摘要
目的:探讨火针联合脐疗治疗脊髓损伤(SCI)所致神经源性膀胱(NGB)的疗效及对尿动力学、生活质量的影响。方法:选择2021年5月—2022年5月本院收治的120例SCI所致NGB患者,随机分为两组。对照组60例采用中药脐疗治疗,观察组60例采用火针联合脐疗治疗。比较两组疗效、排尿情况、尿动力学、临床症状、生活质量和不良反应差异。结果:观察组治疗总有效率为88.33%(53/60),高于对照组70.00%(42/60),差异具有统计学意义(P<0.05)。两组治疗后日均排尿次数、日均漏尿次数、残余尿量、神经源性膀胱症状评分(NBSS)与泌尿症状困扰评分(USDS)均较治疗前减少,差异具有统计学意义(P<0.05),日均单次排尿量、最大膀胱容量、膀胱排尿压力、最大尿流率与WHO生存质量测定量表简表(WHOQOL-BREF)评分较治疗前增加,差异具有统计学意义(P<0.05)。观察组治疗后日均排尿次数、日均漏尿次数、残余尿量、NBSS评分与USDS评分低于对照组,差异具有统计学意义(P<0.05),日均单次排尿量、最大膀胱容量、膀胱排尿压力、最大尿流率与WHOQOL-BREF评分大于对照组,差异具有统计学意义(P<0.05)。两组不良反应比较差异无统计学意义(P>0.05)。结论:火针联合脐疗可更有效地改善SCI所致NGB患者尿动力学和生活质量,提高临床疗效。
Objective:To investigate the efficacy of fire needling combined with umbilical therapy in treatment of neurogenic bladder(NGB)caused by spinal cord injury(SCI)and its influence to urodynamics and quality of life of the patients.Methods:A total of 120 patients with SCI caused NGB were randomly divided into the control group and the observation group,with 60 cases in each group.The control group was treated with traditional Chinese medicinal umbilical therapy;on which basis,the observation group was also treated with fire needling.Efficacy,urination,urodynamics,clinical symptoms,quality of life and adverse reactions were compared between the two groups.Results:The effective rate of the observation group was 88.33%(53/60),which was significantly higher than 70.00%(42/60)of the control group(P<0.05).The average daily urination times,average daily urine leakage times,residual urine volume,neurogenic bladder symptom score(NBSS),urinary symptom distress score(USDS)were all decreased after the treatment compared with those before the treatment in the two groups(P<0.05).The average daily urination volume,maximum bladder volume,bladder urination pressure,maximum urinary flow rate,and WHO Quality of Life Short Scale(WHOQOL-BREF)score were significantly increased after the treatment compared with those before the treatment in the two groups(P<0.05).The average daily urination times,average daily urine leakage times,residual urine volume,NBSS score and USDS score were lower in the observation group than those in the control group after the treatment(P<0.05);the average daily single urination volume,maximum bladder volume,bladder urination pressure,maximum urine flow rate and WHOQOL-BREF score were higher in the observation group than those in the control group(P<0.05).There was no statistical difference in adverse reactions between the two groups(P>0.05).Conclusion:Fire needling combined with umbilical therapy can effectively improve urodynamics and quality of life in patients with NGB caused by SCI,and it can improve clinical efficacy.
作者
王蕊
王东利
郝有志
王学乾
WANG Rui;WANG Dongli;HAO Youzhi;WANG Xueqian(Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou 061001,China)
出处
《针灸临床杂志》
2023年第7期10-14,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
河北省中医药管理局科研计划项目,编号:2022592。
关键词
火针
脐疗
脊髓损伤
神经源性膀胱
尿动力学
生活质量
Fire needling
Umbilical therapy
Spinal cord injury
Neurogenic bladder
Urodynamics
Quality of life