摘要
目的观察温阳化气方敷脐联合康复训练治疗肾阳虚型脊髓损伤后神经源性膀胱的临床疗效。方法70例肾阳虚型脊髓损伤后神经源性膀胱患者,按随机数字表法分为观察组和对照组,每组35例。对照组给予常规康复训练,观察组在对照组基础上给予温阳化气方敷脐。观察两组治疗前后排尿日记(日均排尿次数、日均单次排尿量、日均尿失禁次数)、尿动力学(最大膀胱容量、膀胱排尿压力和残余尿量)、核心下尿路症状评分(CLSS)变化,并比较两组临床疗效。结果两组治疗后日均排尿次数、日均单次排尿量、日均尿失禁次数与同组治疗前比较,差异具有统计学意义(P<0.05);观察组治疗后日均排尿次数、日均单次排尿量、日均尿失禁次数明显优于对照组(P<0.05)。两组治疗后最大膀胱容量、膀胱排尿压力、残余尿量及CLSS评分与同组治疗前比较差异具有统计学意义(P<0.05);观察组治疗后最大膀胱容量、膀胱排尿压力、残余尿量及CLSS评分明显优于对照组(P<0.05);观察组总有效率明显优于对照组,差异具有统计学意义(P<0.05)。结论温阳化气方敷脐联合康复训练治疗肾阳虚型脊髓损伤后神经源性膀胱,可明显改善膀胱功能。
Objective To investigate the clinical efficacy of umbilical application of yang-warming and qitransforming prescription plus rehabilitation training in treating post-spinal cord injury neurogenic bladder of kidneyyang deficiency type.Method Seventy patients with post-spinal cord injury neurogenic bladder of kidney-yang deficiency types were allocated,using a random number table,to observation and control groups,with 35 cases in each group.The control group received conventional rehabilitation training and the observation group,umbilical application of yang-warming and qi-transforming prescription in addition.A bladder diary(the mean number of daily voids,daily mean volume per void and the mean number of daily incontinence episodes)was kept,urodynamic study(maximum cystometric capacity,bladder voiding pressure and residual urine volume)was performed and the Core Lower Urinary Tract Symptom Score(CLSS)was recorded in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result There were statistically significant pre-/post-treatment differences in the mean number of daily voids,daily mean volume per void and the mean number of daily incontinence episodes in the two groups(P<0.05).After treatment,the mean number of daily voids was significant smaller,daily mean volume per void was significant larger and the mean number of daily incontinence episodes was significant smaller in the observation group than in the control group(P<0.05).There were statistically significant pre-/post-treatment differences in the maximum cystometric capacity,bladder voiding pressure,residual urine volume and the CLSS score in the two groups(P<0.05).After treatment,the maximum cystometric capacity was significant larger,bladder voiding pressure was significant higher,residual urine volume was significant smaller and the CLSS score was significant lower in the observation group than in the control group(P<0.05).The total efficacy rate was significant higher in the observation group tha
作者
蒋雪飞
JIANG Xue-fei(Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China)
出处
《上海针灸杂志》
2020年第9期1152-1156,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
佛山市医学类科技攻关项目(2018AB000851)。
关键词
穴位贴敷法
敷脐
穴
神阙
膀胱
神经源性
肾阳虚
脊髓损伤
Acupoint application
Umbilical application
Point,Shenque
Urinary bladder,neurogenic
Kidney-yang deficiency
Spinal cord injury
