电针与艾灸联合常规医护措施治疗脊髓损伤后尿潴留临床效果评价  

Evaluation of Clinical Effect of Electroacupuncture and Moxibustion Combined with Routine Medical Measures for Urinary Retention After Spinal Cord Injury

作　　者：刘艳丽[1] 于甲锋 郭园丽[1] LIU Yanli;YU Jiafeng;GUO Yuanli

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《新中医》2020年第23期141-144,共4页New Chinese Medicine

摘　　要：目的:观察在常规治疗与康复护理措施干预的基础上加用电针与艾灸治疗脊髓损伤后尿潴留的临床疗效。方法:将104例患者随机分为观察组和对照组各52例。2组患者均口服酒石酸托特罗定片治疗,并接受间歇性导尿术和膀胱功能训练,观察组加予电针与艾灸,2组均治疗6周。每天护理人员和患者一起记录漏尿次数、尿失禁量、残余尿量、排尿次数、最大排尿量,比较治疗前后的变化情况;治疗前后记录膀胱安全容量、膀胱内压和残余尿量等指标值,进行尿常规检查;比较2组的膀胱功能平衡状态。结果:治疗后,观察组膀胱功能平衡状态优于对照组(P<0.05)。2组每天漏尿次数、尿失禁量、排尿次数均较治疗前减少(P<0.01),每天最大排尿量均较治疗前增加(P<0.01);观察组每天漏尿次数、尿失禁量、排尿次数均少于对照组(P<0.01),每天最大排尿量多于对照组(P<0.01)。2组残余尿量、膀胱内压均较治疗前降低(P<0.01),观察组残余尿量值及膀胱内压均低于对照组(P<0.01)。2组膀胱安全容量均较治疗前增加(P<0.01),观察组膀胱安全容量多于对照组(P<0.01)。结论:在常规治疗与康复护理措施干预的基础上加用电针联合艾灸治疗脊髓损伤后尿潴留,可明显改善膀胱神经功能,促进膀胱正常容量和可控制性排尿的恢复,减少残余尿量,促进膀胱达到平衡功能状态。Objective: To observe the clinical effect of electroacupuncture and moxibustion based on routine treatment and rehabilitation nursing measures for urinary retention after spinal cord injury. Methods: A total of 104 cases of patients were randomly divided into the control group and the observation group,52 cases in each group. Both groups were given oral administration of tolterodine tartrate tablets,and intermittent catheterization and bladder function training;the observation group was additionally treated with electroacupuncture and moxibustion. Both groups were treated for six weeks. The times of urine leakage, the volume of incontinence, the residual urine volume, the times of urination and the maximum urination volume were recorded every day by nursing staff and patients,and the changes before and after treatment were compared.The safe bladder capacity, intravesical pressure and residual urine volume before and after treatment were recorded, and routine urine examination was performed. The balanced state of bladder function in the two groups was compared. Results:After treatment,the balanced state of bladder function in the observation group was better than that in the control group(P<0.05). Every day,in the two groups,the times of urine leakage,the volume of incontinence and the times of urination were decreased when compared with those before treatment(P<0.01), and the maximum urination volume was increased(P<0.01);in the observation group, the times of urine leakage, the volume of incontinence and the times of urination were fewer than those in the control group(P<0.01),and the maximum urination volume was more than that in the control group(P<0.01). The residual urine volume and intravesical pressure in the two groups were decreased when compared with those before treatment(P<0.01),and the above two indexes in the observation group were lower than those in the control group(P<0.01). The safe bladder capacity in the two groups was increased when compared with that before treatment(P<0.01),and the safe bla

关 键 词：脊髓损伤 尿潴留 电针 艾灸 膀胱压力 残余尿量 膀胱安全容量 

分 类 号：R246.2[医药卫生—针灸推拿学] R248[医药卫生—中医临床基础]