脐灸联合低频脉冲电治疗对脊髓损伤后神经源性膀胱患者的护理观察  

Nursing observation of umbilical moxibustion combined with low-frequency pulse electric therapy in patients with neurogenic bladder after spinal cord injury

作　　者：邓丽琼 马梦晖 钟丽婵 邓湘凤 项晓伟 朱乃婷 DENG Liqiong;MA Menghui;ZHONG Lichan;DENG Xiangfeng;XIANG Xiaowei;ZHU Naiting(Shenzhen Luohu District Hospital of Traditional Chinese Medicine,Shenzhen 518001,China)

机构地区：[1]深圳市罗湖区中医院,广东省深圳市518001

出　　处：《护理实践与研究》2024年第2期179-185,共7页Nursing Practice and Research

基　　金：罗湖区科技创新局软科学研究计划项目(编号:LX202202042)。

摘　　要：目的探讨脐灸联合低频脉冲电治疗干预对脊髓损伤后神经源性膀胱的临床效果。方法选取2022年7月—2023年5月医院收治的60例脊髓损伤后神经源性膀胱患者为研究对象,按照组间基线资料均衡可比的原则分为对照组和观察组,各30例。对照组行常规康复训练、膀胱功能训练及间歇导尿护理干预;观察组在常规护理的基础上予以脐灸联合低频脉冲电治疗。观察两组患者的疗效;治疗前、治疗后2周、治疗结束时评估患者膀胱功能,指标包括日排尿次数、日漏尿次数、膀胱残余量及膀胱内最大压力;于治疗前、治疗后采用下尿路症状(Lower Urinary Tract Symptoms,LUTS)量表、焦虑自评量表(Self-Rating Anxiety Scale,SAS)及生活质量量表(Quality of Life Scale,QOL)评估患者当前症状、情绪状态及生活质量;比较两组患者不良反应发生率。结果两组患者日排尿次数、日漏尿次数及膀胱残余量、膀胱内压力比较,组间、不同时间点、组间与不同时间点交互作用,差异均有统计学意义(P<0.05)。各量表评分结果中,观察组患者治疗后LUTS得分、SAS得分均低于对照组,QOL得分则高于对照组,差异均有统计学意义(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论脊髓损伤后神经源性膀胱患者应用脐灸联合低频脉冲电治疗可提高治疗效果,改善下尿路症状,促进膀胱功能恢复,进而利于缓解患者不良情绪、提高生活质量。Objective To explore the clinical effect of umbilical moxibustion combined with low-frequency pulse electric therapy intervention on neurogenic bladder after spinal cord injury.Methods A total of 60 patients with neurogenic bladder after spinal cord injury admitted to the hospital from July 2022 to May 2023 were selected as the study subjects.They were divided into a control group and an observation group based on the principle of balanced and comparable baseline data between groups,with 30 cases in each group.The control group received routine rehabilitation training,bladder function training,and intermittent catheterization nursing intervention;The observation group received umbilical moxibustion combined with low-frequency pulse electrical therapy on the basis of routine care.We observed the therapeutic effects of two groups of patients,and assessed the patient's bladder function before treatment,2 weeks after treatment,and at the end of treatment,including daily urination frequency,daily leakage frequency,residual bladder volume,and maximum bladder pressure.Before and after treatment,lower urinary tract symptoms(LUTS)scale,self-rating anxiety scale(SAS),and quality of life scale(QOL)were used to evaluate the patient's current symptoms,emotional state,and quality of life to compare the incidence of adverse reactions between two groups of patients.Results The daily urination frequency,leakage frequency,residual bladder volume,and bladder pressure were compared between the two groups of patients,and there were statistically significant differences in the interaction between groups,at different time points,between groups,and at different time points(P<0.05).After nursing intervention,the LUTS score and SAS score in the observation group were lower than those in the control group,the QOL score was higher than that in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups of patients(P>0.

关 键 词：脊髓损伤 神经源性膀胱 脐灸 低频脉冲电治疗 生活质量 

分 类 号：R248[医药卫生—中医临床基础]