目的：观察骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进的疗效。方法采用骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进的患者32例，观察治疗前和治疗8周后的排尿日记、尿动力学检查和生活质量评分。结果治疗后，患者排尿次数、漏尿次数、充盈末期逼尿肌压减少(P<0.05)，残余尿量无明显改变(P>0.05)，排尿量、最大膀胱容量、膀胱顺应性、生活质量评分较治疗前改善(P<0.05)。结论骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进疗效满意。%Objective To observe the effect of electroacupuncture on nerve root of sacral spinal nerve 3 for detrusor hyperreflexia after spinal cord injury. Methods 32 spinal cord injury patients with detrusor hyperreflexia accepted electroacupuncture at sacral 3 nerve root. Their voiding diary, urodynamics and quality of life were observed before and 8 weeks after treatment. Results The frequency of urination, urine leakage, and filling the final detrusor pressure decreased (P<0.05), and the urine output, maximum bladder capacity, bladder compli-ance, score of quality of life increased (P<0.05) after treatment. There was no significant change in residual urine volume after treatment (P>0.05). Conclusion Electroacupuncture on nerve root of sacral spinal nerve 3 is effective on detrusor hyperreflexia after spinal cord injury.
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