背俞穴埋线联合电针治疗对中风后尿潴留疗效观察

Curative Effect Observation of Back Shu Point Catgut Embedding Combined with Electroacupuncture in the Treatment of Urinary Retention after Stroke

目的：观察中风后尿潴留患者进行背俞穴埋线联合电针治疗后的临床疗效。方法：分为治疗组、对照组2组,每组分别为30例。治疗组采用小肠俞（双）、三焦俞（双）、大肠俞（双）、膀胱俞（双）、肾俞（双）共10穴行埋线联合电针治疗;对照组予电针治疗。对治疗组和对照组进行首次排尿时间、膀胱积分、残余尿量的观察和记录,统计后比较两组临床疗效。结果：（1）两组治疗后首次排尿时间、尿路感染情况、残余尿量和相同一组治疗之前症状进行比较,差异都具有统计学的意义（P〈0.05）。在进行相应治疗后,首次排尿时间、尿路感染情况、残余尿量及症状体征总积分与对照组比较,差异具有统计学意义（P〈0.05）。（2）经过2个疗程后,治疗组尿潴留症状较前有明显好转,且治疗总有效率高达93.3%,对照组的有效率是73.3%,两组的差异有统计学的意义（P〈0.05）。结论：与电针针刺组相比较,背俞穴埋线联合电针治疗中风后尿潴留疗效显著,更有利于尿路感染的控制及膀胱功能的恢复。

Objective ：To observe the clinical efficacy of the patients after stroke. Methods ：Patients were divided into two groups ：the treatment group and the control group. The treatment group was treated with a combination of the small intestine Shu（double）,triple energizer Shu（double）,the large intestine Shu（double）,the bladder Shu（double）,and the kidney Shu（double）catgut embedding at 10 points combined electroacupuncture therapy;The control group was given the needle treatment. For the treatment group and the control group,the first time of urine,bladder integrals,residual urine volume were observed and recorded,and two groups of clinical outcomes were compared. Results ：（1）The difference between the two groups in the first time of urination,urinary tract infection and residual urine volume was statistically significant compared with the same group before treatment（P〈0.05）.（2）After 2 courses of treatment,the symptoms of urinary retention in the treatment group improved significantly,and the overall effective rate of the treatment group was as high as 93.3%. The effective rate of the control group was 73.3%,and the difference between the two groups was statistically significant（P〈0.05）. Conclusion ：Compared with the electro acupuncture group,the embedding therapy combined with electroacupuncture at the back Shu point is effective in the treatment of urinary retention after stroke,which is more conducive to the control of urinary tract infection and the recovery of bladder function.