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目的:对中风后尿失禁患者给予优化的综合康复进行治疗,探讨中风后尿失禁综合康复治疗的优化方案。方法:120例中风后尿失禁患者随机分为治疗组和对照组。治疗组给予优化的综合康复治疗方案,包括温针、穴位注射、功能性电刺激、膀胱训练、盆底肌肉训练等;对照组给予营养神经、活血化瘀、改善循环等药物。两组患者在治疗后1个月进行疗效评估,并进行统计学分析。结果:治疗组治疗后膀胱容量为(405.67±33.28)m L、最大排尿量为(284.39±27.18)m L,对照组膀胱容量为(392.21±39.45)m L、最大排尿量为(274.16±29.19)m L,差异有统计学意义(P<0.05)。两组患者治疗后尿失禁程度均轻于治疗前尿失禁程度,治疗后治疗组尿失禁程度轻于对照组,差异具有统计学意义(P<0.05)。治疗组治疗后生存质量量表得分为(88.76±6.12)分,对照组为(86.49±6.18)分,差异具有统计学意义(P<0.05)。治疗组总有效率高于对照组(96.67%vs 86.67%),差异具有统计学意义(P<0.05)。结论:对中风后尿失禁患者给予优化的综合康复方案进行治疗,可以有效改善患者膀胱功能,减轻尿失禁程度,提高治疗有效率,提高患者的生存质量。
Objective: To optimize the comprehensive rehabilitation of stroke patients with urinary incontinence and to explore the optimal scheme of comprehensive rehabilitation treatment of stroke after urinary incontinence. Methods: 120 stroke patients with urinary incontinence were randomly divided into treatment group and control group. The treatment group was given an optimized comprehensive rehabilitation program, including warm needling, acupoint injection, functional electrical stimulation, bladder training and pelvic floor muscle training. The control group was given nutritional nerves, promoting blood circulation and improving circulation. Two groups of patients in the 1 month after treatment efficacy evaluation, and statistical analysis. Results: After treatment, the bladder volume was (405.67 ± 33.28) m L and the maximum urinary volume was (284.39 ± 27.18) m L in the treatment group. The bladder volume in the control group was (392.21 ± 39.45) m L and the maximum urinary volume was (274.16 ± 29.19) ) m L, the difference was statistically significant (P <0.05). After treatment, urinary incontinence was lower in both groups than in control group. The difference was statistically significant (P <0.05). After treatment, the quality of life scale score of the treatment group was (88.76 ± 6.12) points and that of the control group was (86.49 ± 6.18) points, the difference was statistically significant (P <0.05). The total effective rate of the treatment group was higher than that of the control group (96.67% vs 86.67%), the difference was statistically significant (P <0.05). Conclusion: The optimized comprehensive rehabilitation program for stroke patients with urinary incontinence can effectively improve the bladder function, reduce the degree of urinary incontinence, improve the treatment efficiency and improve the quality of life of patients.