“随年壮任脉灸”治疗骶上脊髓损伤后神经源性膀胱的效果

Effect of “Conception Channel moxibustion for strengthening the meridians with age” in the treatment of neurogenic bladder after suprasacral spinal cord injury

目的观察“随年壮任脉灸”治疗骶上脊髓损伤后神经源性膀胱的效果。方法选取2017年5月~2019年2月山东中医药大学第二附属医院康复医学科收治的60例骶上脊髓损伤后神经源性膀胱住院患者,按随机数字表法分为观察组、对照组,各30例。两组患者皆给予任脉灸疗法,治疗时间约1.5 h,观察组在此基础上给予“随年壮任脉灸”疗法。1次/周,共治疗4周。治疗前、治疗4周后记录两组患者24 h排尿日记指标(24 h排尿次数、24 h漏尿次数、单次尿量)、膀胱安全容量、残余尿量,并进行比较。结果两组治疗后的排尿次数、漏尿次数均少于治疗前,单次尿量多于治疗前,且观察组较对照组改善显著,差异有统计学意义(P<0.05)。两组治疗后的膀胱安全容量多于治疗前,残余尿量少于治疗前,且观察组较对照组改善显著,差异有统计学意义(P<0.05)。结论“随年壮任脉灸”在增加膀胱安全容量,促进排尿,改善尿频、漏尿等症状方面优于一般的任脉灸,尤其在促排尿方面效果更明显。“随年壮”可以作为临床施灸剂量标准之一,易于计算,便于掌握最佳灸量,规范操作。

Objective To observe the effects of“Conception Channel moxibustion for strengthening the meridians with age”in the treatment of neurogenic bladder after suprasacral spinal cord injury.Methods Sixty cases of neurogenic bladder after suprasacral spinal cord injury patients from May 2017 to February 2019 in the Rehabilitation Medicine Department of the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine were selected and divided into observation group and control group according to the method of random number table,with 30 cases in each group.Both groups were treated with Conception Channel moxibustion for about 1.5 hours,and observation group was treated with“Ren pulse moxibustion for strengthening the meridians with age”.Once a week for 4 weeks.Before and 4 weeks after treatment,24-h urination diary indexes(24-h urination times,24-h leakage times,single urine volume),bladder safety capacity and residual urine volume of two groups were recorded and compared.Results After treatment,the number of micturition and leakage of urine in two groups were less than those before treatment,and the amount of urine in a single time in two groups was more than that before treatment,and observation group improved significantly compared with control group,the difference was statistically significant(P<0.05).The bladder safety volume of two groups after treatment was more than that before treatment,and the residual urine volume of two groups after treatment was less than that before treatment,and observation group improved significantly compared with control group,the difference was statistically significant(P<0.05).Conclusion“Conception Channel moxibustion for strengthening the meridians with age”is better than traditional moxibustion in increasing bladder safety capacity,promoting urination,improving urination frequency and leakage,especially in promoting urination.It is easy to calculate,master the best moxibustion quantity and standardize the operation.