTitle:骶神经根功能性磁刺激治疗糖尿病神经源性膀胱的疗效观察
- Author:
Huihui YANG
1
;
Yang YANG
;
Yakun LI
;
Lu YU
;
Quane KAN
Author Information
1. 河南省人民医院内分泌代谢病科，郑州 450003
- Keywords:
Diabetes;
Neurogenic bladder;
Functional magnetic stimulation;
Urodynamics
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(9):817-821
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effectiveness of functional magnetic stimulation (FMS) of the sacral nerve root in the treatment of diabetic neurogenic bladder (DNB).Methods:A total of 134 DNB patients were divided into an observation group and a control group, each of 67. Both groups were given conventional drug therapy and bladder function training, while the observation group was additionally provided with sacral nerve root FMS for 4 weeks. The urine and urine flow dynamics of both groups were tested before and after the experiment.Results:After treatment the average daily volume of single urination had increased significantly in both groups and the average daily urinations and incidence of incontinence had decreased significantly. The observation group′s average single urination volume was then significantly greater than that of the control group. The observation group′s average daily urinations (8.87±1.42) and incontinence incidents (3.04±1.93) were then significantly fewer than the control group′s. After the treatment the detrusor pressure at maximum flow, bladder sense initial volition and residual urine volume of both groups had decreased significantly compared with before the treatment, while their average maximum flow rates had increased significantly. But the observation group′s averages were in all cases significantly better than those of the control group. The treatment′s total effectiveness rate among the observation group (88%) was significantly better than among the control group (72%).Conclusions:Supplementing routine bladder function training with FMS applied to the root of the sacral nerve can further promote the regaining of bladder function among DNB patients, improve their urinary flow dynamics and improve their quality of life. Such combination therapy is worthy of clinical promotion and application.
