Abstract
Objective: We introduce and analyze by physical factors treatment case the method and effect of urinary retention after stroke, li xx hospital diagnosis: patients with cerebral hemorrhage postoperative recovery, on the left side of the limb dysfunction, urinary bladder sensitivity is poorer, lack of detrusor activity, urethral sphincter muscle tension increased, urination disorders, urinary retention. Treatment methods: Using electrical therapeutic apparatus, electrodes cross placed in the lower abdomen in patients with bladder section. Using percutaneous nerve electrical stimulation, placed therapeutic apparatus is the cathode respectively in patients with the third sacral vertebral and bladder reflex zone, set the treatment frequency is 120 hz, voltage range of 20 ~ 26 v. Using shortwave treatment, set the short-wave frequency therapy apparatus 10 w, before and after the placement of electrodes, to help urethral sphincter muscle tension relaxed, eliminate urinary tract inflammation and edema. Results: By interfering with the treatment, percutaneous neuromuscular electrical stimulation (TENS) and short wave 15 days after treatment, patients can feel obviously can urinate and pa ontaneously 300 ml urine volume. Conclusion: interference electric treatment can stimulate the detrusor contraction, short-wave can improve urethral sphincter muscle tension, Percutaneous neuromuscular electrical stimulation therapy can excitement parasympathetic promote bladder function, improve urinary retention in patients with quality of life.
Highlights
Clinically in urinary retention, otherwise it will cause the expansion of the urinary tract, urinary tract infection and kidney disease patients' life
Electrical stimulation therapy has no traumatic and the characteristics of easy operation, and a large number of domestic and foreign literature shows that electrical stimulation can create excitement parasympathetic quickly lower central micturition reflex mechanism; Stimulate the detrusor contractions, urinate urethral sphincter coordination movement; Stimulate bladder afferent mechanoreceptor improve bladder sensory organs, so as to restore micturition function [9,10,11,12], for the treatment of urinary retention after a stroke has great value
The short wave therapy is often used to improve the urethral sphincter muscle tension and eliminate the local inflammation and edema caused by indwelling catheter
Summary
Called cerebrovascular accident or stroke, stroke is refers to the various causes of cerebral vascular rupture or blocked a group of disease, parenchymal damage can be divided into the ischemic stroke and ischemic stroke. Clinically in urinary retention, otherwise it will cause the expansion of the urinary tract, urinary tract infection and kidney disease patients' life. Electrical stimulation therapy has no traumatic and the characteristics of easy operation, and a large number of domestic and foreign literature shows that electrical stimulation can create excitement parasympathetic quickly lower central micturition reflex mechanism; Stimulate the detrusor contractions, urinate urethral sphincter coordination movement; Stimulate bladder afferent mechanoreceptor improve bladder sensory organs, so as to restore micturition function [9,10,11,12], for the treatment of urinary retention after a stroke has great value. The short wave therapy is often used to improve the urethral sphincter muscle tension and eliminate the local inflammation and edema caused by indwelling catheter
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