交替针刺八髎穴与中极穴、水分穴治疗神经源性膀胱的临床效果

Clinical Effect of Alternating Acupuncture at Baliao Point,Zhongji Point and Shuifen Point in the Treatment of Neurogenic Bladder

目的探讨交替针刺八髎穴与中极穴、水分穴治疗神经源性膀胱(NB)的临床效果.方法选取2020年5月—2022年5月我院收治的82例NB患者为研究对象,按随机数字表法分为两组,各41例.对照组采用常规康复训练,观察组在对照组基础上采用交替针刺八髎穴与中极穴、水分穴治疗,均持续治疗4周.比较两组尿动力学指标、排尿情况、生活质量.结果观察组治疗后的膀胱残余尿量为(62.35±7.15)mL,少于对照组的(82.24±9.63)mL,膀胱最大容量(365.52±25.19)mL大于对照组的(314.21±23.08)mL,最大尿流速率(15.39±2.28)mL/s快于对照组的(12.48±2.05)mL/s,组间差异有统计学意义(P<0.05).观察组治疗后的排尿次数、漏尿次数分别为(5.23±1.12)次/d、(2.41±0.38)次/d,均少于对照组的(7.12±1.23)次/d、(4.05±0.43)次/d,单次自主排尿量为(236.52±10.52)mL,多于对照组的(211.39±10.24)mL,组间差异有统计学意义(P<0.05).观察组治疗后世界卫生组织生活质量测定简表中生理、心理、社会、环境领域评分分别为(86.74±6.18)分、(85.79±6.15)分、(90.35±4.58)分、(92.85±2.43)分,均高于对照组的(80.49±6.12)分、(80.24±6.07)分、(83.74±6.12)分、(85.78±5.86)分,组间差异有统计学意义(P<0.05).结论交替针刺八髎穴与中极穴、水分穴可加快NB患者尿动力学复常,改善排尿情况,减轻疾病对患者生活质量的影响.

Objective To explore the clinical effect of alternating acupuncture at Baliao point,Zhongji point and Shuifen point in the treatment of neurogenic bladder(NB).Methods 82 NB patients admitted to the hospital from May 2020 to May 2022 were selected as the research objects and divided into two groups according to random number table method,with 41 cases in each group.The control group was treated with routine rehabilitation training,and the observation group was treated with alternating acupuncture at Baliao point,Zhongji point and Shuifen point on the basis of the control group,all of which were treated for 4 weeks.The indexes of urodynamics,urination and quality of life of the two groups were compared.Results After treatment,the residual bladder urine volume of the observation group was(62.35±7.15)mL,less than that in the control group(82.24±9.63)mL,the maximum bladder volume(365.52±25.19)mL was greater than that in the control group(314.21±23.08)mL,and the maximum urine flow rate(15.39±2.28)mL/s was faster than that of the control group(12.48±2.05)mL/s,with statistical significance differences between groups(P<0.05).After treatment,the frequency of urination and urine leakage in the observation group were(5.23±1.12)times/d and(2.41±0.38)times/d,respectively,which were lower than that in the control group(7.12±1.23)times/d and(4.05±0.43)times/d,and the volume of single spontaneous urination was(236.52±10.52)mL,which was higher than that of the control group(211.39±10.24)mL,and the differences between the groups were statistically significant(P<0.05).After treatment,the physiological,psychological,social and environmental scores in World Health Organization quality of life-BREF of the observation group were(86.74±6.18)points,(85.79±6.15)points,(90.35±4.58)points and(92.85±2.43)points,respectively,which were higher than those in the control group(80.49±6.12)points,(80.24±6.07)points,(83.74±6.12)points and(85.78±5.86)points,and the differences between the groups were statistically significant(P<0.05).Conclusion Alternating acupuncture at Baliao point,Zhongji point and Shuifen point can accelerate the recovery of urinary dynamics in NB patients,improve urination,and reduce the impact of the disease on patients'quality of life.