揿针联合艾盐包热熨治疗脊髓损伤后癃闭临床研究  

Clinical Study on Thumb-Tack Needle Therapy Combined with Hot Compress with Moxa-Salt Package for Urinary Retention After Spinal Cord Injury

作　　者：方燕 熊小春 孙科儿 王海燕 FANG Yan;XIONG Xiaochun;SUN Keer;WANG Haiyan(Zhoushan City Hospital of Traditional Chinese Medicine,Zhoushan Zhejiang 316000,China)

机构地区：[1]舟山市中医院,浙江舟山316000

出　　处：《新中医》2025年第3期177-181,共5页New Chinese Medicine

基　　金：舟山市医药卫生科技计划项目(2023YB07);舟山市科学技术局项目(2024C31018)。

摘　　要：目的:观察揿针联合艾盐包热熨治疗脊髓损伤后癃闭的疗效。方法:选择2022年1月—2023年6月舟山市中医院脊柱科收治的60例脊髓损伤后癃闭患者,按不同治疗方法分为对照组及观察组各30例。对照组实施揿针治疗,观察组在对照组基础上给予艾盐包热熨。比较2组临床疗效及尿路感染率,比较2组治疗前后膀胱残余尿量、SF-Qualiveen特异性生活质量量表评分、膀胱功能积分、尿流动力学水平的变化。结果:观察组临床疗效总有效率为96.67%(29/30),对照组临床疗效总有效率为76.67%(23/30),2组比较,差异有统计学意义(P<0.05)。治疗1周、2周后,2组膀胱残余尿量均较治疗前减少,观察组膀胱残余尿量低于同一时间段对照组,差异均有统计学意义(P<0.05)。治疗2周后,2组SF-Qualiveen特异性生活质量量表评分均较治疗前下降,观察组SF-Qualiveen特异性生活质量量表评分低于对照组,差异有统计学意义(P<0.05)。治疗1周、2周后,2组膀胱功能积分均较治疗前下降(P<0.05);观察组膀胱功能积分低于同一时间段对照组(P<0.05)。治疗后,2组膀胱安全容量、逼尿肌压力、最大尿流速、平均尿流速均较治疗前提升(P<0.05),观察组膀胱安全容量、逼尿肌压力、最大尿流速、平均尿流速均大于对照组(P<0.05)。对照组尿路感染率为30.00%(9/30),观察组尿路感染率为6.67%(2/30),2组尿路感染率比较,差异有统计学意义(P<0.05)。结论:揿针联合艾盐包热熨治疗脊髓损伤后癃闭疗效确切,有利于改善排尿情况,提高生活质量、膀胱功能,增强尿流动力,减少尿路感染。Objective:To observe the curative effect of thumb-tack needle therapy combined with hot compress with moxa-salt package on urinary retention after spinal cord injury.Methods:A total of 60 patients with urinary retention after spinal cord injury admitted to the Department of Spine of Zhoushan City Hospital of Traditional Chinese Medicine from January 2022 to June 2023 were selected and divided into the control group and the observation group according to different treatment methods,with 30 cases in each group.The control group was treated with thumb-tack needle therapy,and the observation group was treated with hot compress with moxa-salt package on the basis of the treatment of the control group.The clinical effects and urinary tract infection rate,and the changes of bladder residual urine volume,scores of Short-Form Health Survey-Qualiveen(SF-Qualiveen),and bladder function and levels of urodynamics indicators before and after treatment were compared between the two groups.Results:The total clinical effective rate was 96.67%(29/30)in the observation group and 76.67%(23/30)in the control group,the difference being significant(P<0.05).After one week and two weeks of treatment,the bladder residual urine volume in the two groups was reduced when compared with that before treatment,and the bladder residual urine volume in the observation group was lower than that in the control group at the same time,differences being significant(P<0.05).After two weeks of treatment,the SF-Qualiveen scores in the two groups were dwindled when compared with those before treatment,and the SF-Qualiveen score in the observation group was lower than that in the control group,differences being significant(P<0.05).After one week and two weeks of treatment,the scores of bladder function in the two groups were down-regulated when compared with those before treatment(P<0.05);the bladder function score in the observation group was lower than that in the control group at the same time(P<0.05).After treatment,the safe bladder capacity,detrusor pr

关 键 词：脊髓损伤 癃闭 揿针 艾盐包热熨 膀胱残余尿量 

分 类 号：R246.2[医药卫生—针灸推拿学]