摘要
目的观察热敏灸治疗毒蛇咬伤后不同程度膀胱排尿功能障碍的安全有效性。方法 26例确诊为毒蛇咬伤并出现膀胱排尿功能障碍的患者均进行B超膀胱残余尿测定和尿流率检查,所有患者均采用热敏灸治疗,观察不同程度膀胱排尿功能障碍患者治疗前后膀胱残余尿量和尿流率指标的差异。结果轻度组和中度组患者治疗后膀胱残余尿量与同组治疗前比较,差异均具有统计学意义(P<0.01);重度组患者治疗后膀胱残余尿量与同组治疗前比较,差异无统计学意义(P>0.05)。轻度组患者治疗后最大尿流率与同组治疗前比较,差异具有统计学意义(P<0.05);中度组和重度组患者治疗后最大尿流率与同组治疗前比较,差异均无统计学意义(P>0.05)。结论热敏灸对毒蛇咬伤后轻、中度膀胱排尿功能障碍效果明显,治疗方法安全可靠。
Objective To observe the safety and severity of heat-sensitive moxibustion in treating poisonous snakebites-induced bladder dysfunction of different degrees. Method Twenty-six patients diagnosed with bladder dysfunction due to poisonous snakebites were examined by type-B ultrasonic scanning for residual urine volume and uroflowmetry. The patients were treated with heat-sensitive moxibustion. The residual urine volume and uroflowmetry parameters were compared between different severity degrees of bladder dysfunction before and after treatment. Result The residual urine volumes were changed significantly in the mild group and moderate group after treatment（P〈0.01）; the residual urine volume showed insignificant change after treatment in the severe group（P〉0.05）. The maximum urine flow rate（Qmax） was significantly changed in the mild group after the treatment（P〈0.05）; the Qmax was insignificantly changed in the moderate and severe groups after treatment（P〈0.05）. Conclusion Heat-sensitive moxibustion is significantly effective in treating mild-moderate bladder dysfunction due to poisonous snakebites, and it＇s safe and reliable.
出处
《上海针灸杂志》
2016年第7期833-835,共3页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省中医药管理局基金项目(2013ZA096)
关键词
针灸疗法
热敏灸
膀胱功能障碍
艾条灸
蛇咬伤
尿流率
Acupuncture-moxibustion
Heat-sensitive moxibustion
Urinary bladder dysfunction
Moxa stick moxibustion
Snake bites
Uroflowmetry
