穴位针灸结合间歇导尿对神经源性膀胱的疗效(1)
【摘要】 目的 探讨神经源性膀胱患者应用穴位针灸结合间歇导尿治疗方法的临床效果。方法 70例神经源性膀胱患者， 随机分为对照组和观察组， 各35例。对照组采用间歇导尿治疗， 观察组在对照组的基础上予以穴位针灸治疗。比较观察两组患者的治疗效果、治疗前后的尿流动力学指标(最大逼尿肌压、最大尿流率、最大排尿量)和膀胱功能。结果 治疗后， 观察组患者的治疗总有效率为88.57%， 显著高于对照组的65.71%， 差异具有统计学意义(P<0.05)。观察组患者最大逼尿肌压(75.29±8.26)cm H2O(1 cm H2O=0.098 kPa)、最大尿流率(18.27±3.78)ml/s、最大排尿量(310.56±30.12)ml和膀胱功能评分(75.26±4.22)分均显著优于对照组的(83.96±6.43)cm H2O、(13.05±4.56)ml/s、(234.07±23.21)ml和(64.28±6.24)分， 差异均具有统计学意义(P<0.05)。结论 为更好的提高神经源性膀胱患者的生活质量， 给予穴位针灸结合间歇导尿的治疗方法具有重要意义， 能够有效促进患者膀胱功能的早日恢复， 值得推广应用。
【关键词】 神经源性膀胱;间歇导尿;穴位针灸;治疗效果
DOI：10.14163/j.cnki.11-5547/r.2020.23.062
【Abstract】 Objective To discuss the clinical effect of acupoint acupuncture and intermittent catheterization on patients with neurogenic bladder. Methods A total of 70 patients with neurogenic bladder were randomly divided into control group and observation group， with 35 cases in each group. The control group was treated by intermittent catheterization， and the observation group was treated by acupoint acupuncture on the basis of the control group. The therapeutic effect， urodynamic parameters (maximum detrusor pressure， maximum urinary flow rate， maximum micturition volume) before and after treatment， and bladder function were compared and observed between the two groups. Results After treatment， the total effective rate of treatment 88.57% of the observation group was significantly higher than that of the control group 65.71%， and the difference was statistically significant (P<0.05). The maximum detrusor pressure， maximum urinary flow rate， maximum micturition volume and bladder function score of the observation group were (75.29±8.26) cm H2O (1 cm H2O=0.098 kPa)， (18.27±3.78) ml/s， (310.56±30.12) ml and (75.26±4.22) points， which were all significantly better than that of the control group (83.96±6.43) cmH2O， (13.05±4.56) ml/s， (234.07±23.21) ml and (64.28±6.24) points， and the difference was statistically significant (P<0.05). Conclusion Acupoint acupuncture combined with intermittent catheterization is of great significance to improve the quality of life of neurogenic bladder patients and promote the early recovery of bladder function of patients， which is worth popularizing and applying.
【Key words】 Neurogenic bladder; Intermittent catheterization; Acupoint acupuncture; Therapeutic effect
神經源性膀胱(Neurogenic bladder)多是由脊髓损伤所致， 是临床较为常见的泌尿外科疾病之一， 尿频、尿急以及尿潴留等是该疾病的临床主要表现， 给患者的正常生活带来许多困扰， 生活质量不断下降， 为此需要积极进行有效治疗[1]。针对该疾病的治疗方式主要有两种， 手术治疗和非手术治疗(导尿、药物治疗、辅助锻炼、针灸等)， 其治疗效果也不尽相同[2-5]。本次研究对穴位针灸结合间歇导尿治疗神经源性膀胱的疗效进行分析和探讨， 现报告如下。, http://www.100md.com(林献青 何玉珍 张雪梅 鲍晓 刘惠宇)
【关键词】 神经源性膀胱;间歇导尿;穴位针灸;治疗效果
DOI：10.14163/j.cnki.11-5547/r.2020.23.062
【Abstract】 Objective To discuss the clinical effect of acupoint acupuncture and intermittent catheterization on patients with neurogenic bladder. Methods A total of 70 patients with neurogenic bladder were randomly divided into control group and observation group， with 35 cases in each group. The control group was treated by intermittent catheterization， and the observation group was treated by acupoint acupuncture on the basis of the control group. The therapeutic effect， urodynamic parameters (maximum detrusor pressure， maximum urinary flow rate， maximum micturition volume) before and after treatment， and bladder function were compared and observed between the two groups. Results After treatment， the total effective rate of treatment 88.57% of the observation group was significantly higher than that of the control group 65.71%， and the difference was statistically significant (P<0.05). The maximum detrusor pressure， maximum urinary flow rate， maximum micturition volume and bladder function score of the observation group were (75.29±8.26) cm H2O (1 cm H2O=0.098 kPa)， (18.27±3.78) ml/s， (310.56±30.12) ml and (75.26±4.22) points， which were all significantly better than that of the control group (83.96±6.43) cmH2O， (13.05±4.56) ml/s， (234.07±23.21) ml and (64.28±6.24) points， and the difference was statistically significant (P<0.05). Conclusion Acupoint acupuncture combined with intermittent catheterization is of great significance to improve the quality of life of neurogenic bladder patients and promote the early recovery of bladder function of patients， which is worth popularizing and applying.
【Key words】 Neurogenic bladder; Intermittent catheterization; Acupoint acupuncture; Therapeutic effect
神經源性膀胱(Neurogenic bladder)多是由脊髓损伤所致， 是临床较为常见的泌尿外科疾病之一， 尿频、尿急以及尿潴留等是该疾病的临床主要表现， 给患者的正常生活带来许多困扰， 生活质量不断下降， 为此需要积极进行有效治疗[1]。针对该疾病的治疗方式主要有两种， 手术治疗和非手术治疗(导尿、药物治疗、辅助锻炼、针灸等)， 其治疗效果也不尽相同[2-5]。本次研究对穴位针灸结合间歇导尿治疗神经源性膀胱的疗效进行分析和探讨， 现报告如下。, http://www.100md.com(林献青 何玉珍 张雪梅 鲍晓 刘惠宇)