摘要
目的:探究分析不同时间针灸治疗联合个性化膀胱再训练模式对脊髓损伤后神经源性膀胱的影响,为优化神经源性膀胱治疗方案提供参考。方法:选取156例脊髓损伤合并神经源性膀胱的患者,根据随机数字表法将分为早期干预组、晚期干预组和对照组,每组52例。干预组运用针灸联合个性化膀胱再训练模式,对照组进行常规干预治疗,共干预1个月。比较各组临床疗效、膀胱功能恢复情况、自主排尿功能恢复情况及生活质量。结果:早期干预组总有效率[94.23%(49/52)]高于晚期干预组[86.54%(45/52)],但差异无统计学意义(P>0.05),两个干预组总有效率均高于对照组[69.23%(36/52)](P<0.05)。干预后,早期干预组膀胱功能恢复情况、自主排尿功能恢复情况及生活质量各维度评分均优于晚期干预组,但两组比较差异无统计学意义(P>0.05),各干预组上述指标均优于对照组(P<0.05)。结论:早期进行针灸治疗联合个性化膀胱再训练模式对脊髓损伤后神经源性膀胱患者的治疗效果更优,能有效改善患者的膀胱功能,提高生活质量,缩短康复时间。
Objective:To provide the reference for the optimization of therapeutic regimen of neurogenic bladder by exploring the influence of acupuncture at different times and individualized bladder retraining mode on neurogenic bladder after spinal cord injury.Methods:All 156 patients suffering spinal core injury and neurogenic bladder were chosen,allocated to early intervention group,late intervention group and the control group according to random number table method,with 52 cases in each group.The intervention group adopted acupuncture and individualized bladder retraining mode,and the control group was treated by conventional intervention,intervened for one month.To compare clinical effects,the rehabilitation conditions of bladder function,self-contained urination and quality of life between both groups.Results:Total effective rate of early intervention group was[94.23%(49/52)],higher than[86.54%(45/52)]of late intervention group,while the difference had no statistical meaning(P>0.05),total effective rates of two intervention groups were higher than that[69.23%(36/52)]of the control group(P<0.05).After the intervention,the scores of the rehabilitation of bladder function,self-contained urination and quality of life in early intervention group were better than these of late intervention group,while the difference had no statistical meaning between both groups(P>0.05),the intervention groups were better than the control group in the indexes above(P<0.05).Conclusion:Early acupuncture combined with individualized bladder retraining show better therapeutic effects in the treatment of neurogenic bladder after spinal cord injury,it could effectively improve bladder function of the patients,improve quality of life and shorten rehabilitation time.
作者
罗颖慧
王琼
欧阳梦婷
邹秋玉
殷冰清
袁家秀
LUO Yinghui;WANG Qiong;OUYANG Mengting;ZOU Qiuyu;YIN Bingqing;YUAN Jiaxiu(The First Hospital of Hunan University of Chinese Medicine,Changsha 410000,China)
出处
《西部中医药》
2024年第4期145-149,共5页
Western Journal of Traditional Chinese Medicine
基金
2019年度湖南中医药大学第一附属医院湖南省院士专家工作站(石学敏)开放基金资助项目(2019YSZJJ08)。
关键词
神经源性膀胱
脊髓损伤
针灸治疗
个性化膀胱再训练
膀胱功能
neurogenic bladder
spinal cord injury
acupuncture
individualized bladder retraining
bladder function
