灸法配合间歇导尿治疗神经原性膀胱功能障碍疗效观察  

Clinical observation on moxibustion combined with intermittent urethral catheterization for treatment of neurogenic vesical dysfunction

作　　者：冯晓东[1] 任亚锋[1] 韦大文[2] 刘承梅[1] 

机构地区：[1]河南中医学院第一附属医院康复中心,河南郑州450000 [2]河南中医学院

出　　处：《中国针灸》2009年第2期91-94,共4页Chinese Acupuncture & Moxibustion

基　　金：河南省科技厅科技攻关项目:072102310080

摘　　要：目的:观察灸法配合间歇导尿对神经原性膀胱功能障碍患者膀胱功能的影响。方法:将76例患者随机分为观察组和对照组,各38例。对照组采用常规间歇导尿法,观察组在此基础上加灸法,穴取关元、命门、足三里等。选择残余尿量、尿内白细胞数的定量变化及膀胱平衡状态为观察指标,比较两组的疗效。结果:观察组总有效率为97.4%,对照组为79.0%,两组疗效比较差异有统计学意义(P<0.05);两组治疗后残余尿量、膀胱容量及达到膀胱功能平衡状态例数比较,差异均有统计学意义(均P<0.05);两组治疗后白细胞数的定量变化比较,P>0.05,差异无统计学意义。结论:灸法配合间歇导尿能明显改善神经原性膀胱功能障碍患者的膀胱功能,减少患者残余尿量,增加膀胱容量,促进达到膀胱功能平衡状态,但对泌尿系感染的预防及治疗作用与间歇导尿基本相同。Objective To observe the effect of moxibustion combined with intermittent urethral catheterization on vesical function in the patient of neurogenic vesical dysfunction. Methods Seventy-six cases were randomly divided into an observation group and a control group, 38 cases in each group. The control group was treated with routine intermittent urethral catheterization and the observation group with the intermittent urethral catheterization and moxibustion on Guanyuan （CV 4）, Mingmen （GV 4）, Zusanli （ST 36）, etc. Changes of residual urine volume, white cell count and the balance state of the urinary bladder were selected as the indexes of therapeutic effect and the therapeutic effects were compared between the two groups. Results The total effective rate was 97.4% in the observation group and 79.0% in the control group with a significant difference between the two groups （P〈0.05） ; after treatment, there were significant differences between the two groups in the residual urine volume, the bladder volume and the case numbers reaching to the functional balance state of bladder （all P〈0.05）, and there was no significant difference between the two groups in white cell count change （P〉0.05）. Conclusion Moxibustion combined with intermittent urethral catheterization can significantly improve vesical function in the patient of neurogenic vesical dysfunction, reducing residual urine volume, increasing volume of bladder, promoting the balance state of vesical function, but it is basically same as intermittent urethral catheterization in prevention of urinary infection and therapeutic effect.

关 键 词：灸法 导尿管插入术 膀胱 神经原性 排尿 

分 类 号：R246.6[医药卫生—针灸推拿学]