摘要
目的探讨电针联合温针灸治疗脊髓损伤(SCI)后神经源性膀胱(NB)尿潴留的临床效果.方法选取2020年1月—2022年6月我院收治的SCI后NB尿潴留患者139例,按随机数字表法分为两组.对照组70例进行常规康复训练,观察组69例在此基础上采用电针联合温针灸治疗,均持续4周.比较两组的临床疗效、排尿情况、尿动力学指标及尿路感染发生率.结果观察组的治疗总有效率为95.65%,高于对照组的85.71%,差异有统计学意义(P<0.05).治疗后,观察组的排尿次数、尿失禁次数分别为(7.25±1.12)次/d、(3.41±0.42)次/d,均少于对照组的(9.34±1.25)次/d、(5.07±1.13)次/d,单次排尿量为(185.63±10.25)mL,高于对照组的(162.34±9.87)mL,组间差异有统计学意义(P<0.05).治疗后,观察组的最大排尿量、膀胱排尿压力、最大膀胱容量、最大尿流速率均大于对照组,残余尿量少于对照组,组间差异有统计学意义(P<0.05).观察组的尿路感染发生率为2.90%,少于对照组的12.86%,差异有统计学意义(P<0.05).结论在常规康复训练基础上采用电针联合温针灸治疗SCI后NB尿潴留的效果理想,可改善患者尿动力学指标,纠正排尿异常,降低尿路感染风险,值得临床推广使用.
Objective To investigate the clinical effect of electroacupuncture combined with warm acupuncture on neurogenic bladder(NB)urinary retention after spinal cord injury(SCI).Methods A total of 139 patients with post-SCI NB urinary retention admitted to our hospital from January 2020 to June 2022 were selected and were divided into two groups according to random number table method.70 cases in the control group received routine rehabilitation training,and 69 cases in the observation group received electroacupuncture combined with warm acupuncture treatment on this basis.Both groups were treated for 4 weeks.The clinical efficacy,urinary status,urodynamic indexes and the incidence of urinary tract infection were compared between the two groups.Results The total effective rate of the observation group was 95.65%,higher than 85.71%of the control group,the difference was statistically significant(P<0.05).After treatment,the frequency of urination and incontinence in the observation group were(7.25±1.12)times/d and(3.41±0.42)times/d,respectively,which were lower than(9.34±1.25)times/d and(5.07±1.13)times/d in the control group,and the single urination volume was(185.63±10.25)mL,which was higher than(162.34±9.87)mL in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the maximum urine volume,bladder voiding pressure,maximum bladder volume and maximum urine flow rate in the observation group were higher than those in the control group,while the residual urine volume was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of urinary tract infection in the observation group was 2.90%,which was lower than 12.86%in the control group,and the difference was statistically significant(P<0.05).Conclusion On the basis of routine rehabilitation training,electroacupuncture combined with warm acupuncture has an ideal effect in the treatment of NB urinary retention after SCI,which can improve the
作者
董明
DONG Ming(Department of Rehabilitation,Changzhou De'an Hospital,Changzhou Jiangsu,213003,China)
出处
《反射疗法与康复医学》
2022年第24期31-34,共4页
Reflexology And Rehabilitation Medicine
关键词
脊髓损伤
神经源性膀胱尿潴留
康复训练
电针
温针灸
Spinal cord injury
Neurogenic bladder urinary retention
Rehabilitation training
Electroacupuncture
Warm acupuncture
