温针灸联合膀胱功能训练对脊髓损伤后神经源性膀胱患者膀胱功能障碍改善作用分析  

Effect of warm needle moxibustion combined with bladder function training on bladder dysfunction in patients with neurogenic bladder after spinal cord injury

作　　者：胡彩虹[1] 刘莹莹 周苗 HU Caihong;LIU Yingying;ZHOU Miao(Department of Traditional Chinese Medicine,Taizhou Hospital,Taizhou 317000,China)

机构地区：[1]浙江省台州医院中医科,浙江台州317000 [2]临海市第一人民医院康复科

出　　处：《全科医学临床与教育》2025年第1期15-18,共4页Clinical Education of General Practice

基　　金：浙江省中医药科技计划B(2019ZB141)。

摘　　要：目的观察温针灸联合膀胱功能训练对脊髓损伤(SCI)后神经源性膀胱(NB)患者膀胱功能障碍的改善作用。方法选择68例SCI后NB患者,按照随机数字表法分为观察组(温针灸+膀胱功能训练,n=34)和对照组(膀胱功能训练,n=34)。两组均治疗8周。比较两组疗效和治疗前后的排尿日记评定结果、尿动力学指标和生活质量差异。结果治疗后,观察组总有效率高于对照组,差异有统计学意义(χ^(2)=5.31,P<0.05),观察组患者的日均排尿次数少于对照组,日均单次尿量和日单次最大尿量多于对照组,差异均有统计学意义(t分别=-9.18、4.65、5.07,P均<0.05)。治疗后,观察组患者的膀胱压(Pves)和逼尿肌压力(Pdet)低于对照组,膀胱容量(VH2O)高于对照组(t分别=-5.23、-3.87、3.21,P均<0.05),核心下尿路症状(CLSS)评分低于对照组,生活质量评分高于对照组,差异均有统计学意义(t分别=-14.28、6.72,P均<0.05)。结论温针灸联合膀胱功能训练治疗SCI后NB有助于进一步提升疗效,改善患者排尿情况和膀胱功能,减轻下尿路症状,提升生活质量。Objective To observe the improvement effect of warm needle moxibustion combined with bladder function training on bladder dysfunction in patients with neurogenic bladder(NB)after spinal cord injury(SCI).Methods A total of 68 patients with NB after SCI were selected and divided into observation group(warm needle moxibustion+bladder function training,n=34)and control group(bladder function training,n=34)according to random number table method.Both groups were treated for 8 weeks.The results of urinary diary assessment,urodynamic index and quality of life before and after treatment were compared between two groups.Results After treatment,the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=5.31,P<0.05).The average daily urination frequency of the observation group was less than that of the control group,and the average daily single urine volume and daily maximum single urine volume were more than those of the control group,and the differences were statistically significant(t=-9.18,4.65,5.07,P<0.05).After treatment,the intravesical pressure(Pves)and detrusor pressure(Pdet)of the observation group were lower than those of the control group,the bladder volume(VH2O)was higher than that of the control group(t=-5.23,-3.87,3.21,P<0.05),and the core lower urinary tract symptom score(CLSS)was lower than that of the control group,and quality of life score was higher than that of the control group,and the differences were statistically significant(t=-14.28,6.72,P<0.05).Conclusion Warm needle moxibustion combined with bladder function training can further improve the efficacy of NB after SCI,improve the urination and bladder function of patients,reduce lower urinary tract symptoms,and improve the quality of life.

关 键 词：温针灸 膀胱功能训练 脊髓损伤 神经源性膀胱 排尿情况 膀胱功能 

分 类 号：R47[医药卫生—护理学]