肾三针联合头穴透刺治疗脑梗死后尿潴留的临床研究  

Clinical study on treatment of urinary retention after cerebral infarction with Kidney Three-needle combined with trans-penetrating acupuncture at scalp points

作　　者：李娇[1] 朱飞[1] 林赟[1] 刘新娟[1] 张楚康 LI Jiao;ZHU Fei;LIN Yun;LIU Xinjuan;ZHANG Chukang(Department of Traditional Chinese Medicine,People's Hospital of Pingxiang,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市人民医院中医科,江西萍乡337000

出　　处：《中国当代医药》2025年第3期106-109,114,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212203)。

摘　　要：目的观察肾三针和头穴透刺联用对脑梗死后尿潴留患者恢复自主排尿时间、膀胱残余尿量和临床疗效的影响。方法选取2021年7月至2023年11月萍乡市人民医院收治的80例脑梗死后尿潴留患者作为研究对象,采用随机数字表法分为联合组、肾三针组、头穴透刺组、普通针刺组,每组20例。普通针刺组给予常规针刺治疗;肾三针组给予肾三针治疗;头穴透刺组给予头穴透刺治疗;联合组则给予肾三针和头穴透刺联合治疗。比较四组患者恢复自主排尿时间,治疗结束后膀胱残余尿量和总有效率。结果联合组恢复自主排尿时间早于普通针刺组、肾三针组和头穴透刺组,差异有统计学意义(P<0.05)。联合组治疗后膀胱残余尿量少于肾三针组、头穴透刺组和普通针刺组;肾三针组膀胱残余尿量少于普通针刺组、头穴透刺组,差异有统计学意义(P<0.05)。联合组的治疗总有效率高于头穴透刺组和普通针刺组,差异有统计学意义(P<0.008)。结论普通针刺、单用肾三针治疗、单用头穴透刺治疗、联合应用肾三针和头穴透刺治疗,均可以改善脑梗死后尿潴留患者膀胱功能,减少膀胱残余尿量,提高总有效率,而肾三针和头穴透刺联合应用效果优于二者单独应用,且优于普通针刺治疗。Objective To observe the effects of the combination of Kidney Three-needle and trans-penetrating acupuncture at scalp points on the time of recovery of spontaneous micturition,residual urine volume in the bladder and clinical efficacy in patients with urinary retention after cerebral infarction.Methods A total of 80 patients with urinary retention after cerebral infarction treated in People's Hospital of Pingxiang from July 2021 to November 2023 were selected as the study objects,and were divided into the combined group,"Kidney Three-needle"group,the trans-penetrating acupuncture at scalp points group and the ordinary acupuncture group by random number table method,with 20 cases in each group.The ordinary acupuncture group was given conventional acupuncture treatment,the"Kidney Three-needle"group was given"Kidney Three-needle"treatment,the trans-penetrating acupuncture at scalp points group was given trans-penetrating acupuncture at scalp points treatment,the combined group was given the combined treatment of"Kidney Three-needle"and scalp point penetration needling.The recovery time of spontaneous urination,bladder residual urine volume and total effective rate were compared between the four groups.Results The recovery time of spontaneous urination in the combined group was earlier than that in ordinary acupuncture group,"Kidney Three-needle"group,the trans-penetrating acupuncture at scalp points group,and the differences were statistically significant(P<0.05).After treatment,the residual urine volume of bladder in the combined group was less than that in"Kidney Three-needle"group,the trans-penetrating acupuncture at scalp points group and ordinary acupuncture group,the residual urine volume of bladder in the"Kidney Three-needle"group was less than the ordinary acupuncture group and the trans-penetrating acupuncture at scalp points group,and the differences were statistically significant(P<0.05).The total effective rate of the combined group was higher than that of the trans-penetrating acupuncture at scalp point

关 键 词：肾三针 头穴透刺 脑梗死 尿潴留 

分 类 号：R743[医药卫生—神经病学与精神病学]