摘要
目的:探讨深刺八髎穴治疗脊髓损伤后神经源性尿潴留的临床作用。方法:收集2016年1月-2019年12月于广东省第二中医院针灸康复科住院的脊髓损伤后尿潴留患者120例,采用随机数字表法随机分为深刺组、浅刺组和对照组各40例。对照组予常规治疗,浅刺组予常规治疗基础上浅刺八髎穴,深刺组予常规治疗基础上深刺八髎穴。分别于治疗前、治疗后记录患者尿动力学指标、抑郁自评量表(Self-rating Depression Scale, SDS)、焦虑自评量表(Self-rating Anxiety Scale, SAS)及世界卫生组织生活质量测定量表简表(World Health Organization Quality of Life Scale, WHOQOL-BREF)评分,并评估临床疗效。结果:8周的治疗结束后,三组患者在膀胱残余尿量、日平均排尿次数、单次尿量3个方面均较治疗前显著改善(P <0.01);组间两两比较,深刺组和浅刺组在排尿次数、膀胱残余尿量、SAS评分、SDS评分方面较对照组降低(P <0.01);深刺组和浅刺组在单次尿量、WHOQOL-BREF评分方面显著高于对照组(P <0.01);深刺组在残余尿量、排尿次数、SAS评分、SDS评分方面均较浅刺组明显降低(P <0.01),在单次尿量、WHOQOL-BREF评分方面较浅刺组明显升高(P <0.05)。深刺组与浅刺组治疗总有效率优于对照组(P <0.05),且深刺组总有效率优于浅刺组(P <0.05)。结论:深刺和浅刺八髎穴均可有效改善脊髓损伤后膀胱功能,改善尿潴留症状,且深刺八髎穴的疗效优于浅刺八髎穴,值得临床推广应用。
Objective: To explore the clinical effect of deep acupuncture at the Baliao acupoints(八髎穴) on neurogenic urinary retention after SCI. Methods: 120 cases were randomly divided into the deep acupuncture group, the shallow acupuncture group and the control group according to the random number table method, 40 cases for each. The control group received conventional treatment, the shallow acupuncture group was given shallow acupuncture at the Baliao acupoints on the basis of conventional treatment, and the deep acupuncture group took deep acupuncture at the Baliao acupoints on the basis of conventional treatment. Results: After 8 weeks of treatment, compared with before treatment, there was significant ameloration in bladder residual urine volume, daily average urination times, and single urine volume of patients in the three groups(P<0.01). Compared with the control group, the urination times, bladder residual urine volume, the SAS scores, and the SDS scores in the deep acupuncture group and the shallow acupuncture group were lower(P<0.01);the single urine output and WHOQOL-BREF score in the deep acupuncture group was decreased significantly compared with the shallow acupuncture group(P<0.01);and the residual urine volume, urination frequency, SAS score and SDS score in the deep acupuncture group were significantly higher than the shallow acupuncture group(P<0.05). The total efficiency in the deep acupuncture group and the shallow acupuncture group was better than that in the control group(P<0.05). Conclusion: Both deep acupuncture and shallow acupuncture at the Baliao acupoints can effectively improve the bladder function after SCI and improve the symptoms of urinary retention, and the efficacy of deep acupuncture at the Baliao acupoints is better than shallow acupuncture, which is worthy of clinical application.
出处
《中医临床研究》
2021年第8期63-66,共4页
Clinical Journal Of Chinese Medicine
基金
广东省中医药局面上项目(20191019)。
关键词
八髎穴
深刺
浅刺
脊髓损伤
尿潴留
The Baliao acupoints
Deep acupuncture
Shallow acupuncture
Spinal cord injury
Urinary retention
