电针八髎穴联合督脉铺灸治疗脊髓损伤后神经源性膀胱临床研究

Clinical Study on Electroacupuncture at Baliao Points Combined with Long Snake Moxibustion at Du Mai for Neurogenic Bladder After Spinal Cord Injury

目的:观察电针八髎穴联合督脉铺灸治疗脊髓损伤后神经源性膀胱的临床疗效。方法:选择92例脊髓损伤后神经源性膀胱患者,按随机数字表法分为观察组和对照组各46例。对照组给予常规康复治疗,观察组在对照组基础上给予电针八髎穴联合督脉铺灸治疗。连续治疗8周后,比较2组临床疗效、排尿功能、尿流动力学指标和生活质量。结果:观察组总有效率为91.30%,高于对照组76.09%(P<0.05)。治疗后,2组日均单次排尿量较治疗前增多,且观察组多于对照组(P<0.05);治疗后,2组24 h排尿次数、24 h尿失禁次数较治疗前减少,且观察组少于对照组(P<0.05)。治疗后,2组残余尿量、充盈期膀胱压力较治疗前降低,且观察组低于对照组(P<0.05);治疗后,2组最大膀胱容量、最大尿流率较治疗前升高,且观察组高于对照组(P<0.05)。治疗后,2组Qualiveen评分较治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。结论:电针八髎穴联合督脉铺灸治疗脊髓损伤后神经源性膀胱可有效减轻临床症状,改善排尿功能,提高患者生活质量。

Objective:To observe the clinical effect of electroacupuncture at Baliao points combined with long snake moxibustion at du mai for neurogenic bladder after spinal cord injury.Methods:A total of 92 patients with neurogenic bladder after spinal cord injury were selected and divided into the observation group and the control group according to the random number table method,with 46 cases in each group.The control group received routine rehabilitation treatment,and the observation group received electroacupuncture at Baliao points combined with long snake moxibustion at du mai based on the treatment of the control group.After 8 consecutive weeks of treatment,the clinical effects,urination function,urodynamic indicators,and quality of life were compared between the two groups.Results:The total effective rate was 91.30%in the observation group,higher than that of 76.09%in the control group(P<0.05).After treatment,the daily average single urination volume in the two groups was increased when compared with that before treatment,and the one in the observation group was more than that in the control group(P<0.05).After treatment,the numbers of 24-hour urination and 24-hour urinary incontinence in the two groups were decreased when compared with those before treatment,and the numbers in the observation group were lower than those in the control group(P<0.05).After treatment,the residual urine volume and bladder pressure during filling period in the two groups were decreased when compared with those before treatment,and the indexes in the observation group were lower than those in the control group(P<0.05).After treatment,the maximum bladder volume and maximum urine flow rates in the two groups were increased when compared with those before treatment,and the ones in the observation group were higher than those in the control group(P<0.05).After treatment,the Qualiveen scores in the two groups were decreased when compared with those before treatment(P<0.05),and the score in the observation group was lower than that in the control group(P<0.05).Conclusion:Electroacupuncture at Baliao points combined with long snake moxibustion at du mai for neurogenic bladder after spinal cord injury can effectively alleviate clinical symptoms,and improve urination function and quality of life.