艾灸联合电刺激治疗神经源性膀胱的疗效观察

Therapeutic efficacy of moxibustion combined with electric stimulation in the treatment of neurogenic bladder

目的观察艾灸联合电刺激治疗神经源性膀胱的临床疗效。方法将90例神经源性膀胱且留置导尿患者随机分为对照组和观察组,每组45例。两组均接受常规基础治疗,对照组予以电刺激治疗,观察组在对照组基础上采用艾灸治疗。观察两组治疗前后残余尿量、膀胱功能评分、日常生活活动能力(activity of daily living,ADL)评分和肛门括约肌舒缩波幅的变化,并比较两组临床疗效。结果观察组总有效率为88.9%,对照组为71.1%,两组比较差异有统计学意义(P<0.05)。治疗后,两组残余尿量均下降(P<0.05),且观察组低于对照组(P<0.05)。治疗后,两组肛门括约肌扩张波幅、收缩波幅均上升(P<0.05),且观察组高于对照组(P<0.05)。治疗后,两组膀胱功能评分下降(P<0.05),ADL评分上升(P<0.05),且观察组优于对照组(P<0.05)。结论在常规基础治疗的基础上,艾灸联合电刺激可提高神经源性膀胱患者治疗效果,改善其残余尿量、肛门括约肌舒缩波幅和膀胱功能评分,提高生活质量。

Objective To observe the clinical efficacy of moxibustion combined with electric stimulation in the treatment of neurogenic bladder.Method A total of 90 patients with neurogenic bladder and indwelling urinary catheterization were randomly divided into the control group and the observation group,with 45 cases in each group.Both groups were treated with conventional basic treatment,the control group was treated with electric stimulation,and the observation group was treated with moxibustion on the basis of the control group.The changes of residual urine volume,bladder function score,activity of daily living(ADL)score and anal sphincter dilation and contraction wave amplitude were observed before and after treatment,and the clinical efficacy of the two groups was compared.Result The total effective rate was 88.9%in the observation group and 71.1%in the control group,and the difference between the two groups was statistically significant(P<0.05).After treatment,the residual urine volume decreased in both groups(P<0.05),and that in the observation group was lower than that in the control group(P<0.05).After treatment,anal sphincter dilation wave amplitude and contraction wave amplitude increased in both groups(P<0.05),and that in the observation group was higher than that in the control group(P<0.05).After treatment,the bladder function scores of both groups decreased(P<0.05)and ADL scores increased(P<0.05),and those in the observation group were better than those in the control group(P<0.05).Conclusion On the basis of conventional basic treatment,moxibustion combined with electric stimulation can improve the therapeutic effect of neurogenic bladder patients,improve their residual urine output,anal sphincter dilation and contraction wave amplitude and bladder function score,and improve the quality of life.