头穴透刺治疗脑梗死后尿潴留的临床研究

发布时间：2018-08-24 10:35

【摘要】：目的:通过对比观察,评价头穴透刺治疗脑梗死后尿潴留的临床疗效,为临床治疗提供可靠有效的新方法。方法:将入选的120例脑梗死后尿潴留患者随机分为三组:头穴透刺治疗组(简称透刺组)40例,采用头针结合体针治疗;电针对照组(简称电针组)40例,采用电针配合体针治疗;药物对照组(简称药物组)40例,采用口服西药并配合体针治疗;14天为一疗程共进行治疗1个疗程。将三组患者治疗前后进行疗效的对比评估,包括膀胱功能积分、神经功能缺损评分、借助B型超声进行膀胱残余尿量检查。结果:按现代医学尿潴留疗效评定标准,三组疗效比较,透刺组总有效率92.5%优于总有效率为82.5%的电针组,优于总有效率为67.5%的药物组。差异有统计学意义(P0.05)。头穴透刺对脑梗死后尿潴留的治疗效果显著,明显优于电针治疗及药物治疗。结论:1头穴透刺治疗脑梗死后尿潴留B超检查膀胱残余尿量明显少于电针组及药物组。2头穴透刺治疗脑梗死后尿潴留神经功能缺损评分改善更明显,优于电针组及药物组。3头穴透刺治疗脑梗死后尿潴留临床疗效显著,值得推广应用。
[Abstract]:Objective: to evaluate the clinical efficacy of scalp point penetration acupuncture in the treatment of urinary retention after cerebral infarction, and to provide a new and reliable method for clinical treatment. Methods: 120 patients with urinary retention after cerebral infarction were randomly divided into three groups: 40 cases in the scalp acupoint penetrating acupuncture treatment group (referred to as the penetrating acupuncture group), 40 cases in the electroacupuncture control group (electroacupuncture group), 40 cases in the electroacupuncture control group (electroacupuncture group), 40 cases in the electroacupuncture combined with body acupuncture group, 40 cases in the electroacupuncture control group (electroacupuncture group). Drug control group (drug group) 40 cases, oral western medicine and combined with acupuncture treatment for 14 days as a course of treatment for a total of one course of treatment. Three groups of patients were evaluated before and after treatment, including bladder function score, neurological impairment score, and bladder residual urine volume by B-mode ultrasound. Results: according to the evaluation standard of modern medical uroschesis, the total effective rate of the penetrating acupuncture group was 92.5% better than that of the electroacupuncture group with the total effective rate of 82.5%, and the total effective rate was 67.5%. The difference was statistically significant (P0.05). The therapeutic effect of scalp acupoint penetration on urinary retention after cerebral infarction was significantly better than that of electroacupuncture and drug therapy. Conclusion the residual urine volume of urinary bladder in the treatment of urinary retention after cerebral infarction by puncture at the point of 1 head was significantly less than that in the electroacupuncture group and the drug group, and the improvement of the score of urinary retention nerve function defect after cerebral infarction was more obvious than that in the electroacupuncture group and the drug group. It is superior to electroacupuncture group and drug group in the treatment of urinary retention after cerebral infarction.
【学位授予单位】：黑龙江省中医药科学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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