针灸联合康复护理对脊髓损伤后神经源性膀胱的影响研究

Influence of Acupuncture and Moxibustion Combined with Rehabilitation Nursing on Neurogenic Bladder after Spinal Cord Injury

目的:研究针灸联合康复护理对脊髓损伤后神经源性膀胱的影响。方法:选取2016年10月-2020年10月长沙市中医医院收治的脊髓损伤导致神经源性膀胱患者作为研究对象,共60例,随机将患者分成对照组和观察组,每组30例,对照组给予康复护理,观察组在康复护理的基础上行针灸,比较两组的干预效果。结果:观察组的护理有效率为96.67%,明显高于对照组(80.00%),差异有统计学意义(P<0.05);干预后,观察组的膀胱残余尿量和膀胱容量指标均好于对照组,差异有统计学意义(P<0.05)。干预后,观察组心理功能评分、躯体功能评分、社会状态评分、物质功能评分均优于对照组,差异有统计学意义(P<0.05)。干预后观察组的小腹坠胀症状积分、排尿困难症状积分低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:对脊髓损伤后神经源性膀胱患者采取针灸联合康复护理,能够促进神经源性膀胱的恢复,改善患者的膀胱功能,值得加大推广力度。

Objective:To study the effect of acupuncture and moxibustion combined with rehabilitation nursing on neurogenicbladder after spinal cord injury.Methods:A total of 60 patients with neurogenic bladder caused by spinal cord injury who wereadmitted to Changsha Hospital of Traditional Chinese Medicine from October 2016 to October 2020 were selected as the studysubjects.The patients were randomly divided into a control group and an observation group,with 30 cases in each group.Thecontrol group received rehabilitation nursing,and the observation group received acupuncture and moxibustion on the basis ofrehabilitation nursing.The intervention effects of the two groups were compared.Results:The nursing effective rate of theobservation group was 96.67%,which was significantly higher than that of the control group(80.00%),and the difference wasstatistically significant(P<0.05).After the intervention,the residual urine volume and bladder capacity of the observation groupwere better than those of the control group,and the difference was statistically significant(P<0.05).After the intervention,thepsychological function scores,physical function scores,social status scores and material function scores of the observation groupwere better than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,thesymptom scores of lower abdominal bulge and dysuria in the observation group were lower than those in the control group,and thedifference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the controlgroup,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture and moxibustion combined withrehabilitation nursing for patients with neurogenic bladder after spinal cord injury can promote the recovery of neurogenic bladderand improve the bladder function of patients,which is worthy of promotion.