隔姜灸联合腕踝针治疗脊髓损伤后神经源性膀胱尿潴留的疗效观察

Curative effect of ginger-separated moxibustion combined with wrist-ankleacupuncture on neurogenic bladder uroschesis after spinal cord injury

目的:观察隔姜灸联合腕踝针治疗脊髓损伤后神经源性膀胱尿潴留的疗效。方法:将甘肃省中医院收治的70例脊髓损伤后神经源性膀胱尿潴留患者随机分为治疗组和对照组各35例,对照组采用间歇导尿及膀胱功能训练治疗,治疗组在对照组基础上应用隔姜灸联合腕踝针治疗,比较两组治疗前后残余尿量及膀胱容量变化;采用排尿日记记录治疗前后日平均排尿次数、日平均单次尿量、日单次最大尿量、日均尿失禁次数、生活质量评分变化,比较两组治疗后总有效率。结果:两组治疗前膀胱容量、残余尿量、日平均单次尿量、日平均尿失禁次数与治疗后比较差异有统计学意义(P<0.05);治疗组治疗后残余尿量、日平均排尿次数、日均尿失禁次数、生活质量评分较对照组治疗后显著降低,差异有统计学意义(P<0.05);而膀胱容量、日均单次尿量、日单次最大尿量较对照组治疗后显著升高,差异有统计学意义(P<0.05);治疗组总有效率91.43%(32/35),对照组总有效率77.14%(27/35),两组总有效率比较差异有统计学意义(P<0.05),治疗组疗效明显优于对照组。结论:隔姜灸联合腕踝针对脊髓损伤后神经源性膀胱尿潴留患者膀胱功能的改善作用明显,疗效确切。

Objective:To observe the curative effect of ginger-separated moxibustion combined with wrist-ankle acupuncture on neurogenic bladder uroschesis after spinal cord injury.Methods:70 patients with neurogenic bladder uroschesis after spinal cord injury were randomly divided into the treatment group and the control group,with 35 cases in each group.The control group was treated with intermittent catheterization and bladder function training.The treatment group was treated with ginger-separated moxibustion combined with wrist-ankle acupuncture on the basis of the control group.The residual urine volume and bladder volume before and after treatment were compared between the two groups.Quantity change,the average number of urination per day,the average single urine volume,the maximum urine volume per day,the number of incontinence per day and the score of quality of life were recorded by urination diary before and after treatment,and the total effective rate was compared between the two groups.Results:There were significant differences in bladder volume,residual urine volume,daily average single urine volume and daily average incontinence between the two groups after treatment(P<0.05);the residual urine volume,daily average urination frequency,daily average urinary incontinence frequency and quality of life score in the treatment group were significantly lower than those in the control group after treatment,and the difference between the two groups was significant(P<0.05).The bladder volume,average single urine volume and maximum single urine volume were significantly higher in the treatment group than those in the control group(P<0.05);the total effective rate was 91.43%(27/32)in the treatment group and 77.14%(25/35)in the control group,and the difference between the two groups was significant(P<0.05).The curative effect of the treatment group was obvious(P<0.05).It is superior to the control group.Conclusion:Ginger-separated moxibustion combined with wristankle acupuncture can improve bladder function in patients with neurogenic bladder uroschesis after spinal cord injury.