摘要
目的探讨热敏灸联合新斯的明穴位注射治疗脊髓损伤后尿潴留的效果。方法选取2020年1月至2023年1月宜春市人民医院康复医学科收治的60例脊髓损伤后尿潴留患者作为研究对象,依据随机数字表法分为对照组(30例)与试验组(30例),对照组采用新斯的明肌肉注射方案,试验组采用热敏灸联合新斯的明穴位注射。比较两组的治疗效果、首次排尿时间、治疗前后最大排尿量、残余尿量、尿路感染发生情况。结果试验组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);试验组的首次排尿时间短于对照组,差异有统计学意义(P<0.05)。治疗前,两组的最大排尿量、残余尿量比较,差异无统计学意义(P>0.05);治疗后,两组的最大排尿量多于治疗前,残余尿量少于治疗前,且试验组的最大排尿量多于对照组,残余尿量少于对照组,差异有统计学意义(P<0.05)。试验组的尿路感染发生率低于对照组,差异有统计学意义(P<0.05)。结论开展脊髓损伤后尿潴留治疗中施以热敏灸合新斯的明穴位注射方案,能获取更好的效果,降低首次排尿的时间、残余尿量与尿路感染的发生率,且可提高最大排尿量,意义重大。
Objective To investigate the effect of heat sensitive moxibustion combined with acupoint injection of Neostigmine on urinary retention after spinal cord injury.Methods From January 2020 to January 2023,60 patients with urinary retention after spinal cord injury who were admitted to the Department of Rehabilitation Medicine,Yichun People's Hospital were selected as the research objects.According to random number table method,they were divided into a control group(30 cases)and a test group(30 cases).The control group was treated with intramuscular injection of neostigmine,and the experimental group was treated with heat-sensitive moxibustion combined with acupoint injection of neostigmine.The treatment effect,first urination time,maximum urination volume before and after treatment,residual urine volume,and urinary tract infection were compared between the two groups.Results The total effective rate of the experimental group was higher than that of the control group,with a statistically significant difference(P<0.05).The first urination time in the experimental group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in maximum urination volume and residual urine volume between the two groups(P>0.05).After treatment,the maximum urination volume of the two groups was higher than before treatment,and the residual urine volume was lower than before treatment,and the maximum urination volume of the experimental group was higher than that of the control group,and the residual urine volume was lower than that of the control group,with a statistically significant difference(P<0.05).The incidence of urinary tract infections in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of urinary retention after spinal cord injury,the combination of heat sensitive moxibustion and neostigmine acupoint injection can achieve better results,reduce the time of first urination,residual urine volume and the incidence of urinary tract infection,and increase the maximum urine volume,which is of great significance.
作者
黄超
卢志勇
晏小艳
袁明华
江树
HUANG Chao;LU Zhiyong;YAN Xiaoyan;YUAN Minghua;JIANG Shu(Department of Rehabilitation Medicine,Yichun People's Hospital,Jiangxi Province,Yichun336000,China)
出处
《中国当代医药》
CAS
2024年第3期133-136,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202312222)。
关键词
热敏灸
新斯的明
穴位注射
脊髓损伤
尿潴留
Heat sensitive moxibustion
Neostigmine
Acupoint injection
Spinal cord injury
Uroschesis
