Effect of " trigger point" stimulation combined with idea training on the recovery of automatic micturition function for early stroke patients / 中国脑血管病杂志

ABSTRACT

Objective: To observe the effect of sensitive "trigger point" stimulation combined with idea training on the recovery of automatic micturition function in patients with dysuria after early stroke. Methods: Fifty-two patients with indwelling catheter after stroke met inclusion and exclusion criteria and admitted to the Rehabilitation Medical Center, the First Affiliated Hospital of Nanjing Medical University from January 2016 to April 2018 were enrolled prospectively. They were randomly divided into control group and treatment group according to the random number table (n = 26 each group). The control group was treated with clean intermittent catheterization after bladder function assessment. The observation group determined the sensitive "trigger point" by bladder pressure monitoring,carried out precise stimulation,and combined with the idea urination training,observed the recovery of automatic micturition and residual urine volume in the two groups at three and seven d of treatment. Results: (1) At three days of treatment, the observation group resumed automatic micturition with residual urine volume ≤50 ml,and the patients who resumed automatic micturition but had residual urine volume > 50 ml and the numbers of urinary retention were 15,10, and 1, respectively, and the control group was 6, 15, and 5, respectively. At seven days of treatment, the observation group resumed automatic micturition with residual urine volume ≤ 50 ml, but residual urine volume > 50 ml, and the numbers of urinary retention were 21,4, and 1, respectively, and the control group was 13,9 and 4,respectively. At three and seven days of treatment,the urination disorder in the observation group was significantly improved compared with the control group, and the difference was statistically significant (χ2 = 6. 47 and 5. 44 respectively, all P 50ml was lower than that of the control group (88 ±21 ml vs. 120 ± 47 ml,73 ±29 ml vs. 107 ± 42ml;t=2.233 and 2. 286, respectively, P = 0. 039 and 0.033 respectively). Conclusion: "Trigger point" stimulation induction combined with idea micturition training may promote the recovery of automatic micturition in patients with early stroke micturition disorder,and effectively reduce residual urine volume.