膀胱电针治疗脊髓病变神经源性尿潴留的疗效观察  

Curative Effect of Bladder Electro-acupuncture in Treatment of Neurogenic Urinary Retention in Patients with Spinal Cord Injury

作　　者：陈黛琪[1] 李瑾[1] CHEN Dai-qi LI Jin(Department of Neurology,Tongji HospitalTongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Chin)

机构地区：[1]华中科技大学附属同济医院神经内科,武汉430030

出　　处：《神经损伤与功能重建》2016年第6期504-505,508,共3页Neural Injury and Functional Reconstruction

摘　　要：目的:观察膀胱电针治疗脊髓病变患者尿潴留的疗效。方法:脊髓病变伴尿潴留患者72例,按意愿分为观察组42例和对照组30例,2组均给予常规治疗,观察组还给予膀胱电针治疗。观察2组治疗前后尿潴留改善情况,评估2组生活质量。结果:治疗后,2组膀胱残余尿明显减少(P<0.05),观察组的残余尿量低于对照组(P<0.05)。观察组和对照组的总有效率分别为95.2%、66.7%,2组疗效比较有显著性差异(P<0.01)。治疗后,观察组的生存质量明显好于对照组,有显著性差异(P<0.01)。结论:膀胱电针能有效地改善脊髓病变患者膀胱功能,减轻尿潴留。Objective：To assess the efficacy of bladder electro-acupuncture in treatment of neurogenic urinary retention in patients with spinal cord injury. Methods： 72 patients with spinal cord injury and urinary retention were divided into the trial group（42 patients） and the control group（30 patients） according to their own intention. Conventional treatment was equally given to the two groups, while the trail group also received bladder electro-acupuncture. Then we observed the improvement of urinary retention before and after treatment and evaluated patients＇ life quality in both groups. Results： The residual urine were significantly decreased in both groups after treatment（P〈0.05）, and the amount of residual urine in the trail group was lower than the control group（P〈0.05）. The total effective rate of the trail group and the control group were 95.2% and 66.7% respectively with obvious difference（P〈0.01）. At the same time, the life quality of the trail group was obvious better than the control group after treatment with significant difference（P〈0.01）. Conclusion： The bladder electro-acupuncture could effectively promote the function of the bladder and reduce the occurrence of urinary retention in patients with spinal cord lesions.

关 键 词：膀胱电针 脊髓病变 神经源性尿潴留 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.05[医药卫生—临床医学]