盆底磁刺激联合膀胱功能训练治疗脊髓损伤后神经源性膀胱患儿的临床疗效观察

doi:10.20274/j.cnki.issn.1674-3865.2026.02.015

中国中西医结合儿科学 ›› 2026, Vol. 18 ›› Issue (2): 174-179.doi: 10.20274/j.cnki.issn.1674-3865.2026.02.015

盆底磁刺激联合膀胱功能训练治疗脊髓损伤后神经源性膀胱患儿的临床疗效观察

吴英英, 李金铭, 石彩晓, 尚清, 王向丽(), 韩亮

450000 郑州，郑州大学附属儿童医院，河南省儿童医院郑州儿童医院护理部（吴英英，石彩晓），康复医学科（李金铭，尚清，王向丽，韩亮）

收稿日期:2025-11-18 修回日期:2026-03-13 出版日期:2026-04-25 上线日期:2026-04-25
通讯作者: 王向丽 E-mail:13783526226@163.com
作者简介:吴英英（1987-），女，主管护师。研究方向：儿童护理学
基金资助:
郑州市医学重点（培育）学科(2023ZZSPYXK05);河南省医学科技攻关联合共建项目(LHGJ20220754)

Observation on the efficacy of pelvic floor magnetic stimulation combined with bladder function training in children with neurogenic bladder after spinal cord injury

Yingying WU, Jinming LI, Caixiao SHI, Qing SHANG, Xiangli WANG(), Liang HAN

Children's Hospital Affiliated of Zhengzhou University, Henan Children's Hospital Zhengzhou Children's Hospital，Zhengzhou 450000，China

Received:2025-11-18 Revised:2026-03-13 Published:2026-04-25 Online:2026-04-25
Contact: Xiangli WANG E-mail:13783526226@163.com
Supported by:
Joint Construction Project of Medical Science and Technology Research for Key Areas by Henan Province(LHGJ20220754)

摘要/Abstract

摘要：

目的探讨盆底磁刺激联合膀胱功能训练对脊髓损伤后神经源性膀胱患儿的影响。方法选取2023年1月至2025年10月在郑州大学附属儿童医院就诊的脊髓损伤后神经源性膀胱患儿60例为研究对象，按入院先后顺序，将2023年1月至2024年5月入院的30例分为对照组，2024年6月至2025年10月入院的30例分为观察组。对照组采取常规的康复治疗、护理措施与膀胱功能训练，观察组在对照组的基础上实施盆底磁刺激。比较两组患儿干预前后排尿症状评分[核心下尿路症状评分（CLSS）、泌尿症状困扰评分量表（USDS）]、神经源性膀胱症状评分（NBSS）以及尿动力学指标评分。结果干预后两组患儿的CLSS、USDS、NBSS均低于干预前，且观察组低于对照组，差异有统计学意义（P<0.05）。尿动力学指标中，干预后两组最大膀胱容量和膀胱内压力均高于干预前，且观察组高于对照组，差异有统计学意义（P<0.05）；干预后两组残余尿量均低于干预前，且观察组低于对照组，差异有统计学意义（P<0.05）。结论盆底磁刺激联合膀胱功能训练可改善脊髓损伤后神经源性膀胱患儿的排尿症状，缓解神经源性膀胱症状，促进尿动力学指标恢复，具有显著的临床作用与应用价值。

关键词: 脊髓损伤, 盆底磁刺激, 膀胱功能训练, 神经源性膀胱, 儿童

Abstract:

Objective To explore the effects of pelvic floor magnetic stimulation combined with bladder function training on children with neurogenic bladder after spinal cord injury. Methods Sixty children with neurogenic bladder after spinal cord injury who were treated at Zhengzhou University Affiliated Children's Hospital from January 2023 to October 2025 were selected as the research subjects. According to the order of admission, 30 cases admitted from January 2023 to May 2024 were assigned to the control group, and 30 cases admitted from June 2024 to October 2025 were assigned to the observation group. The control group received conventional rehabilitation treatment, nursing measures, and bladder function training, while the observation group received pelvic floor magnetic stimulation in addition to the treatment for control group. The scores of voiding symptoms [core lower urinary tract symptom score (CLSS), urinary symptom distress scale (USDS)], neurogenic bladder symptom score (NBSS), and urodynamic indicator scores were compared between the two groups before and after the intervention. Results After the intervention, the CLSS, USDS, and NBSS of both groups were lower than those before the intervention, and the observation group was lower than the control group, with statistically significant differences(P<0.05). Concerning the urodynamic indicators, after the intervention, the maximum bladder capacity and internal bladder pressure of both groups were higher than those before the intervention, and the observation group was higher than the control group, with statistically significant differences(P<0.05); after the intervention, the residual urine volume of both groups was lower than that before the intervention, and the observation group was lower than the control group, with statistically significant differences(P<0.05). Conclusion Pelvic floor magnetic stimulation combined with bladder function training can improve the voiding symptoms of children with neurogenic bladder after spinal cord injury, relieve neurogenic bladder symptoms, and promote the recovery of urodynamic indicators, which has significant clinical effects and application value.

Key words: Spinal cord injury, Pelvic floor magnetic stimulation, Bladder function training, Neurogenic bladder, Child

中图分类号:

R726.9

吴英英, 李金铭, 石彩晓, 尚清, 王向丽, 韩亮. 盆底磁刺激联合膀胱功能训练治疗脊髓损伤后神经源性膀胱患儿的临床疗效观察[J]. 中国中西医结合儿科学, 2026, 18(2): 174-179.

Yingying WU, Jinming LI, Caixiao SHI, Qing SHANG, Xiangli WANG, Liang HAN. Observation on the efficacy of pelvic floor magnetic stimulation combined with bladder function training in children with neurogenic bladder after spinal cord injury[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(2): 174-179.

图/表 3

参考文献 30

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组别	n	干预前	干预后	t值	P值
对照组	30	54.60±2.81	43.30±3.26	16.617	0.000
观察组	30	54.57±2.14	34.77±2.13	36.877	0.000
t值		0.052	12.004
P值		0.959	0.000

组别	n	CLSS（x±s）		USDS[M（P₂₅，P₇₅）]
组别	n	干预前	干预后	干预前	干预后
对照组	30	23.50±2.43	16.30±2.15^a	5.0（4.0，5.0）	3.5（2.0，4.0）
观察组	30	23.60±2.82	12.93±2.29^a	5.0（4.0，5.0）	2.0（2.0，3.0）
t或Z值		-0.147	5.870	-0.518	-2.564
P值		0.884	0.000	0.605	0.010

组别	n	最大膀胱容量（mL）		残余尿量（mL）		膀胱内压力（cmH₂O）
组别	n	干预前	干预后	干预前	干预后	干预前	干预后
对照组	30	301.10±12.96	383.27±12.16^a	280.80±11.26	130.83±12.16^b	11.70±2.45	21.40±2.44^c
观察组	30	300.23±12.23	417.93±15.05^a	280.53±12.14	86.43±12.37^b	11.77±2.98	24.60±2.18^c
t值		0.266	-9.812	0.088	14.017	-0.095	-5.357
P值		0.791	0.000	0.930	0.000	0.925	0.000

盆底磁刺激联合膀胱功能训练治疗脊髓损伤后神经源性膀胱患儿的临床疗效观察

Observation on the efficacy of pelvic floor magnetic stimulation combined with bladder function training in children with neurogenic bladder after spinal cord injury

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