针刺结合十字灸联合芪龙胶囊对脑卒中患者神经源性膀胱的疗效观察  

Efficacy of Acupuncture and Cross Moxibustion Combined with Qilong Capsules(芪龙胶囊)on Neurogenic Bladder in Stroke Patients

作　　者：马光兴 付静静 李佳明 杨林风 孙炜 张叶熙 朱云红 MA Guangxing;FU Jingjing;LI Jiaming;YANG Linfeng;SUN Wei;ZHANG Yexi;ZHU Yunhong(Qingdao Traditional Chinese Medicine Hospital,Qingdao Haici Hospital,Qingdao 266000,Shandong,China)

机构地区：[1]青岛市中医医院,青岛市海慈医院,山东青岛266000

出　　处：《中华中医药学刊》2023年第8期235-238,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：山东省中医药科技项目(2021Q055);青岛市中医药科技项目(2021-zyym06)。

摘　　要：目的 针刺结合下腹部隔姜泥十字灸联合芪龙胶囊治疗脑卒中后神经源性膀胱的临床治疗效果。方法 纳入76例缺血性脑卒中后神经源性膀胱患者,随机将其分为观察组及对照组,每组38例。其中对照组给予针刺结合下腹部隔姜泥十字灸治疗,观察组在此基础上联合芪龙胶囊治疗,两组均治疗20 d,治疗结束后1个月观察两组治疗前后临床疗效、排尿情况、膀胱最大容量、残余尿指标变化、国际前列腺症状评分(International Prostate Symptom Score, I-PSS)、国际尿失禁咨询委员会尿失禁问卷表简表(International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form, ICI-Q-SF)及美国国立卫生研究院卒中量表(National Institute of Health stroke scale, NIHSS)。结果 两组患者经治疗后,观察组及对照组的总有效率分别为97.22%(35/36)及78.38%(29/37),观察组显著高于对照组(P<0.05);治疗前,两组患者在日均排尿次数、日均尿失禁次数及日均单次排尿量上比较差异无统计学意义(P>0.05),治疗后与同组治疗前相比两组患者日均排尿次数及日均尿失禁次数均显著下降,日均单次排尿量均显著上升(P<0.05),且观察组改善更为显著(P<0.05);治疗前两组患者膀胱残余尿量、膀胱最大容量比较差异无统计学意义(P>0.05),治疗后与同组治疗前相比最大膀胱容量均显著增加,膀胱残余尿量均显著减少(P<0.05),且观察组改善更为显著(P<0.05);两组患者治疗后,与同组治疗前相比I-PSS与ICI-Q-SF均显著降低(P<0.05),且观察组在改善排尿功能方面更为显著(P<0.05);两组患者NIHSS评分在治疗前后均较治疗前显著降低(P<0.05);同时观察组在治疗后NIHSS评分较对照组更低(P<0.05)。结论 针刺结合十字灸联合芪龙胶囊显著提高脑卒中患者神经源性膀胱的治疗效果,减少膀胱残余尿量,提高膀胱最大容量及单次排尿量,减少日均排尿次数及日均尿失禁次数,�Objective To investigate the clinical therapeutic effect of acupuncture combined with lower abdominal ginger-mud cross moxibustion combined with Qilong Capsule(芪龙胶囊)in the treatment of neurogenic bladder after stroke.Methods A total of 76 patients with neurogenic bladder following ischemic stroke were included.They were randomly divided into observation group and control group,with 38 cases in each group.The control group received acupuncture and abdominal ginger-mud cross moxibustion,whereas the observation group additionally received Qilong Capsule.Both groups were treated for 20 d.One month after treatment,the clinical efficacy,urination status,maximum bladder capacity,changes in residual urine indicators,International Prostate Symptom Score(I-PSS),International Consultation on Incontinence Questions naire Urinary Incontinence Short Form(ICI-Q-SF)and National Institute of Health Stroke Scale(NIHSS)of both groups before and after treatment were observed.Results After treatment,the total effective rates of the observation group and the control group were 97.22%(35/36)and 78.38%(29/37),respectively,and the rate of the observation group was significantly higher than that of the control group(P<0.05).Before treatment,there was no statistically significant difference between the two groups in terms of daily urination frequency,daily incontinence frequency or daily single urination volume(P>0.05).After treatment,compared with those before treatment,the daily urination frequency and daily incontinence frequency of the two groups were significantly reduced,and the daily single urination volume was significantly increased(P<0.05),and the improvement in the observation group was more significant(P<0.05).There was no statistically significant difference in residual urine volume or maximum bladder volume between the two groups before treatment(P>0.05).After treatment,the maximum bladder volume significantly increased compared to that before treatment in two groups,and the residual urine volume in the bladder signif

关 键 词：针刺 十字灸 芪龙胶囊 脑卒中 神经源性膀胱 

分 类 号：R255.2[医药卫生—中医内科学]