Effect of respiratory function training combined with bladder function training on urodynamic index and bladder function in patients with urinary incontinence after stroke
FAN Jianghua MA Tian YANG Yi NIE Jianfei LI Chenglin
Department of Rehabilitation Medicine, Zhaoqing Second People′s Hospital, Guangdong Province, Zhaoqing 526000, China
Abstract Objective To investigate the effects of respiratory function training combined with bladder function training on urodynamic index and bladder function in patients with urinary incontinence after stroke. Methods A total of 90 patients with urinary incontinence after stroke treated in Zhaoqing Second People′s Hospital from June 2020 to October 2021 were selected as subjects. They were divided into the control group (n=45) and the study group (n=45) by random number method. The control group received percutaneous electrical nerve stimulation combined with motor imagery therapy, and the study group received respiratory function training combined with bladder function training. The clinical treatment effect, urodynamic index and bladder function before and after treatment were compared between the two groups. Results The total effective rate in the study group was higher than that in the control group, and the difference was statistically significant (P<0.05). There were no significant differences in the bladder volume, detrusor pressure, bladder compliance and bladder pressure before treatment between the two groups (P>0.05). After treatment, the bladder volume of the two groups was greater than that before treatment, and the detrusor pressure, bladder compliance and bladder pressure of the two groups were lower than those before treatment, the bladder volume of the study group was greater than that of the control group, and the detrusor pressure, bladder compliance and bladder pressure of the study group were lower than those of the control group, the differences were statistically significant (P<0.05). There were no significant differences between the two groups in the 24 h urination times, 24 h urinary incontinence times, each urination volume and residual urine volume before treatment (P>0.05). After treatment, the 24 h urination times, 24 h urinary incontinence times and residual urine volume of the two groups were less than those before treatment, and each urination volume of the two groups was more than that before treatment, the 24 h urination times, 24 h urinary incontinence times and residual urine volume of the study group were less than those of the control group, and each urination volume of the study group was more than that of the control group, the differences were statistically significant (P<0.05). Conclusion In the clinical treatment of patients with urinary incontinence after stroke, respiratory function training combined with bladder function training has a particularly ideal clinical effect, which can effectively reduce clinical symptoms, improve urodynamic index, and promote the early recovery of bladder function, which is of popularization value.
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