电针神经刺激疗法治疗慢性排尿障碍__培训课件.ppt

Electrical pudendal nerve stimulation After the needling sensation referred to the above regions was produced, a G6805-2 Multi-Purpose Health Device was connected with the inserted needles used as electrodes. The device was set to produce an electrical stimulation at a frequency of 2.5 Hz (150 times/min) and an intensity as high as the patient could tolerate without discomfort. The electroacupuncture was set for 60 minutes each time. 3. 电针阴部神经刺激疗法 针感达特定部位后接G6805Ⅱ治疗仪。电针采用连续波，频率约2.5Hz (150次/分），强刺激以患者不感到难受为度，每次持续60分钟。 Electrical pudendal nerve stimulation Strong rhythmic and cephalad contraction of the pelvic floor muscles around the urethra must be kept during the electroacupuncture. The treatment was given once every other day. The treatment course was based on the patient’s condition. 电针期间需保持盆底肌以尿道为中心有节律地向上（头部方向）强烈收缩的感觉。 治疗隔日1次，治疗次数视病情而定。 会阴超声、阴道压力同步检测 Accessories 1. Disposable Surface 3. Reusable Anal Sphincter With Abdominal catheter insertion lumen 2. Disposable Anal and Vaginal 1 2 3 EMG Electrodes Pressure Measurement 1. DPT Pressure Transducer With extension line flushing syringe 2. Abdominal Catheter a. Opened end - F8 b. Balloon 1 2a 2b * Q-tip and cath rectal/bladder LPP measurement漏尿点压力测量 Strain: leaks at 165 cm H2O用力屏气:在 165 cm H2O时漏尿 （活动过度）(hypermobility) Hyper-mobility with leakage (on cough) 活动过度伴漏尿（在咳嗽时） Start filling开始充盈 Stop fill at 200 ml在 200 ml时停止充盈 Strain: leaks at 45 cm H2O用力屏气:在 45 cm H2O时漏尿 LPP measurement漏尿点压力测量 Initial pves初始膀胱压 (no hypermobility, ISD)（无过度移动症，固有括约肌功能障碍） Dagnosis Based on The symptom (history) of stress incotinence Positive stress test (loss of urine during coughing or physical exertion) and Marshell test or pad test. 五. 诊断 根据： 1. 压力性尿失禁症状（病史）。 2. 应力试验阳性（咳嗽或用力腹压增高时有漏尿）和指压试验阳性或护垫试验阳性。 Dagnosis Based on The results of imaging urodynamic examination: urethral hypermobility or/and intrinsic sphincter deficiency ; no involuntary detrusor contraction. 3. 影象尿动力检查结果：尿道活动度增大或/和括约肌内在缺