深刺八髎穴联合隔盐灸神阙穴治疗脑卒中后尿潴留临床研究  

Clinical Study on Deep Acupuncture at Baliao Points Combined with Salt-Indirect Moxibustion at Shenque(CV8)Point for Post-Stroke Urinary Retention

作　　者：熊亮 刘琨[1,2] 刘通 江烨 邝伟川[1,2] XIONG Liang;LIU Kun;LIU Tong;JIANG Ye;KUANG Weichuan(The Fifth Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510095,China;Department of Acupuncture,Moxibustion and Rehabilitation,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou Guangdong 510095,China)

机构地区：[1]广州中医药大学第五临床医学院,广东广州510095 [2]广东省第二中医院针灸康复科,广东广州510095

出　　处：《新中医》2024年第24期103-108,共6页New Chinese Medicine

基　　金：广东省中医药局科研课题面上项目(20231027);广东省科技厅区域联合基金-青年基金项目(2021A1515110736)。

摘　　要：目的:观察在常规治疗基础上加用深刺八髎穴联合隔盐灸神阙穴治疗脑卒中后尿潴留(URAS)的临床疗效。方法:将123例URAS患者按随机数字表法分为隔盐灸神阙组、深刺八髎组和联合治疗组各41例。3组均接受常规治疗,在此基础上,隔盐灸神阙组加用隔盐灸神阙穴治疗,深刺八髎组加用深刺八髎穴治疗,联合治疗组则加用深刺八髎穴联合隔盐灸神阙穴治疗。每天治疗1次,每周连续治疗6 d,2周为1个疗程,3组均治疗2个疗程。比较3组临床疗效、膀胱功能积分、间歇导尿次数、膀胱残余尿量、拔管率及首次排尿时间。结果:治疗后,3组总有效率总体比较,差异有统计学意义(P<0.05);联合治疗组总有效率均高于隔盐灸神阙组、深刺八髎组,差异均有统计学意义(P<0.05);3组膀胱功能积分均较治疗前降低,间歇导尿次数、膀胱残余尿量均较治疗前减少,差异均有统计学意义(P<0.05);3组膀胱功能积分、间歇导尿次数及膀胱残余尿量总体比较,差异均有统计学意义(P<0.05);联合治疗组膀胱功能积分低于隔盐灸神阙组,间歇导尿次数少于隔盐灸神阙组,膀胱残余尿量均少于隔盐灸神阙组及深刺八髎组,差异均有统计学意义(P<0.05);联合治疗组膀胱功能积分、间歇导尿次数、膀胱残余尿量治疗前后差值均大于隔盐灸神阙组、深刺八髎组,差异均有统计学意义(P<0.05);3组拔管率、首次排尿时间总体比较,差异均有统计学意义(P<0.05);联合治疗组拔管率高于隔盐灸神阙组,首次排尿时间短于隔盐灸神阙组,差异均有统计学意义(P<0.05)。结论:在常规治疗基础上加用深刺八髎穴联合隔盐灸神阙穴治疗URAS临床疗效显著,可缓解症状,改善膀胱功能,提高拔管率。Objective:To observe the clinical effect of the therapy of deep acupuncture at Baliao points combined with salt-indirect moxibustion at Shenque(CV8)point on post-stroke urinary retention(URAS)based on conventional treatment.Methods:A total of 123 cases of patients with URAS were divided into the salt-indirect moxibustion at Shenque(CV8)point group,the deep acupuncture at Baliao points group and combined treatment group according to the random number table method,with 41 cases in each group.The three groups received conventional treatment.On this basis,the salt-indirect moxibustion at Shenque(CV8)point group was treated with salt-indirect moxibustion at Shenque(CV8)point,the deep acupuncture at Baliao points group was treated with deep acupuncture at Baliao points,and the combined treatment group was treated with deep acupuncture at Baliao points combined with salt-indirect moxibustion at Shenque(CV8)point.The three groups were treated once a day,six days a week,two weeks as a course of treatment and two courses in total.The clinical effects,scores of bladder function,intermittent catheterization times,residual urine volume,extubation rates and first urination time were compared among the three groups.Results:After treatment,there was significance being found in the comparison of the total effective rate among the three groups(P<0.05);the total effective rate in the combined treatment group was higher than that in the salt-indirect moxibustion at Shenque(CV8)point group and the deep acupuncture at Baliao points group,differences being significant(P<0.05);the scores of bladder function in the three groups were reduced when compared with those before treatment,and the intermittent catheterization times and residual urine volume were dwindled when compared with those before treatment,differences being significant(P<0.05);there were significant differences being found in the comparisons of scores of bladder function,intermittent catheterization times and residual urine volume among the three groups(P<0.05);the scores

关 键 词：脑卒中 尿潴留 隔盐灸 神阙穴 针刺 八髎穴 膀胱功能 

分 类 号：R246.6[医药卫生—针灸推拿学]