不同针刺方法对女性尿道综合征膀胱容量影响的临床观察

Comparative Study on the Effects of Electroacupuncture plus Hand-acupuncture and Simple Hand-acupuncture on Bladder Volume in Female Urethral Syndrome Patients

目的:对不同针刺方法对尿道综合征患者膀胱容量的影响进行客观评价。方法:将81例女性尿道综合征患者随机分为电针加手法针刺组、手法针刺组,采用膀胱容量以及最大尿流率等指标评价,并于1个疗程后进行疗效比较。结果:两组治疗后膀胱容量和最大尿流率与治疗前相比均有显著性差异(P<0.05),但电针加手法针刺组治疗后膀胱容量增量较手法针刺组显著(P<0.05),而最大尿流率变化两组之间无显著性差异(P>0.05)。结论:电针加手法针刺和手法针刺均可通过增加膀胱容量和尿流率而改善排尿状况。电针加手法针刺方法对膀胱功能的改善较手法针刺更显著。

Objective： To evaluate the influence of different acupuncture manipulations on bladder voltrne in female urethral syndrome （FUS） patients. Methods： Eighty-one cases of FUS patients were randomly divided into electroacupuncture （F.A） plus hand-acupuncture group （observation group, n=40） and hand-acupuncture group （control group, n=41 ） by using random table method. Main acupoints used were ①Guanyuan （CV 4）, Dahe （KI 12）, Shuidao （ST 28） and Sanyinjiao （SP 6）;②Shenshu （BL 23）, Huiyang （BL 35）, Zhonglushu （BL 29） and Weizhong （BL 40）. The two groups were used in turn, combined with other acupoints according to the syndromes. After insertion, the acupuncture needles were manipulated with reinforcing method and twirled continuously for about 1 rain every acupoint, then kept in place for 20 rain. The treatment was conducted once every other day. The bladder volume （BV） and maximtrnurine flow rate （MUFR） were detected with Bonito Urine Dynamic Detector. Results： After 10 treatments, the BV and MUFR of both observation group and control group increased significantly in comparison with their individual values of pretreatment （P〈 0.05）, and the difference values between post- and pre-treatment of the two indexes of observation group were apparently higher than those of control group （P〈 0.05）. Conclusion： Both EA plus handacupuncture and simple hand-acupuncture can effectively improve the bladder volume and urine flow rate in female urethral syndrome patients and the effect of the former is significantly superior to that of simple hand-acupuncture.