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中国初级卫生保健:2019,33(3):64-66
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密集针刺膀胱三角区治疗神经源性膀胱排尿障碍疗效观察
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中文摘要: 目的 探讨密集针刺膀胱三角区治疗神经源性膀胱排尿障碍的效果,为临床诊疗提供参考。方法 选取2015年1月—2017年12月在上海市养志康复医院进行治疗的脊髓损伤伴有神经源性膀胱功能障碍患者138例为研究对象,按照患者入院ID号随机分为对照组、观察组和联合组,每组各46例。对照组采用常规体针治疗,观察组采用密集型针刺膀胱三角区治疗,联合组采用常规体针联合密集型针刺膀胱三角区治疗。治疗40天后,比较分析三组患者的漏尿次数、最大排尿量、膀胱容量、残余尿量、临床疗效和排尿日志相关指标。结果 联合组的漏尿次数、最大排尿量和膀胱容量显著高于对照组和观察组,差异有统计学意义(P<0.05);联合组的残余尿量显著低于对照组和观察组,差异有统计学意义(P<0.05);联合组的总有效率明显高于对照组和观察组,差异有统计学意义(P<0.05);联合组日间歇导尿量、首次排尿时间和建立反射性排尿时间显著低于对照组和观察组,差异有统计学意义(P<0.05。结论 密集针刺膀胱三角区治疗神经源性膀胱排尿障碍的疗效显著,能够有效改善排尿功能,值得在临床推广应用。
Abstract:OBJECTIVE To investigate the effect of intensive acupuncture of the bladder triangle in the treatment of neurogenic bladder urinary dysfunction, and provide reference for clinical. METHOD A total of 138 patients with spinal cord injury with neurogenic bladder dysfunction who were treated in our hospital from January 2015 to December 2017 were enrolled. Patients were randomly divided into control group, observation group and joint group according to patient admission ID number. 46 patients in each group. The control group was treated with conventional body acupuncture. The observation group was treated with intensive acupuncture at the bladder triangle. The combined group was treated with conventional body acupuncture combined with intensive acupuncture at the bladder triangle. After 40 days of treatment, the urinary function, clinical efficacy, and urinary log related indicators of the three groups were compared. RESULTS The number of urine leakage, maximum urine output and bladder capacity in the combined group were significantly higher than those in the control group and the observation group (P<0.05). The residual urine volume in the combined group was significantly lower than that in the control group and the observation group. Statistically significant (P<0.05); the total effective rate of the combined group was significantly higher than that of the control group and the observation group, which was statistically significant (P<0.05); the combined group daily intermittent urine volume, the first urination time, the establishment of reflex Sexual urination time was significantly lower than the control group and the observation group, and the difference was statistically significant (P<0.05). CONCLUSIONS Intensive acupuncture of the bladder triangle area for the treatment of neurogenic bladder urinary dysfunction, the effect is significant, can effectively improve urinary function, it is worth promoting in the clinic.
文章编号:3201903024     中图分类号:R694    文献标志码:
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