腹部丛刺结合康复功能训练治疗神经源性膀胱的临床疗效观察

发布时间：2018-04-10 15:07

本文选题：腹部丛刺 + 康复训练　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：本课题通过测定患者膀胱残余尿量、对比两组患者治疗疗效来证实腹部丛刺治疗神经源性膀胱的临床确切疗效,为进一步拓展针对该疾病的不同针刺治疗方法、提高患者生活质量提供更多可参考治疗方案。方法：将确诊为有神经源性膀胱的患者60例,全部病例来自黑龙江中医药大学附属第二医院康复科病房及门诊。随机分为治疗组30例,对照组30例。治疗组在康复训练治疗的基础上加入腹部丛刺,选穴取曲骨、关元、中极、气海,并分别以以上所取穴位为中心左右旁开一寸,与皮肤成45°角向下斜刺,每日1次,每次40分钟。对照组则只进行常规康复训练治疗。两组患者均每周治疗6天休息1天,连续治疗4周。在治疗前、治疗后分别测定患者的膀胱残余尿量,进行统计分析。结果：1.治疗前治疗组和对照组残余尿量比较无明显统计学差异(p0.05)：2.治疗后两组患者残余尿量均减少,与治疗前相比,差异有统计学意义(p0.05)；3.治疗后治疗组和对照组疗效比较,治疗组明显优于对照组(p0.05)。结论：1.腹部丛刺结合康复功能训练能够减少患者膀胱残余尿量,改善患者膀胱顺应性,提高患者生活质量。2.腹部丛刺结合康复功能训练对神经源性膀胱的疗效优于单纯的康复训练治疗。
[Abstract]:Objective: to evaluate the clinical efficacy of abdominal cluster prick in the treatment of neurogenic bladder by measuring the residual urine volume of bladder and comparing the curative effect of two groups of patients, in order to further expand the different acupuncture treatment methods for this disease.Improve the quality of life of patients to provide more reference treatment.Methods: 60 cases of neurogenic bladder were diagnosed, all of them were from the rehabilitation ward and outpatient department of the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine.They were randomly divided into treatment group (n = 30) and control group (n = 30).In the treatment group, abdominal thorns were added on the basis of rehabilitation training, and acupoints were selected to take curved bone, Guan Yuan, middle pole, air sea, and one inch left and right sides of the above acupoints, with a 45 掳angle to the skin, once a day.Forty minutes at a time.The control group was only treated with routine rehabilitation training.The patients in both groups were treated for 6 days a week for 1 day and for 4 weeks.The residual urine volume of bladder was measured before and after treatment.The result is 1: 1.There was no significant difference in residual urine volume between the treatment group and the control group before treatment.After treatment, the residual urine volume of the two groups decreased, compared with before treatment, the difference was statistically significant (P 0.05).The therapeutic effect of the treatment group was better than that of the control group (P 0.05).Conclusion 1.Abdominal tufts combined with rehabilitation training can reduce bladder residual urine volume, improve bladder compliance and improve the quality of life of patients.The curative effect of abdominal tufts combined with rehabilitation training on neurogenic bladder is better than that of rehabilitation training alone.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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