摘要
目的观察电针募穴和下合穴治疗脊髓损伤后排尿功能障碍的临床疗效。方法将96例脊髓损伤后排尿功能障碍患者按照随机数字表法分成2组。对照组48例予膀胱训练治疗;治疗组48例在对照组治疗基础上采用电针募穴和下合穴治疗。2组均2周为1个疗程,治疗4个疗程。比较2组疗效;记录2组排尿日记情况;观察2组治疗前后尿流动力学指标变化;比较2组治疗前后健康调查简表(SF-36)评分变化。结果治疗组总有效率93.75%,对照组总有效率83.33%,治疗组疗效优于对照组(P<0.05)。2组治疗后日平均尿失禁次数、日平均排尿次数均较本组治疗前降低(P<0.05),日平均单次排尿量升高(P<0.05);且治疗组治疗后日平均尿失禁次数、日平均排尿次数均低于对照组(P<0.05),日平均单次排尿量高于对照组(P<0.05)。2组治疗后最大膀胱容量、最大尿流率、最大尿道闭合压均较本组治疗前升高(P<0.05),充盈期逼尿肌压、残余尿量均降低(P<0.05);且治疗组治疗后最大膀胱容量、最大尿流率、最大尿道闭合压均高于对照组(P<0.05),充盈期逼尿肌压、残余尿量均低于对照组(P<0.05)。2组治疗后生理职能、生理功能、一般健康状况、情感职能、社会功能、精神健康、躯体疼痛、精力评分均较本组治疗前升高(P<0.05),且治疗组升高更明显(P<0.05)。结论电针募穴和下合穴治疗脊髓损伤后排尿功能障碍,能够改善患者排尿功能。
Objective To observe the clinical efficacy of electroacupuncture at front-mu point and lower-he-sea point on dysuria after spinal cord injury and its influence on nerve function.Methods 96 patients with dysuria after spinal cord injury were randomly divided into two groups according to the random number table method.48 cases in control group were treated by bladder training.48 cases in treatment group were treated by electroacupuncture at front-mu point and lower-he-sea point on the basis of the control group.Both groups were treated for two weeks as a course of treatment,and a total of four course of treatment.The efficacy of the two groups was compared.The urinary diaries of the two groups were recorded.The changes of urodynamic indexes were observed before and after treatment between two groups,and the changes of health survey summary(SF-36)were compared before and after treatment between two groups.Results The total effective rate was 93.75%in treatment group and 83.33%in control group.The clinical curative effect of the treatment group was better than that of the control group(P<0.05).After treatment,the average times of daily urinary incontinence and the average times of daily micturition in the two groups were lower than those in the group before treatment(P<0.05),the average times of daily micturition of the two groups were increased(P<0.05),and the average times of urinary incontinence and micturition of the treatment group were lower than that of the control group(P<0.05),and the average times of daily micturition of the treatment groups was higher than that of the control group(P<0.05).After treatment,the maximum bladder volume,the maximum flow rate of urine and the maximum closed pressure of urethra in the two groups were higher than those in the group before treatment(P<0.05),and the pressure of detrusor and the residual urine volume were all decreased(P<0.05).After treatment,the maximum bladder volume,the maximum flow rate of urine and the maximum closed pressure of urethra in the treatment group were higher than those in the control group(P<0.05),and the pressure of detrusor and residual urine volume were lower than those in the control group(P<0.05).After treatment,the scores of physiological function,physiological function,general health status,emotional function,social function,mental health,physical pain and energy in the two groups were higher than those in the group before treatment(P<0.05),and the increase in the treatment group was more obvious(P<0.05).Conclusion Electroacupuncture at front-mu point and lower-he-sea point can improve the micturition function and nerve function of patients with spinal cord injury.
作者
刘双岭
孔妍
唐祎周
李晓宁
LIU Shuangling;KONG Yan;TANG Yizhou(Department of Acupuncture and Moxibustion,College of Acupuncture and Massage,Heilongjiang University of Traditional Chinese Medicine,Harbin,Heilongjiang 150001)
出处
《河北中医》
2019年第8期1236-1240,1245,共6页
Hebei Journal of Traditional Chinese Medicine
基金
国家自然科学基金委员会资助项目(编号:81373715)
2015年度黑龙江中医药大学科研基金项目(编号:201505)
2017年度黑龙江中医药大学科研基金项目(编号:201712)
关键词
脊髓损伤
并发症
排尿障碍
康复
针刺疗法
Spinal cord injury
Complications
Dysuria
Rehabilitation
Acupuncture therapy
