针灸治疗中风后尿潴留的研究进展

Advances in the clinical research on acupuncture in treatment of urinary retention after stroke

尿潴留(UR)是中风的常见并发症之一,也是影响患者预后的潜在危险因素。西医治疗中风后UR尚无特效药物,以留置尿管为主。在中医外治法中,如针刺、艾灸、推拿等,治疗该病效果颇佳。为证实针灸治疗该病的疗效,将近5年针灸治疗该病的相关临床研究文献进行总结,发现针灸可以直接刺激控制排尿反射的诸多神经,调节逼尿肌和尿道内外括约肌进行收缩与扩张活动,恢复肌张力以促进二者的配合更加协调,同时还可以调节免疫系统,改善局部血液循环。该文得出针灸治疗中风后UR疗效确切、经济安全,值得在临床推广应用。

Urinary retention(UR)is one of the common complications of stroke and a potential risk factor affecting the prognosis of patients.There is no specific medicine in western medicine for UR after stroke,and indwelling catheter is the main treatment.External treatment of traditional Chinese medicine,such as acupuncture,moxibustion,massage etc.,has good effects on treating the disease.In order to verify the curative effect of acupuncture and moxibustion treatment of this disease,the relevant clinical literature of nearly five years was summarized.It is found that acupuncture can directly stimulate nerves controlling micturition reflex,regulate the contraction and expansion of detrusor and internal and external urethral sphincter,restore muscle tone to promote better coordination between detrusor and internal and external urethral sphincter,as well as regulate immune system and improve local blood circulation.Finally,it is concluded that acupuncture and moxibustion in the treatment of urinary retention after stroke is effective,economical and safe,and worthy of clinical application.