穴位敷贴联合针刺治疗中风后排尿障碍的临床观察

Clinical Observation on Acupoint Application Combined with Acupuncture in the Treatment of Urination Dysfunction after Stroke

目的探讨穴位敷贴联合针刺在中风后排尿障碍治疗中的临床效果。方法选取2014年1月—2018年1月收治的80例中风后排尿障碍患者为研究对象,根据随机抽签原则将入选者分为对照组和研究组,每组40例,对照组患者给予针刺治疗,研究组患者在对照组的基础上联合穴位敷贴治疗,比较2组患者的临床疗效、治疗前后症状评分及膀胱残余尿量变化。结果研究组患者治疗总有效率为92. 50%,对照组患者治疗总有效率为75. 00%,2组比较存在统计学差异(P <0. 05)。治疗后2组患者症状评分及膀胱残余尿量较治疗前均明显降低,且研究组降低程度较对照组更为显著,2组比较存在统计学差异(P <0. 05)。结论穴位敷贴联合针刺可有效改善患者的临床症状,减少膀胱残余尿量,临床疗效显著,值得在中风后排尿障碍治疗中应用推广。

Objective To investigate the effect of acupoint application combined with acupuncture in the treatment of urination dysfunction after stroke.Methods From January 2014 to January 2018,80 patients with urination dysfunction after stroke were selected as the research subjects.According to the random lottery principle,the patients were divided into the control group and the study group,with 40 cases in each group.The patients in the control group were treated with acupuncture,and patients in the study group were treated with acupoint application on the basis of the control group.The clinical efficacy,thesymptom score before and after treatment,and the change of residual urine volume of the two groups were compared.Results The total effective rate of the study group was 92.50%,while the total effective rate of the control group was 75.00%.There was a significant difference between the two groups (P<0.05).After treatment,the symptom scores and the residual urine volume of the two groups were significantly lower than those before the treatment,and the degree of reduction in the study group was more significant than that in the control group.There was a statistical difference between the two groups (P<0.05).Conclusion Acupoint application combined with acupuncture can effectively improve the clinical symptoms of the patients and reduce the residual urine volume of the bladder.The clinical effect is remarkable.It is worthy of application in the treatment of urination dysfunction after stroke.