印堂及关元透刺法通调任督治疗糖尿病神经源性膀胱的临床观察  

Clinical observation of Yintang and Guanyuan acupoints penetrating needling therapy in regualting Ren and Governor channels in the treatment of diabetic neurogenic bladder

作　　者：董思琪 马晶鑫 曹金艳 田真 李静[2] 肖扬 关伟 李元宾 DONG Siqi;MA Jingxin;CAO Jinyan;TIAN Zhen;LI Jing;XIAO Yang;GUAN Wei;LI Yuanbin

机构地区：[1]山西中医药大学,山西晋中030619 [2]太原市中心医院,山西太原030009 [3]深圳市龙岗区第三人民医院,广东深圳518100

出　　处：《中医临床研究》2024年第6期46-49,共4页Clinical Journal Of Chinese Medicine

基　　金：山西省卫生健康委科研课题(晋卫办科教函[2022]4号2022084)。

摘　　要：目的:观察印堂及关元透刺法通调任督治疗糖尿病神经源性膀胱的临床疗效。方法:选取2018年6月―2022年4月于太原市中心医院内分泌科门诊及住院部诊断为糖尿病神经源性膀胱的21例患者。给予患者常规治疗的基础上,配合印堂及关元透刺法通调任督的针刺治疗,具体的取穴包括印堂穴、关元穴、中极穴及双侧太溪穴。7 d为一个疗程,患者平均治疗1.48个疗程。分别于治疗前后观察患者的排尿后膀胱残余尿量、日排尿次数和中医证候积分,并观察治疗的总有效率和不良反应情况。结果:与治疗前比较,患者排尿后的膀胱残余尿量显著减少,日排尿次数显著减少,中医证候积分显著减少,上述指标在治疗前后的差异均具有统计学意义(P <0.05);在21例患者中显效17例,有效3例,无效1例,总有效率为95.24%(20/21);所有的患者在治疗过程中均未见不良反应。结论:基础治疗配合印堂及关元透刺法通调任督的方案对于糖尿病神经源性膀胱具有良好的临床效果,从膀胱残余尿量、日排尿次数、中医证候积分、总有效率及不良反应的发生情况中,可以反映出患者的临床症状得到有效改善。针刺操作难度低,效优价廉,符合绿色健康的治疗理念,值得在糖尿病神经源性膀胱的临床治疗实践中推广。Objective:To observe the clinical effect of Yintang and Guanyuan acupoints penetrating needling therapy in regualting Ren and Governor channels(任督)in the treatment of diabetic neurogenic bladder.Methods:A total of 21 patients diagnosed with diabetic neurogenic bladder were selected from the Outpatient and Inpatient Departments of Endocrinology Department of Taiyuan Central Hospital from June 2018 to April 2022.On the basis of the routine treatment,the acupuncture treatment of Yintang and Guanyuan acupoints penetrating needling therapy in regualting Ren and Governor channels was given,and the specific acupoints included Yintang(EX-HN3),Guanyuan(RN4),Zhongji(RN3)and bilateral Taixi(KI3)acupoints.7 days was a course of treatment,and the average length of treatment for patients was 1.48 courses.The residual urinary volume,daily frequency of urination and TCM syndrome score of the patients were observed before and after treatment,and the total effective rate and adverse reactions were observed.Results:Compared with before treatment,the residual urinary volume of the bladder after urination was significantly decreased,the daily frequency of urination was significantly decreased,and the TCM syndrome score was significantly decreased.The differences of the above indexes before and after treatment were statistically significant(P<0.05).Among the 21 patients,17 were significantly effective,3 were effective and 1 was ineffective.The total effective rate was 95.24%(20/21).No adverse reactions were observed in all patients during treatment.Conclusion:Basic treatment combined with Yintang and Guanyuan acupoints penetrating needling therapy in regualting Ren and Governor channels has a good clinical effect in the treatment of diabetic neurogenic bladder,which can reflect the effective improvement of clinical symptoms in patients from the residual urinary volume of the bladder,the daily frequency of urination,the TCM syndrome score,the total effective rate and the occurrence of adverse reactions.Acupuncture has the advantage

关 键 词：癃闭 糖尿病神经源性膀胱 针刺 临床观察 

分 类 号：R256.5[医药卫生—中医内科学]