摘要
目的观察针灸配合间歇性导尿治疗脊髓损伤所致神经源性膀胱的临床疗效。方法将80例脊髓损伤所致神经源性膀胱患者随机分为治疗组和对照组,每组40例。治疗组采用针灸配合间歇性导尿治疗,对照组采用单纯间歇性导尿治疗。观察两组治疗前后膀胱容量、膀胱残余尿量、尿流动力学各项指标(最大尿流率、最大排尿量、最大逼尿肌压)及膀胱功能评分的变化情况。结果两组治疗后膀胱容量、膀胱残余尿量、尿流动力学各项指标及膀胱功能评分与同组治疗前比较差异均具有统计学意义(P<0.05)。治疗组治疗后膀胱容量、膀胱残余尿量、尿流动力学各项指标及膀胱功能评分与对照组比较差异均具有统计学意义(P<0.05)。结论针灸配合间歇性导尿治疗能改善脊髓损伤所致神经源性膀胱患者的膀胱功能,可纠正尿流动力学,缓解临床症状。
Objective To observe the clinical efficacy of acupuncture-moxibustion plus intermittent catheterization in treating neurogenic bladder after spinal cord injury. Method Eighty patients with neurogenic bladder after spinal cord injury were randomized into treatment and control groups, with 40 cases in each group. The treatment group was intervened by acupuncture-moxibustion plus intermittent catheterization, while the control group was intervened by intermittent catheterization alone. Bladder capacity, residual urine volume, indicators of urodynamics （maximum flow rate, maximum voided volume and maximum detrusor pressure） and bladder function score in the two groups were observed before and at the end of the treatment. Result The ladder capacity, residual urine volume, indicators of urodynamics and bladder function score all showed a significant change after the treatment in the two groups （P〈0.05）. After the treatment, the bladder capacity, residual urine volume, indicators of urodynamics and bladder function score in the treatment group were significantly different from those in the control group （P〈0.05）. Conclusion Acupuncture-moxibustion plus intermittent catheterization can improve bladder function in the patients with neurogenicbladder after spinal cord injury, and it can also correct urodynamics and mitigate the clinical symptoms.
作者
沈娟
王文远
阚正华
祁玉军
申曌
毕传昊
HEN Juan;WANG Wen-yuan;KAN Zheng-hua;QI Yu-jun;SHEN Zhao;BI Chuan-hao(The Affiliated Huaian No.1 People＇s Hospital of Nanjing Medical University,Huaian 223300,China)
出处
《上海针灸杂志》
2018年第10期1187-1190,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
针灸疗法
神经源性膀胱
间歇性导尿
脊髓损伤
Acupuncture-moxibustion therapy
Urinary bladder
neurogenic
Intermittent catheterization
Spinal cord injury
