Therapeutic Effect Of Repetitive Transcranial Magnetic Stimulation On Neurogenic Bladder After Incomplete Spinal Cord Injury

Objective:To explore the therapeutic effect of repetitive transcranial magnetic stimulation on neurogenic bladder after incomplete spinal cord injury.Methods:Thirty-four patients with neurogenic bladder after incomplete spinal cord injury in the Department of Rehabilitation Medicine of Jiangxi Provincial people’s Hospital from March 2021 to June 2022 were selected as subjects,including 26 male patients and 8 female patients.According to the sequence of admission,the patients were randomly divided into control group(n = 17)and test group(n = 17).The control group was given routine rehabilitation treatment such as drinking water plan,intermittent urinary catheterization,pelvic floor muscle training,bladder function training,physical factor therapy and acupuncture therapy,while the experimental group was treated with repetitive transcranial magnetic stimulation for 4 weeks.The voiding diary indexes of the two groups within 1 day before and after treatment(24hours micturition times,daily single voiding volume,urinary incontinence times)were counted,and the urodynamics(residual urine volume,maximum bladder volume,maximum urinary flow rate)of the two groups were measured before and after treatment.Life satisfaction index A was used to investigate the life satisfaction of the two groups before and after treatment,and the international lower urinary tract syndrome symptom score was used to evaluate the lower urinary tract symptoms of the two groups before and after treatment.Results:In this study,34 patients were included,3 cases fell off,and the data collection of 31 patients(16 cases in the control group and 15 cases in the experimental group)were completed.After 4 weeks of treatment,the 24-hour micturition times and urinary incontinence times of the test group were lower than those of the control group,and the average daily single voiding volume of the test group was higher than that of the control group(P < 0.05).The maximum bladder capacity and maximum urinary flow rate of the test group were higher than those of the control group,and the residual urine volume of the test group was lower than that of the control group(P <0.05).After 4 weeks of treatment,the score of life satisfaction index An in the test group was higher than that in the control group,and the score of international lower urinary tract symptoms in the test group was lower than that in the control group(P <0.05).Conclusion:Repetitive transcranial magnetic stimulation can not only improve the voiding function and bladder function of patients with neurogenic bladder after spinal cord injury,but also reduce the symptoms of lower urinary tract syndrome and improve patients’ life satisfaction,which is worthy of clinical application.