隔附子饼灸联合生物反馈刺激对脊髓损伤后尿潴留病人膀胱功能、膀胱压力及尿路感染的影响  

Influences of monkshood cake moxibustion combined with biofeedback stimulation on bladder function,bladder pressure and urinary tract infection in patients with urinary retention after spinal cord injury

作　　者：张倩[1] 王雪丹 沈润斌[2] 马翠霞[3] 杨金旭[1] 王利春[4] ZHANG Qian;WANG Xuedan;SHEN Runbin;MA Cuixia;YANG Jinxu;WANG Lichun(Department of Acupuncture and Moxibustion,Cangzhou Hospital of Integrated Traditional and Western Medicine,Cangzhou,Hebei 061000,China;Department of Orthopedic Orthopedic Trauma Rehabilitation,Cangzhou Hospital of Integrated Traditional and Western Medicine,Cangzhou,Hebei 061000,China;Rehabilitation Hall,Cangzhou Hospital of Integrated Traditional and Western Medicine,Cangzhou,Hebei 061000,China;Department of Neurorehabilitation,Cangzhou Hospital of Integrated Traditional and Western Medicine,Cangzhou,Hebei 061000,China)

机构地区：[1]河北省沧州中西医结合医院针灸科,河北沧州061000 [2]河北省沧州中西医结合医院矫形骨伤康复科,河北沧州061000 [3]河北省沧州中西医结合医院康复大厅,河北沧州061000 [4]河北省沧州中西医结合医院神经康复科,河北沧州061000

出　　处：《安徽医药》2024年第1期189-193,共5页Anhui Medical and Pharmaceutical Journal

基　　金：河北省中医药管理局科研计划项目(2018480)。

摘　　要：目的探究隔附子饼灸联合生物反馈刺激对脊髓损伤后尿潴留病人膀胱功能、膀胱压力及尿路感染的影响。方法选取河北省沧州中西医结合医院2020年6月至2022年6月收治的76例脊髓损伤后尿潴留病人进行研究,按照随机数字表法分为对照组(38例)和联合组(38例)。其中对照组给予生物反馈刺激,联合组给予隔附子饼灸联合生物反馈刺激。比较两组尿流动力学(最大膀胱压力、膀胱功能、最大膀胱测量容量),膀胱残余尿量,临床疗效,尿路感染发生率及生活自理能力。结果两组干预前、干预4周、8周后MHU评分、膀胱残余尿量依次降低(P<0.05),且干预4周、8周后,联合组[(2.45±0.26)分、(216.46±23.72)mL、(1.87±0.19)分、(114.37±11.58)mL]均明显低于对照组[(2.79±0.28)分、(242.75±26.84)mL、(2.14±0.22)分、(162.75±16.49)mL](P<0.05);两组干预前、干预4周、8周MBI评分、膀胱压力依次升高(P<0.05),且干预4周、8周后,联合组[(38.57±3.46)分、(12.67±1.27)分、(46.57±4.72)分、(14.02±1.45)分]明显高于对照组[(34.14±3.25)分、(10.96±1.14)分、(40.62±4.15)分、(12.57±1.31)分](P<0.05);联合组总有效率(89.47%)明显高于对照组(68.42%)(P<0.05),尿路感染发生率(7.89%)明显低于对照组(28.95%)(P<0.05)。结论隔附子饼灸联合生物反馈刺激对脊髓损伤后尿潴留可有效提高膀胱功能及膀胱压力,降低尿路感染及膀胱残余尿量,提升自理能力,效果较好。Objective To investigate the influences of monkshood cake moxibustion combined with biofeedback stimulation on blad⁃der function,bladder pressure and urinary tract infection in patients with urinary retention after spinal cord injury.Methods A total of 76 patients with urinary retention after spinal cord injury were selected from Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine in Hebei Province,China,who were admitted from June 2020 to June 2022 for the study and were divided into the control group(38 cases)and the combined group(38 cases)according to the random number table method.Among them,the control group was given biofeedback stimulation and the combined group was given monkshood cake moxibustion combined with biofeedback stimulation.The two groups were compared in terms of urodynamics(maximal bladder pressure,bladder function,maximal cystometric capacity),bladder residual urine volume,clinical efficacy,incidence of urinary tract infections,and self-care ability.Results The MHU score and residual bladder urinary volume decreased sequentially in both groups before intervention,after 4 weeks and 8 weeks of intervention(P<0.05),and after 4 weeks and 8 weeks of intervention,the combined group[(2.45±0.26)points,(216.46±23.72)mL,(1.87±0.19)points,(114.37±11.58)mL]was significantly lower than that of the control group[(2.79±0.28)points,(244.37±11.58)mL].0.28)points,(242.75±26.84)mL,(2.14±0.22)points,and(162.75±16.49)mL](P<0.05).The MBI score and bladder pressure in both groups increased sequentially before intervention,after 4 weeks and 8 weeks of intervention(P<0.05),and after 4 weeks and 8 weeks of intervention,the combined group[(38.57±3.46),(12.67±1.27),(46.57±4.72),(14.02±1.45)points]was significantly higher than the control group[(34.14±3.25),(10.96±1.14),(40.62±4.15),(12.57±1.31)points](P<0.05).The total effective rate of the combined group(89.47%)was significantly higher than that of the control group(68.42%)(P<0.05),and the incidence of urinary tract infection(7

关 键 词：脊髓损伤 尿潴留 灸法 电刺激疗法 神经反馈 生物反馈刺激 隔附子饼灸 尿路感染 膀胱功能 

分 类 号：R651.2[医药卫生—外科学]