艾灸联合间歇性导尿在脑血管病伴膀胱功能障碍中的应用研究

Application Study on Moxibustion Combined with Intermittent Catheterization in Cerebrovascular Disease Complicated with Bladder Dysfunction

目的:观察艾灸联合间歇性导尿在脑血管病伴膀胱功能障碍患者中的应用效果。方法:选取86例脑血管病伴膀胱功能障碍患者,按随机数字表法分为观察组和对照组各43例。对照组实施间歇性导尿技术,观察组在此基础上给予艾灸治疗,7 d为1个疗程,2组患者均治疗2个疗程。比较2组临床疗效和治疗前后尿动力学指标、排尿量及排尿次数。结果:观察组总有效率95.35%,高于对照组的81.40%,差异有统计学意义(P<0.05)。治疗后,2组最大膀胱测压容积、膀胱残余尿量均较治疗前减少,最大尿流速率均较治疗前升高;观察组最大膀胱测压容积、膀胱残余尿量均少于对照组,最大尿流速率高于对照组,差异均有统计学意义(P<0.05)。治疗后,2组单次排尿量、单次最大尿量均较治疗前增加,单日排尿次数均较治疗前减少;观察组单次排尿量、单次最大尿量均多于对照组,单日排尿次数少于对照组,差异均有统计学意义(P<0.05)。结论:艾灸联合间歇性导尿在脑血管病伴膀胱功能障碍中应用效果较佳,可有效改善患者的症状及尿动力学指标。

Objective: To observe the application effect of moxibustion combined with intermittent catheterization in patients with cerebrovascular disease complicated with bladder dysfunction. Methods: A total of 86 cases of patients with cerebrovascular disease complicated with bladder dysfunction were selected and divided into the observation group and the control group according to the random number table method, 43 cases in each group. The control group was given intermittent catheterization,and the observation group was additionally treated with moxibustion based on the treatment of the control group. Both groups were treated for two courses,seven days being a course. The clinical effect as well as the urodynamic indexes,voided volume and the frequency of urination before and after treatment were compared between the two groups. Results:The total effective rate was 95.35% in the observation group,higher than that of 81.40% in the control group,the difference being significant(P<0.05). After treatment,the maximum cystometric volume and the residual urine volume in the bladder in the two groups were decreased when compared with those before treatment,and the above two volumes in the observation group were less than those in the control group;the maximum urinary flow rate was increased when compared with that before treatment, and the volume in the observation group was higher than that in the control group, differences being significant(P<0.05). After treatment, the single voided volume and the single maximum voided volume in the two groups were increased when compared with those before treatment,and the above two volumes in the observation group were more than those in the control group;the single frequency of urination in the two groups was decreased when compared with that before treatment,and the single frequency of urination in the observation group was less than that in the control group, differences being significant(P<0.05). Conclusion: The application of moxibustion combined with intermittent catheterization has good effect in treating patients with cerebrovascular disease complicated with bladder dysfunction,which can effectively improve their symptoms and urodynamic indexes.