督脉灸联合平衡火罐疗法治疗脑卒中后神经源性膀胱尿潴留的临床研究

Clinical Study of Du Moxibustion Combined with Cupping Therapy in Treatment of Neurogenic Bladder after Stroke

目的 观察督脉灸联合平衡火罐疗法治疗脑卒中后神经源性膀胱尿潴留的临床疗效。方法 选取2018年1月—2020年1月该院收治的100例脑卒中后神经源性膀胱尿潴留患者,按照就诊顺序编号,采用SAS软件生成的随机数字表分为两组,各50例。对照组采用常规治疗方案,观察组在对照组的基础上给予督脉灸联合平衡火罐疗法,两组连续治疗2个月。比较两组患者的临床疗效、膀胱残余尿量、日均排尿次数、24 h平均单次排尿量、尿潴留程度分级、尿动力学相关指标、尿路感染情况。结果 观察组总有效率为96.0%(48/50),对照组总有效率为84.0%(42/50),两组比较差异有统计学意义(P<0.05)。观察组治疗后膀胱残余尿量显著降低(P<0.05),日均排尿次数、 24 h平均单次排尿量、最大膀胱容量、膀胱排尿压力、最大尿流速率均显著升高(P<0.05),并且改善程度优于对照组(P<0.05)。治疗后观察组尿潴留程度优于对照组,两组比较差异有统计学意义(Z=7.027,P<0.05)。观察组患者尿路感染发生率为8.0%(4/50),对照组的发生率为10.0%(5/50),两组比较差异没有统计学意义(P>0.05)。结论 督脉灸联合平衡火罐疗法治疗脑卒中后神经源性膀胱尿潴留可有效改善临床症状,疗效确切,值得临床推广。

Objective To observe the clinical efficacy of Du moxibustion combined with cupping therapy in the treatment of neurogenic bladder after stroke.Methods A total of 100 patients with neurogenic bladder urinary retention after stroke were selected in the hospital in January 2018-January 2020.The patients were divided into two groups according to the random number table generated by SAS software, 50 cases in each group.The control group was treated with conventional treatment, and the observation group was given Du Meridian moxibustion combined with balanced cupping therapy on the basis of the control group.The two groups were treated for 2 months continuously.The clinical efficacy, bladder residual urine volume, daily urination frequency, 24 h average single voiding volume, urinary retention level, urodynamic related index and urinary tract infection were compared between the two groups.Results The total effective rate was 96.0%(48/50) in the observation group and 84.0%(42/50) in the control group, with statistical significance(P<0.05).After treatment, the residual urine volume of bladder in the observation group was significantly decreased(P<0.05),and the average daily micturition times, 24 h average single micturition volume, maximum bladder volume, bladder voiding pressure and maximum urine flow rate in the observation group were significantly increased(P<0.05),and the improvement degree was better than that of the control group(P<0.05).After treatment, the urine retention level of the observation group was better than that of the control group.The difference between the two groups was statistically significant(Z=7.027,P<0.05).The incidence of urinary tract infection was 8.0%(4/50) in the observation group and 10.0%(5/50) in the control group.There was no significant difference between the two groups(P>0.05).Conclusion Du meridian moxibustion combined with cupping therapy can effectively improve the clinical symptoms of neurogenic bladder after stroke, and it is effective and worthy of clinical promotion.