岐黄针疗法结合康复训练在脑卒中后神经源性膀胱尿失禁患者治疗中的临床效果  

Clinical Effect of Qihuang Needle Therapy Combined with Rehabilitation Training in the Treatment of Patients with Post-stroke Neurogenic Bladder and Urinary Incontinence

作　　者：赵瑞斌 张桂荣 张昆[2] 尹鹭峰 林湘 ZHAO Ruibin;ZHANG Guirong;ZHANG Kun;YIN Lufeng;LIN Xiang(Department of Rehabilitation,the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Minhou 350121,China;不详)

机构地区：[1]福建中医药大学附属第三人民医院康复科,福建闽侯350121 [2]中山大学附属第三医院针灸科,广东广州510630

出　　处：《中国医学创新》2025年第9期128-132,共5页Medical Innovation of China

基　　金：福建中医药大学校管课题(XB2022035)。

摘　　要：目的:探究在治疗脑卒中后神经源性膀胱(PSNB)尿失禁患者中,将康复训练与岐黄针疗法结合的应用效果。方法:将2022年7月—2024年5月于福建中医药大学附属第三人民医院接受诊治的PSNB尿失禁患者94例纳入本次研究。以随机数字表法进行分组,将选用康复训练的47例患者纳入对照组,将联合应用康复训练和岐黄针疗法的47例患者纳入观察组,两组持续干预3周,门诊随访3个月。记录两种方案的实施效果,并通过对比临床疗效、排尿功能等相关指标变化,分析不同方案的临床价值。结果:观察组患者的临床总有效率显著高于对照组,差异有统计学意义(P<0.05);观察组干预后的尿流率、排尿期膀胱压力和单次最大排尿量相比于对照组均更高,膀胱残余尿量、贮尿期膀胱压力和日间排尿频次均低于对照组,差异均有统计学意义(P<0.05);观察组干预后的生活质量各项评分均较对照组高,差异均有统计学意义(P<0.05)。结论:岐黄针疗法结合康复训练治疗PSNB尿失禁具有较好的临床效果,可促进排尿功能恢复,提升生活质量。Objective:To explore the application effect of rehabilitation training combined with Qihuang needle therapy in the treatment of patients with post-stroke neurogenic bladder(PSNB)and urinary incontinence.Method:A total of 94 patients with post-stroke neurogenic bladder and urinary incontinence who were diagnosed and treated in the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from July 2022 to May 2024 were included in this study.They were grouped by the random number table method.47 patients receiving rehabilitation training were included in the control group,and 47 patients receiving rehabilitation training combined with Qihuang needle therapy were included in the observation group.Both groups were given 3 weeks of continuous intervention,and completed 3 months of outpatient follow-up.The implementation effects of the two regimens were recorded,and clinical value of different regimens was analyzed by comparing clinical efficacy and changes in urinary function.Result:The total clinical effective rate in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).After intervention,urinary flow rate,bladder pressure in the voiding phase and maximum single voided volume of the observation group were higher than those of the control group,the residual urine volume,bladder pressure in the urine storage phase and daytime urination frequency were lower than those of the control group,with statistically significant differences(P<0.05).After intervention,quality of life scores in various dimensions of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).Conclusion:Qihuang needle therapy combined with rehabilitation training is effective in the treatment of patients with post-stroke neurogenic bladder and urinary incontinence.It can promote the recovery of urination function and improve the quality of life.

关 键 词：岐黄针疗法 康复训练 脑卒中 神经源性膀胱尿失禁 

分 类 号：R47[医药卫生—护理学]