针刺足运感区结合“俞募配穴”治疗中风后尿潴留临床研究  

Clinical Study of Needling Foot Motor Sensory Area Combined with Compatibility of Back-Shu Points and Front-Mu Points in Treating Post-Stroke Urinary Retention

作　　者：石文英 罗容 潘江 陈成 周文娟 王琼 刘英含 曹徵良 罗方涛 章薇 SHI Wenying;LUO Rong;PAN Jiang;CHEN Cheng;ZHOU Wenjuan;WANG Qiong;LIU Yinghan;CAO Zhiliang;LUO Fangtao;ZHANG Wei(The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)

机构地区：[1]湖南中医药大学第一附属医院

出　　处：《针灸临床杂志》2019年第11期13-16,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：湖南中医药大学第一附属医院湖南省院士专家工作站(石学敏)开放基金项目，编号:2018YSZJJ06、2018YSZJJ03;湖南省科技创新计划项目-创新平台与人才计划，编号:2017RS3052

摘　　要：目的:观察针刺足运感区结合“俞募配穴”治疗中风后尿潴留的临床疗效。方法:将符合纳入标准的60例中风后尿潴留患者随机分为观察组和对照组,各30例,两组患者在中风病常规治疗基础上,观察组采用足运感区结合“俞募配穴”针刺治疗,对照组采用溴吡斯的明片口服治疗,根据B超检查膀胱残余尿量及患者症状评价两组疗效。结果:治疗后两组膀胱功能积分、膀胱残余尿量较治疗前均减少,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组总有效率96.67%,对照组总有效率80.00%,观察组高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率0.00%,对照组为16.67%,两组比较差异有统计学意义(P<0.05)。结论:足运感区结合“俞募配穴”针刺治疗能明显减少中风后尿潴留患者膀胱残余尿量,改善症状,其疗效优于药物治疗组,且安全有效,值得临床推广应用。Objective:To observe the clinical effect of needling foot motor sensory area combined with compatibility of back-shu points and front-mu points in treating post-stroke urinary retention.Methods:60 patients with post-stroke urinary retention were randomly divided into the observation group(n=30)and the control group(n=30).On the basis of routine treatment of apoplexy,the observation group was also treated with needling foot motor sensory area combined with compatibility of back-shu points and front-mu points;whereas the control group was also treated with Pyridostigmine Bromide Tablets.The clinical effect was evaluated by urinary retention assessed by B-mode ultrasound and the patients’symptoms.Results:After the treatment,the bladder function scores and bladder residual urine volume were significantly decreased compared to those before treatment in the two groups;the decreases were more significantly in the observation group(P<0.05).The total effective rate was 96.67%in the observation group,which was significantly higher than 80.00%in the control group(P<0.05).The incidence of adverse reactions was 0.00%in the observation group,which was greatly lower than 16.67%in the control group(P<0.05).Conclusion:Needling foot motor sensory area combined with compatibility of back-shu points and front-mu points can obviously reduce the residual urine volume of bladder and improve the symptoms when treating post-stroke urinary retention.Its curative effect is better than medication.The therapy is safe and effective,which is worth popularizing and applying in clinic.

关 键 词：足运感区 俞募配穴 针刺 中风 尿潴留 

分 类 号：R246.6[医药卫生—针灸推拿学]