耳针沿皮透刺治疗脊髓损伤后癃闭的临床研究

Clinical observation on treating urinary retention after spinal cord injury by auricular acupiont penetration needling along the skin

目的:比较耳针沿皮透刺法与留置尿管、间歇导尿治疗脊髓损伤后癃闭的临床疗效。方法:将85例患者随机分为治疗组(43例)、对照组(42例)。治疗组采用耳针沿皮透刺的方法进行治疗。对照组采用常规的留置尿管、间歇导尿方法进行处理。治疗结束后观察两组治疗前后膀胱压力容积、排尿次数、膀胱功能积分,并比较两组疗效。结果:治疗后两组患者的膀胱压力容积、排尿次数、膀胱功能积分均降低(P<0.05)。与对照组比较,耳针沿皮透刺法治疗脊髓损伤后癃闭有显著疗效(P<0.05)。结论:耳针沿皮透刺治疗脊髓损伤后癃闭临床疗效明显优于常规留置尿管、间歇导尿法。

Objective： To compare differences of efficacy between auricular acupoint penetration needling along the skin and indwelling catheter plus intermittent catheterization on urinary retention after spinal cord injury. Methods： 85 cases were randomly divided into the treatment group（43 cases） and the control group（42 cases）.The treatment group was treated by auricular acupoint penetration needling along the skin. The control group was treated by indwelling catheter and intermittent catheterization. The clinical efficacy, bladder pressure volume, micturition frequency, bladder function integral before and after treatment in two groups were observed and compared. Results： The scores of bladder pressure volume, micturition frequency and bladder function integral in groups were significantly decreased after treatment（P〈0.05）. The efficiency of auricular acupoint penetration needling along the skin was better than indwelling catheter plus intermittent catheterization（P〈0.05）. Conclusion： The auricular acupoint penetration needling along the skin has a better clinical efficacy than indwelling catheter plus intermittent catheterization.