电针俞募穴治疗脊髓损伤后神经源性膀胱的临床观察

发布时间：2018-04-16 00:15

本文选题：电针 + 俞募穴　；参考：《中国康复医学杂志》2016年01期

【摘要】：目的:观察电针俞募穴对脊髓损伤后神经源性膀胱的治疗效果。方法:将56例脊髓损伤后神经源性膀胱患者随机分为对照组27例和电针组29例,对照组行间歇导尿及膀胱功能训练治疗,治疗组在对照的基础上给予电针治疗。各组患者每日记录排尿日记,治疗前及治疗8周后进行尿流动力学检查,以评价膀胱排尿功能。结果:两组治疗后8周后,日平均排尿次数、日平均单次尿量、日平均尿失禁次数、最大膀胱容量、充盈期逼尿肌压力、最大尿道压、最大尿流率及残余尿量等评价指标均较治疗前有所改善,上述指标治疗组较对照组改善明显,差异均有显著性意义(P0.05)。结论:电针俞募穴对脊髓损伤后神经源性膀胱有明显治疗作用,是神经源性膀胱患者的有效疗法之一。
[Abstract]:Objective: to observe the therapeutic effect of electroacupuncture on neurogenic bladder after spinal cord injury.Methods: 56 patients with neurogenic bladder after spinal cord injury were randomly divided into control group (n = 27) and electroacupuncture group (n = 29). The control group was treated with intermittent catheterization and bladder function training.The diaries of urination were recorded daily and urodynamic examination was performed before treatment and 8 weeks after treatment to evaluate bladder urination function.Results: after 8 weeks of treatment, the average daily urination times, daily average single urine volume, daily average urinary incontinence times, maximum bladder volume, detrusor pressure during filling period, maximum urethral pressure were observed in the two groups.The maximum flow rate and residual urine volume were all improved compared with those before treatment, and the above indexes were significantly improved in the treatment group than in the control group (P 0.05).Conclusion: electroacupuncture on neurogenic bladder after spinal cord injury is one of the effective therapy for neurogenic bladder.
【作者单位】：河南省人民医院康复医学科;
【基金】：河南省科技厅科技攻关项目(112300410051)
【分类号】：R246.2;R49

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