The Journal of Practical Medicine >

2023 , Vol. 39 >Issue 24: 3233 - 3237

DOI: https://doi.org/10.3969/j.issn.1006-5725.2023.24.015

Clinical Research

Effect of functional magnetic stimulation at different frequencies on urination rehabilitation of patients with urinary retention after stroke

  • Feng SHENG ,
  • Mingwei LIU ,
  • Anqin DONG ,
  • Xian. LI
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  • *.Department of Rehabilitation Medicine，Nanshi Hospital Affiliated to Henan University，Nanyang 473000，China

Received date: 2023-07-28

  Online published: 2024-01-10

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Abstract

Objective To analyze the effect of functional magnetic stimulation （FMS） at different frequencies on the recovery of urination function in patients with urinary retention after stroke. Methods A total of 200 patients with urinary retention after stroke admitted to our hospital from January 2020 to January 2022 were recruited as the research objects. They were divided into 5 Hz， 10 Hz， 20 Hz， and control groups by simple random method， with 50 patients in each group. All four groups were treated with conventional medication， rehabilitation therapy， and intermittent catheterization. The 5 Hz group， 10 Hz group， and 20 Hz group were treated with FMS at 5 Hz， 10 Hz， and 20 Hz， respectively， and the control group was treated with sham stimulation at the same site and parameters as the 5 Hz group. Bladder pressure volume index， urination status， recovery time of spontaneous urination， Quality of Life Questionnaire （SQLP） score， and urinary retention efficacy were compared among the four groups. Results There were no significant differences in bladder pressure volume， urination， recovery time of spontaneous urination， and SQLP score among the four groups before treatment （P > 0.05）. After treatment， the bladder volume and pressure of the first four groups were both increased， with those of the 5 Hz group， 10 Hz group， and 20 Hz group significantly higher than those of the control group， while the residual urine volume of the first four groups was significantly lowered， with that of the 5 Hz group， 10 Hz group， and 20 Hz group significantly lower than that of the control group （P < 0.05）， even showing an effect of dose-response； The average daily urination frequency and average single urination volume of the first four groups were all increased， with those of the 5 Hz group， 10 Hz group and 20 Hz group all significantly higher than those of the control group， while the average daily urination frequency was all reduced， with that of the 5 Hz group， 10 Hz group and 20 Hz group significantly less than the control group （P < 0.05）， even showing an effect of dose-response； The SQLP scores of the first four groups were all lowered， with those of the 5 Hz， 10 Hz and 20 Hz groups significantly lower than those of the control group （P < 0.05）， and the recovery time of spontaneous urination in the 5 Hz， 10 Hz， and 20 Hz groups was significantly shorter than that of the control group， showing an effect of dose-response； The total effective rate of urinary retention in the 5 Hz， 10 Hz and 20 Hz groups was significantly higher than that in the control group （P < 0.05）， showing an effect of dose-response. Conclusion FMS at 5 Hz， 10 Hz and 20 Hz can improve the urination function and quality of life of patients with urinary retention after stroke， showing a dose-responsive efficacy. The clinical efficacy by FMS at 20 Hz is better than that at 5 Hz and 10 Hz.

Key words： cerebral apoplexy; urinary retention; functional magnetic stimulation; micturition function

Cite this article

Feng SHENG , Mingwei LIU , Anqin DONG , Xian. LI . Effect of functional magnetic stimulation at different frequencies on urination rehabilitation of patients with urinary retention after stroke[J]. The Journal of Practical Medicine, 2023 , 39(24) : 3233 -3237 . DOI: 10.3969/j.issn.1006-5725.2023.24.015

References

1 GAO B， ZHANG D， WANG Y， et al. The effect of tamsulosin in postoperative urinary retention： a meta-analysis of randomized controlled trials［J］. N-S Arch Pharmacol，2023，396（3）：441-451.
2 ALI M W， AZMI Y A， SANTOSO A D， et al. Giant long-standing urethral calculus without urinary retention： A case report［J］. Int J Surg Case Rep，2023，106（3）：108084.
3 JITPRATOOM P， BOONYASIRI A. Determinants of urinary tract infection in hospitalized patients with acute ischemic stroke［J］. BMC Neurol，2023，23（1）：251.
4 GELBER J， SINGH A. Management of acute urinary retention in the emergency department［J］. Emerg Med Pract，2021，23（3）：1-28.
5 CHOI S， PYUN S B. Repetitive transcranial magnetic stimulation on the supplementary motor area changes brain connectivity in functional dysphagia［J］. Brain Connect，2021，11（5）：368-379.
6 LOH A， GWUN D， CHOW C T， et al. Probing responses to deep brain stimulation with functional magnetic resonance imaging［J］. Brain Stimul，2022，15（3）：683-694.
7 OPIE G M， SEMMLER J G. Preferential activation of unique motor cortical networks with transcranial magnetic stimulation： A review of the physiological， functional， and clinical evidence［J］. Neuromodulation，2021，24（5）：813-828.
8 ABELLANEDA-PEREZ K， VAQUE-ALCAZAR L， SOLE-PADULLES C， et al. Combining non-invasive brain stimulation with functional magnetic resonance imaging to investigate the neural substrates of cognitive aging［J］. J Neurosci Res，2022，100（5）：1159-1170.
9 中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国脑血管疾病分类2015［J］.中华神经科杂志，2017，50（3）： 168-171.
10 中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014［J］. 中华神经科杂志，2015，48（4）：246-257.
11 吴在德，吴肇汉.外科学［M］.北京：人民卫生出版社，2008：677．
12 DOCARLO-MEACHAM A， DENGLER K， WELCH E， et al. Risk factors for urinary retention after colpocleisis［J］. Female Pelvic Med Reconstr Surg，2021，27（8）：488-492.
13 JEFFERY H， JHA S. Acute urinary retention during menstruation： Answers［J］. Pediatr Nephrol，2021，36（2）：321-322.
14 GUPTA A， PAMPAPATI V， KHARE C， et al. Postpartum urinary retention in women undergoing instrumental delivery： a cross-sectional analytical study［J］. Acta Obstet Gynecol Scand，2021，100（1）：41-47.
15 HUBERS A， BOCKLER B， ABAEI A， et al. Functional and structural impairment of transcallosal motor fibres in ALS： a study using transcranial magnetic stimulation， diffusion tensor imaging， and diffusion weighted spectroscopy［J］. Brain Imaging Behav，2021，15（2）：748-757.
16 REITA A， KNAPP P A， FREY S， et al. Functional magnetic stimulation of the spinal cord： a urodynamic study in healthy humans［J］. Neurourol Urodyn，2004，23（2）：148-153.
17 黄婷婷，吴海科，练梦结，等. 不同频率重复经颅磁刺激联合补阳还五汤对气虚血瘀型卒中患者运动功能的疗效观察［J］. 实用医学杂志，2023，39（4）：499-504.
18 ?ZDEN F， ?ZKESKIN M， TUMTURK ?， et al. The investigation of cognition， proprioception， sensory and physical function in stroke patients with urinary incontinence［J］. Int Urol Nephrol，2023，55（7）：1693-1698.
19 KOHLER M， OTT S， MULLIS J， et al. Promoting urinary continence in people suffering a stroke： Effectiveness of a complex intervention-an intervention study［J］. Nurs Open，2022，9（2）：1262-1275.
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