补气温阳汤联合膀胱反射区中频电刺激治疗脑卒中后尿潴留的临床研究  

Clinical study of Buqi Wenyang Decoction combined with intermediate frequency electrical stimulation of bladder reflex area in the treatment of urinary retention after stroke

作　　者：余丽玲[1] 余美玲 戴森华[1] Yu Liling;Yu Meiling;Dai Senhua(Pingxiang People’s Hospital,Pingxiang,Jiangxi 337000,China;Xiushui County People’s Hospital,Jiujiang,Jiangxi 332400,China)

机构地区：[1]江西省萍乡市人民医院,江西萍乡337000 [2]江西省修水县人民医院,江西九江332400

出　　处：《首都食品与医药》2025年第1期155-157,共3页Capital Food Medicine

基　　金：江西省卫生健康委科技计划项目(编号:202140508)。

摘　　要：目的探究补气温阳汤联合膀胱反射区中频电刺激治疗脑卒中后尿潴留(URAS)的临床价值。方法共纳入我院收治的60例URAS患者,时间为2020年9月-2022年9月,以随机数表法分为对照组(n=30)、治疗组(n=30),对照组予以常规治疗方法(针刺+电针刺激),基于此,治疗组予以补气温阳汤联合膀胱反射区中频电刺激治疗,治疗2周后随访6周。比较两组恢复自主排尿时间、平均住院时间、住院费用;于治疗前、治疗2周时,比较两组尿流动力学指标[最大逼尿肌压力(Pdetmax)、膀胱最大容积(VSD)、最大尿道闭合压(MUCP)];并记录两组不良反应发生情况。结果与对照组比较,治疗组恢复自主排尿时间、平均住院时间均更短,且住院费用更低,有统计学差异(P<0.05)。治疗2周时,两组Pdetmax、VSD、MUCP值均提高,且治疗组高于对照组,有统计学差异(P<0.05)。两组不良反应发生率比较,无统计学差异(P>0.05)。结论补气温阳汤联合膀胱反射区中频电刺激治疗URAS可改善尿流动力学,促进自主排尿,缩短住院时间。Objective To explore the clinical value of Buqi Wenyang Decoction combined with bladder reflex medium frequency electrical stimulation in the treatment of urinary retention after stroke(URAS).Methods A total of 60 patients with URAS admitted to our hospital from September 2020 to September 2022 were randomly divided into a control group(n=30)and a treatment group(n=30)using a random number table.The control group received conventional treatment methods(acupuncture+electroacupuncture stimulation),while the treatment group received Buqi Wenyang Decoction combined with intermediate frequency electrical stimulation of the bladder reflex zone.After 2 weeks of treatment,the patients were followed up for 6 weeks.Compare the recovery time of spontaneous urination,average hospitalization time,and hospitalization costs between two groups;compare the two groups of urodynamic indicators[maximum detrusor pressure(Pdetmax),maximum bladder volume(VSD),and maximum urethral closure pressure(MUCP)]before and 2 weeks after treatment;and record the occurrence of two groups of adverse reactions.Results Compared with the control group,the treatment group had shorter time to recover spontaneous urination and average hospitalization time,and lower hospitalization costs(P<0.05).At 2 weeks of treatment,the Pdetmax,VSD,and MUCP values of both groups increased,and the treatment group was higher than the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of Buqi Wenyang Decoction and intermediate frequency electrical stimulation of the bladder reflex zone can improve urodynamics,promote spontaneous urination,and shorten hospitalization time in the treatment of URAS.

关 键 词：脑卒中 尿潴留 膀胱反射区 中频电刺激 补气温阳汤 尿流动力学 

分 类 号：R743.3[医药卫生—神经病学与精神病学]