穴位贴敷辅助治疗老年女性膀胱颈梗阻临床观察

发布时间：2018-10-15 13:09

【摘要】：目的:观察口服西药配合穴位贴敷治疗老年女性膀胱颈梗阻的临床疗效。方法:将50例老年女性膀胱颈梗阻患者随机分为为观察组和对照组各25例,两组均口服盐酸坦洛新胶囊,每晚口服0.2mg,连服100天。观察组同时采用制附子、白芥子、女贞子等药物制成的补肾通瘀油膏穴位贴敷,穴取神阙、三阴交、膀胱俞、中极、三焦俞,隔日1次,8次为一疗程,共贴敷6个疗程。两组治疗前后分别观察排尿指数评分(IPSS)、泌尿症状困扰评分及测定膀胱残余尿量、最大尿流率并比较两组患者临床疗效。结果:治疗后两组IPSS各项评分均较治疗前明显下降(均P0.01),观察组在改善患者尿不尽感、排尿间隔2h、憋尿困难、间断性排尿及夜尿次数方面较对照组有明显优势(P0.05);观察组总有效率为95.65%(22/23),高于对照组的85.71%(18/21,P0.05);两组治疗后膀胱残余尿量、最大尿流率、泌尿症状困扰评分与治疗前比较差异均有统计学意义(均P0.05)。结论:穴位贴敷补肾通瘀油膏联合口服盐酸坦洛新胶囊对老年女性膀胱颈梗阻患者的疗效较单用盐酸坦洛新胶囊显著。
[Abstract]:Objective: to observe the clinical effect of oral western medicine combined with acupoint application in the treatment of bladder neck obstruction in elderly women. Methods: 50 elderly female patients with bladder neck obstruction were randomly divided into two groups: observation group (n = 25) and control group (n = 25). In the observation group, the acupoints of tonifying kidney and blood stasis ointment made of aconite, white mustard and Ligustrum lucidum were applied at the same time, and Shenque, Sanyinjiao, Miaoshu, Zhongji, Sanjiaoshu were used once every other day, 8 times as a course of treatment, for a total of 6 courses of application. Before and after treatment, urinary index score (IPSS), urinary residual urine volume (RUR) and maximal urinary flow rate (MVR) were measured in two groups, and the clinical efficacy was compared between the two groups. Results: after treatment, the scores of IPSS in the two groups were significantly lower than those before treatment (P0.01). In the observation group, there was no feeling of urination, the interval of urination was 2 hours, and the dysuria was difficult. The total effective rate of the observation group was 95.65% (22 / 23), which was higher than that of the control group (85.71%) (18 / 21). There was significant difference between urinary symptom disturbance score and pre-treatment (P0.05). Conclusion: the curative effect of acupoint application of Bushen Tongyu Ointment combined with oral Tanluoxin Hydrochloride capsule on elderly female patients with bladder neck obstruction is more significant than that of Tanluoxin Hydrochloride capsule alone.
【作者单位】：北京中医药大学第三附属医院泌尿外科;中国中医科学院望京医院男科;北京市平谷区医院中医科;北京市朝阳区第二医院泌尿外科;
【基金】：北京中医药大学校级科研基金项目:2013-X-030
【分类号】：R694

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