针灸联合康复护理促进脊髓损伤后神经源性膀胱恢复  

Acupuncture and moxibustion in combination with rehabilitation nursing to promote the effect of neurogenic bladder after spinal cord injury recovery

作　　者：崔颖[1] 郭宝[1] 

机构地区：[1]辽宁中医药大学附属医院,沈阳110031

出　　处：《长春中医药大学学报》2016年第3期550-551,554,共3页Journal of Changchun University of Chinese Medicine

基　　金：国家自然基金面上项目(30672698);辽宁省教育厅一般项目(L2013358);辽宁省科技厅科研基金(2012225018)

摘　　要：目的探究针灸联合康复护理对治疗脊髓损伤后神经源性膀胱恢复的临床疗效。方法选取脊髓损伤后神经源性膀胱患者86例,随机分为2组,各43例,对照组给予康复护理,治疗组则在对照组基础上应用针灸治疗,30 d为1个疗程,2个疗程后对比2组临床总有效率,证候积分、膀胱残余尿量及膀胱容量的改善情况。结果治疗组总有效率81.40%,对照组65.12%(P<0.05);2组中医证候积分均有所好转,且治疗组优于对照组(P<0.05);2组膀胱残余尿量及膀胱容量比较均有所好转,且治疗组优于对照组(P<0.05)。结论针灸联合康复护理能促进脊髓损伤后神经源性膀胱恢复,减少膀胱残余尿量,改善膀胱功能。Objective To explore the acupuncture combined rehabilitation nursing for the treatment of neurogenic bladder after spinal cord injury clinical curative effect. Methods Our hospital orthopaedic hospital were 86 patients with neurogenic bladder after spinal cord injury,using random Numbers table patients were randomly divided into two groups,namely each group of 43 people,including the control group given rehabilitation nursing,the experimental group were applied in the control group on the basis of acupuncture treatment. Two groups as a course of 30 days,the continuous nursing 2 course of treatment. After nursing,clinical total effective rate,compared before and after patient care bladder residual urine volume and bladder capacity improvement. Results After nursing,two groups of patients with clinical symptoms were good,the experimental group the total effective rate was 81. 40% after patient care,control group total effective rate was 65. 12% after patient care,experimental group effectiveness was better than control group,the difference was statistically significant（ P〈0. 05）; Two groups of patients after nursing of TCM clinical syndrome integral,according to the comparison of two groups of patients were improved,and the experimental group improved better than that of control group,the difference was statistically significant（ P〈0. 05）; After nursing two groups of patients with bladder residual urine volume and bladder capacity,according to the comparison of two groups of patients were improved,and the experimental group improved better than that of control group,the difference was statistically significant（ P〈0. 05）. Conclusion Acupuncture combined rehabilitation nursing can dredge,regulate the gas of the bladder and hardness,through the urine,can effectively reduce the clinical syndrome integral,reduce bladder residual urine volume,improve the bladder capacity,significantly improve the bladder function,to promote the effect of neurogenic bladder after spinal cord injury to recover significant

关 键 词：针灸疗法 康复护理 脊髓损伤 神经源性膀胱 

分 类 号：R248.1[医药卫生—中医临床基础]