岭南飞针疗法之腹针治疗卒中后尿潴留疗效观察  

Curative Effect of Abdominal Acupuncture of Lingnan Flying Needle Therapy for Urinary Retention after Stroke

作　　者：蔡伟彬 陈文威 陈星宇 刘洋 蔡科达 秦敏 苏利梅 CAI Wei-bin;CHEN Wen-wei;CHEN Xing-yu;LIU Yang;CAI Ke-da;QIN Min;SU Li-mei(Guangdong Second Traditional Chinese Medicine Hospital(Guangdong Research Institute of Traditional Chinese Medicine Manuracturing Tech‐nology),Guangzhou,Guangdong 510095;The Seventh Affiliated Hospital of Southern Medical University,Foshan,Guangdong 528248;Air Force Hospital of Southern Theater Command,Guangzhou,Guangdong 510062)

机构地区：[1]广东省第二中医院(广东省中医药工程技术研究院),广东广州510095 [2]南方医科大学第七附属医院,广东佛山528248 [3]南部战区空军医院,广东广州510062

出　　处：《中医康复》2024年第2期38-41,共4页Traditional Chinese Medicine Rehabilitation

基　　金：广东省中医药管理局科研项目基金,编号:20221031。

摘　　要：目的:明确岭南飞针疗法之腹针治疗卒中后尿潴留的临床疗效。方法:将60例卒中后尿潴留患者随机分为治疗组和对照组各30例,在基础治疗上,治疗组采用岭南飞针疗法之腹针治疗,对照组采用常规针刺治疗,5天为1个疗程,3个疗程后观察两组患者首次排尿时间、膀胱功能积分及残余尿量,评价两组临床疗效。结果:治疗组总有效率为96.7%,高于对照组的73.3%(P<0.05)。治疗后,治疗组首次排尿时间短于对照组(P<0.05);两组患者膀胱残余尿量均较治疗前减少,且治疗组改善更显著(P<0.05)。结论:岭南飞针疗法之腹针治疗卒中后尿潴留可显著缩短首次排尿时间,减少膀胱残余尿量,值得临床应用推广。Objective:To observe the curative effect of abdominal acupuncture of Lingnan flying needle therapy for urinary retention after stroke.Methods:Sixty patients with urinary retention after stroke were randomly divided into treatment group(n=30)and control group(n=30).On the basis of basic treatment,the treatment group was treated with abdominal acupuncture of Lingnan flying needle therapy,while control group with conven‐tional acupuncture.Five days was a course of treatment,the first urination time,bladder function scores and residual urine volume of the two groups were observed and clinical efficacy was evaluated after three courses of treatment.Results:The overall response rate of treatment group was 96.7%,which was higher than 73.3%of control group(P<0.05).After treatment,the first urination time in treatment group was shorter than that in control group(P<0.05);Compared to those of before treatment,the bladder residual urine volume in both groups were decreased,and the improvement in treatment group was more significant(P<0.05).Conclusion:The abdominal acupuncture of Lingnan flying needle therapy for post-stroke urinary re‐tention can significantly shorten the first urination time and reduce the bladder residual urine volume,which is worthy of clinical application and pro‐motion.

关 键 词：脑卒中 尿潴留 岭南飞针疗法 腹针 首次排尿时间 膀胱残余尿量 

分 类 号：R246[医药卫生—针灸推拿学] R743.3[医药卫生—中医临床基础]