电针联合火针治疗脊髓损伤后二便障碍的疗效观察  

Observations on the Efficacy of Electroacupuncture plus Fire Needling for Urinary and Faecal Voiding Dysfunction After Spinal Cord Injury

作　　者：张倩[1] 王雪丹 沈润斌[1] 马翠霞[1] 杨金旭[1] 王利春[1] ZHANG Qian;WANG Xuedan;SHEN Runbin;MA Cuixia;YANG Jinxu;WANG Lichun(Hebei Cangzhou Hospital of Traditional Chinese and Western Medicine,Cangzhou 061000,China)

机构地区：[1]河北省沧州中西医结合医院,沧州061000

出　　处：《上海针灸杂志》2022年第5期484-488,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：河北省中医药管理局科研计划项目(2018480)。

摘　　要：目的观察电针联合火针治疗脊髓损伤后二便障碍的临床疗效。方法将60例脊髓损伤后二便障碍患者随机分为电针组和联合组,每组30例。两组均采用基础治疗,电针组采用电针治疗,联合组在电针组治疗基础上加火针。分别于治疗前、治疗1个月末、治疗2个月末、治疗3个月末、治疗6个月末,进行大便功能和小便功能的测定,观察两组世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分变化,并比较两组临床疗效。结果治疗6个月末,联合组大便功能改善总有效率高于治疗1个月末和电针组(P<0.05);联合组小便功能改善总有效率高于同组治疗1个月末、治疗2个月末和电针组(P<0.05)。治疗1个月末、治疗2个月末、治疗3个月末、治疗6个月末,两组WHOQOL-BREF各项评分均高于治疗前(P<0.06);治疗2个月末、治疗3个月末、治疗6个月末,联合组WHOQOL-BREF各项评分高于电针组(P<0.05)。结论在基础治疗的基础上,电针联合火针治疗脊髓损伤后二便障碍可提高临床疗效,改善患者生活质量。Objective To observe the clinical efficacy of electroacupuncture plus fire needling for urinary and faecal voiding dysfunction after spinal cord injury.Method Sixty patients with urinary and faecal voiding dysfunction after spinal cord injury were randomized to electroacupuncture and combination groups,with 30 cases in each group.Both groups received basic treatment.The electroacupuncture group was given electroacupuncture treatment and the combination group,fire needling in addition.Urinary and faecal voiding functions were examined before treatment and at the end of one,two,three and six months of treatment.The World Health Organization quality of life scale brief version(WHOQOL-BREF)score was recorded in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result At the end of six months of treatment,the total efficacy rate in improving fecal function in the combination group was higher than at the end of one month and than that in the electroacupuncture group(P<0.05)and the total efficacy rate in improving urinary function in the combination group was higher than at the end of one and two months and than that in the electroacupuncture group(P<0.05).The WHOQOL-BREF item scores were higher in the two groups at the end of one,two,three and six months of treatment than before(P<0.05).At the end of two,three and six months of treatment,the WHOQOL-BREF item scores were higher in the combination group that in the electroacupuncture group(P<0.05).Conclusions On the basis of basic treatment,electroacupuncture plus fire needling can improve the clinical therapeutic effect on urinary and faecal voiding dysfunction after spinal cord injury and the patients’quality of life.

关 键 词：电针 火针疗法 针药并用 脊髓损伤 二便障碍 世界卫生组织生存质量测定量表简表 

分 类 号：R246.6[医药卫生—针灸推拿学]