温针灸配合穴位注射治疗中风后尿潴留疗效观察  

Therapeutic Observation of Warm Needling plus Acupoint Injection for Post-stroke Urinary Retention

作　　者：刘卫星[1] 武颖[2] 张正旭[3] 虞跃跃 

机构地区：[1]唐山市中医院,唐山063000 [2]北京中医药大学西苑医院,硕士生北京100091 [3]陕西中医学院,西安712046 [4]华北理工大学,硕士生唐山063000

出　　处：《上海针灸杂志》2015年第8期728-730,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：唐山市科技计划项目(121302118b)

摘　　要：目的观察温针灸配合穴位注射治疗中风后尿潴留的疗效。方法将70例符合诊断、纳入和排除标准的中风后尿潴留患者随机分为治疗组35例和对照组35例。治疗组予以温针灸配合穴位注射治疗,对照组予以单纯温针灸治疗。观察治疗前后尿潴留症状变化。结果治疗1星期后,两组尿潴留情况都有所改善,两组比较差异具有统计学意义(P<0.05),治疗组优于对照组;治疗结束2星期和1个月后两组尿潴留状况比较,治疗组优于对照组(P<0.05)。两组不良反应发生例数比较,治疗组不良反应发生少于对照组(P<0.05)。结论温针灸配合穴位注射治疗中风后尿潴留有较好的疗效,值得临床运用。但对于首次排尿时间和每次排尿时间效果不佳,仍需要进一步改善。Objective To observe the therapeutic efficacy of warm needling plus acupoint injection in treating post-stroke urinary retention. Method Seventy eligible subjects with post-stroke urinary retention were randomized into a treatment group of 35 cases and a control group of 35 cases. The treatment group was intervened by warm needling plus acupoint injection, while the control group was by warm needling alone. The relevant symptoms of urinary retention were observed before and after treatment. Result After 1-week treatment, the retention condition was improved in both groups, and the treatment group was significantly superior to the control group（P〈0.05）; The 2-week and 1-month follow-up studies showed that the retention condition in the treatment group was significantly better than that in the control group（P〈0.05）. The adverse events in the treatment group were significantly less than that in the control group（P〈0.05）. Conclusion Warm needling plus acupoint injection can produce a satisfactory efficacy in treating post-stroke urinary retention and is worth application in clinic. However, this method still needs improving as its effect on initial urination and urination duration is not significant.

关 键 词：中风并发症 尿潴留 温针疗法 水针 

分 类 号：R246.6[医药卫生—针灸推拿学]