电针深刺八髎穴治疗脊髓损伤后神经源性膀胱的临床观察

Clinical Observation on Deep Electroacupuncture at Baliao Points in the Treatment of Neurogenic Bladder after Spinal Cord Injury

【目的】观察电针深刺八髎穴治疗脊髓损伤(SCI)后神经源性膀胱(NB)的临床疗效。【方法】将64例SCI后NB患者随机分为观察组和对照组,每组各32例。2组均给予常规治疗,对照组采用常规电针治疗;观察组采用电针深刺八髎穴治疗,6次为1个疗程,连续治疗3个疗程。治疗3周后,评价2组临床疗效,观察2组患者治疗前后24 h排尿次数、日均单次排尿量及尿失禁次数的变化情况,以及最大尿流率、最大膀胱容量及残余尿量的变化情况。比较2组患者治疗前后生活质量评分的变化情况。【结果】(1)治疗后,2组患者的24 h排尿次数、日均单次排尿量及尿失禁次数均明显改善(P<0.05),且观察组在改善24 h排尿次数、日均单次排尿量及尿失禁次数方面均明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的最大尿流率、最大膀胱容量及残余尿量均明显改善(P<0.05),且观察组在改善最大尿流率、最大膀胱容量以及残余尿量方面均明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗后,2组患者的生活质量评分均明显改善(P<0.05),且观察组在改善生活质量评分方面均明显优于对照组,差异均有统计学意义(P<0.05)。(4)观察组总有效率为90.63%(29/32),对照组为71.88%(23/32)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】电针深刺八髎穴治疗脊髓损伤后神经源性膀胱,能够有效改善患者的临床症状,提高膀胱的功能,从而提高患者的生活质量,疗效显著。

Objective To observe the clinical efficacy of deep electroacupuncture at Baliao points in treating neurogenic bladder(NB)after spinal cord injury(SCI). Methods Sixty-four NB patients after SCI were randomly divided into the observation group and the control group,with 32 cases in each group. Both groups were treated with conventional treatment,and the control group was treated with conventional electroacupuncture,while the observation group was treated with deep electroacupuncture at Baliao points, 6 times constituted a course of treatment,and the treatment lasted for 3 consecutive courses. After 3 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes of 24-hour urination frequency,daily single urination volume and urinary incontinence frequency,as well as the changes of maximum urine flow rate,maximum bladder volume and residual urine volume were observed in the two groups before and after treatment. The changes of quality of life scores in the two groups were compared before and after treatment. Results(1)After treatment, the 24-hour urination times,daily single urination volume and urinary incontinence times of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the 24-hour urination times, daily single urination volume and urinary incontinence times, the difference being statistically significant(P<0.05).(2)After treatment,the maximum urine flow rate,maximum bladder volume and residual urine volume in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the maximum urine flow rate,maximum bladder volume and residual urine volume,the difference being statistically significant(P<0.05).(3)After treatment,the scores of quality of life in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving quality of life score,and the differences were statistically significant(P<0.05).(4)The total effective rate was 90.63%(29/32)in the observation group and 71.88%(23/32)in the control group. The curative effect of observation group was superior to that of the control group,and the difference was statistically significant(P<0.05). Conclusion Deep electroacupuncture at Baliao points in treating NB after SCI has significant therapeutic effect in improving the clinical symptoms,the function of bladder and the quality of life of patients.