电针对糖尿病神经源性膀胱患者膀胱功能影响的随机对照研究  

Randomized Controlled Study of Effects of Electroacupuncture on Bladder Function in Patients with Neurogenic Bladder of Diabetes

作　　者：董艳[1] 刘震钢 刘媛 李花荣 于然 刘卫星[1] 杨秀荣 王东昇[1] DONG Yan;LIU Zhengang;LIU Yuan;LI Huarong;YU Ran;LIU Weixing;YANG Xiurong;WANG Dongsheng(Tangshan Hospital of Traditional Chinese Medicine,Tangshan 063000,Hebei,China;Tangshan Second Hospital,Tangshan 063000,Hebei,China)

机构地区：[1]唐山市中医医院,河北唐山063000 [2]唐山市第二医院,河北唐山063000

出　　处：《辽宁中医杂志》2025年第4期170-173,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划项目(2020391)。

摘　　要：目的研究电针治疗糖尿病神经源性膀胱(DNB)患者疗效及对膀胱功能影响。方法研究对象选取该院在2021年2月—2023年2月间收治的DNB患者80例,所有患者采用随机数字表法进行分组,分为对照组和观察组,每组各40例。所有患者均接受甲钴胺联合α-硫辛酸等药物治疗,在此基础上,观察组患者接受电针治疗。比较两组患者治疗前后的72 h-膀胱日记(72 h-BD)、美国泌尿学会症状指数(AUA-SI)、排尿后残余尿量(PVR)、中医证候评分和尿动力学指标。结果治疗后,观察组患者的72 h排尿次数和72 h总尿量均明显低于对照组(P<0.01),单次尿量明显高于对照组(P<0.01),AUA-SI评分、PVR水平和中医证候各维度评分均明显低于对照组(P<0.01),膀胱内压明显低于对照组(P<0.01),平均尿流速、最大尿流速和逼尿肌压力均明显高于对照组(P<0.01)。结论电针治疗能明显改善DNB患者症状,促进膀胱功能恢复,改善尿动力学指标,是针对DNB患者有效的治疗手段。Objective To study the therapeutic effect of electroacupuncture on bladder function in patients with diabetic neurogenic urinary bladder(DNB).Methods The study selected 80 DNB patients admitted to the hospital from February 2021 to February 2023.All patients were grouped by random number table and divided into control group and observation group,with 40 patients in each group.All the patients were treated with methylocobalamin combined withα-lipoic acid,and on this basis,those in the observation group received electroacupuncture treatment.The 72 h-bladder diary(72 h-BD),American Urological Society symptom index(AUA-SI),residual urine output(PVR),traditional Chinese medicine syndrome points and urodynamic parameters were compared before and after treatment.Results After treatment,the 72 h urination volume and 72 h total urine volume of the observation group were significantly lower than those of the control group(P<0.01).AUA-SI score,PVR and score of each dimension of TCM syndrome of the observation group were significantly lower than those of the control group(P<0.01).The intravesical pressure of the observation group was significantly lower(P<0.01),the values of mean urinary flow,maximum urinary flow and detrusor pressure were significantly higher than those of the control group(P<0.01).Conclusion Electroacupuncture therapy can significantly improve the symptoms of DNB patients,promote bladder function recovery,and improve urodynamic indicators.It is an effective treatment method for DNB patients.

关 键 词：电针 糖尿病神经源性膀胱 膀胱功能 尿动力学 

分 类 号：R246.1[医药卫生—针灸推拿学]