基于文献研究艾灸治疗脊髓损伤后神经源性膀胱及尿潴留的用穴规律

Based on Literature Research,the Regularity of Acupoint Use of Moxibustion in the Treatment of Neurogenic Bladder and Urinary Retention after Spinal Cord Injury

目的脊髓损伤后神经源性膀胱及尿潴留的艾灸治疗选穴规律探讨。方法以脊髓损伤、艾灸、神经源性膀胱和尿潴留等作为检索词。计算机检索中国知网知识资源总库、万方(WANFANG)数据库、维普(VIP)中文期刊平台、PUBMED等自2008年10月1日—2022年10月1日所有相关文献。手工检索中医针灸方面的期刊杂志。根据纳入标准选择文献,制作数据资料表,应用Graphpad Pism 9.5对使用腧穴的频率、归经情况等进行统计。结果最终符合标准的文献为27篇,其中艾灸治疗脊髓损伤后神经源性膀胱的文献中穴位总共使用频次为74次,共使用腧穴21个;艾灸治疗脊髓损伤后尿潴留的文献中穴位总共使用频次为27次,共使用腧穴11个。按腧穴使用的频次,归纳神经源性膀胱使用的主要穴位为关元、气海、中极、八髎、天枢、命门等,分属最多的经脉是足太阳膀胱经;治疗尿潴留的主要穴位有关元、中极、气海、八髎、神阙等,分属最多的经脉为任脉。结论用艾灸治疗脊髓损伤后神经源性膀胱以及尿潴留,在临床中能显著改善膀胱功能,缩短疾病治疗时间。

Objective To explore the rule of moxibustion in the treatment of neurogenic bladder and urinary retention after spinal cord injury.Methods Spinal cord injury,moxibustion,neurogenic bladder and urinary retention were used as search terms.All relevant literatures from CNKI knowledge resource database,WANFANG database,VIP Chinese journal platform,PUBMED etc.from October,1st 2008 to October 1st,2022 were searched by computer.Hand-searching journals and magazines on TCM acupuncture.According to the inclusion criteria,literatures were selected,data tables were made,and the frequency of acupoints used and meridian normalization were counted by Graphpad Pism 9.5.Results There were 27 literatures that met the criteria,in the literature on moxibustion treatment for neurogenic bladder after spinal cord injury,the total frequency of acupoint use is 74 times,and a total of 21 acupoints were used;in the literature on moxibustion treatment of urinary retention after spinal cord injury,the total frequency of acupoints used was 27 times,and a total of 11 acupoints were used.According to the frequency of use of acupoints,the main acupoints used for neurogenic bladder are Guanyuan,Qihai,Zhongji,Baliao,Tianshu,Mingmen,etc.The most common meridian is Foot Sun Bladder Meridian;The main acupoints for the treatment of urinary retention are related to Guanyuan,Zhongji,Qihai,Baliao,Shenque,etc.The meridians belonging to the most are Ren.Conclusion Moxibustion in the treatment of neurogenic bladder and urinary retention after spinal cord injury can significantly improve the bladder function and shorten the treatment time.