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

Abstract

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

CLC Number:

R726.9

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.

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References 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

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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