脐灸联合膀胱功能训练治疗脊髓损伤后神经源性膀胱的临床观察  

The Clinical Efficacy of Umbilical Moxibustion Therapy Combined with Bladder Training in Neurogenic Bladder after Spinal Cord Injury

作　　者：陈爱连[1] 胡振江[1] 符文君[1] 艾坤[2] 

机构地区：[1]湖南省马王堆医院,湖南长沙410016 [2]湖南中医药大学,湖南长沙410208

出　　处：《中国中医急症》2016年第6期1154-1157,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：湖南省自然科学基金资助项目(13JJ3098);湖南省高等学校科研项目(12C0264)

摘　　要：目的观察脐灸联合膀胱功能训练治疗脊髓损伤(SCI)后神经源性膀胱的临床疗效。方法选取SCI后神经源性膀胱患者84例,随机分为对照组和观察组,各42例。对照组患者给予常规膀胱功能训练和综合康复治疗,观察组患者在上述治疗基础上给予脐灸治疗。8周后对比疗效。结果治疗后,两组的日平均排尿次数、日平均尿失禁次数均较治疗前显著减少,日平均单次尿量、日单次最大尿量均显著增加(P<0.05),观察组优于对照组(P<0.05)。治疗后,两组的最大膀胱测压容积、最大尿流速率均显著增加,残余尿量均显著减少(P<0.05),且观察组改善程度优于对照组(P<0.05)。治疗后两组患者的残余尿量均有明显下降,而最大膀胱测压容积和最大尿流速率则有明显上升(P<0.05);观察组的残余尿量低于对照组,而最大膀胱测压容积和最大尿流速率均高于对照组(P<0.05)。治疗后,两组的生活质量评分、LUTS评分均显著下降,且观察组下降程度大于对照组(P<0.05)。观察组的总有效率为97.62%,显著高于对照组的80.95%(P<0.05)。结论脐灸联合膀胱功能训练治疗SCI后神经源性膀胱疗效确切,可显著改善患者的膀胱排尿功能,建立治疗的信心,缩短建立反射性排尿的时间。Objective： To evaluate the clinical efficacy of umbilical moxibustion therapy combined with bladder training in neurogenic bladder after spinal cord injury. Methods： 84 patients with neurogenic bladder after spinal cord injury in our hospital from June 2013 to January 2015 were randomly divided into the control group and the observation group,42 cases in each. The control group were treated with conventional bladder training and comprehensive rehabilitation treatment,while the observation group were treated with umbilical moxibustion therapy on the basis of the above. The efficacy was compared after 8 weeks. Results： After treatment,the average daily frequency of urination in both groups and the average daily number of urinary incontinence were reduced than those before treatment significantly;the average daily urine volume,daily maximal single urine was significantly increased（P〈0.05）,and the degree of improvement of the observation group after treatment was better than that of the control group（P〈0.05）. After treatment,the maximum bladder pressure volume and maximum flow rate of the two groups were significantly increased and residual urine volume was significantly reduced（P〈0.05）,and the degree of improvement of the observation group after treatment was better than that of the control group（P〈0.05）.After treatment,residual urine volume of both groups decreased significantly,while the maximum bladder pressure volume and maximum urinary flow rate were significantly increased;compared with those before treatment,differences were statistically significant（P〈0.05）. After treatment,residual urine volume of the observation group was lower than that of the control group,and the maximum bladder pressure volume and maximum urinary flow rate were higher（P〈0.05）. After treatment,quality of life score and LUTS score in both group were significantly decreased,and the degree of decline in the observation group was higher than that of the control group（P〈0.05）.The total effectiv

关 键 词：神经源性膀胱 脊髓损伤 脐灸 膀胱功能训练 

分 类 号：R246[医药卫生—针灸推拿学]