十二井穴接经针刺配合膀胱功能训练治疗中风后尿潴留临床研究

发布时间：2019-02-26 14:02

【摘要】：目的:探索治疗中风后尿潴留提高疗效的方法。方法:将63例中风后尿潴留患者随机分为观察组(32例)和对照组(31例)。两组均采用常规神经内科临床药物及康复基础治疗,对照组加用间歇导尿和膀胱功能训练治疗,每日导尿的时间和次数由患者是否有自主排尿和残余尿量决定;观察组在对照组治疗基础上加用接经针刺法,按照十二经脉的循行顺序,选取十二井穴(少商、商阳、厉兑、隐白、少冲、少泽、至阴、涌泉、中冲、关冲、足窍阴、大敦),每日1次,治疗20 d。20 d后观察两组临床疗效和残余尿量变化情况。结果:观察组总有效率为90.6%(29/32),优于对照组的67.7%(21/31,P0.01);两组患者治疗后残余尿量均明显减少(均P0.01),观察组治疗后残余尿量明显少于对照组(P0.01)。结论:接经针刺法配合膀胱功能训练治疗中风后尿潴留疗效明显,优于膀胱功能训练等常规西医治疗。
[Abstract]:Objective: to explore a method to improve the curative effect of urinary retention after apoplexy. Methods: sixty-three patients with post-stroke urinary retention were randomly divided into observation group (n = 32) and control group (n = 31). The patients in the control group were treated with intermittent urinary catheterization and bladder function training. The time and times of daily catheterization were determined by the patients' autonomic urination and residual urine volume. In the observation group, on the basis of the treatment of the control group, according to the order of the twelve meridians, the observation group selected the twelve well acupoints (Xiao Shang, Shang Yang, Li Yu, implicit White, Xiao Chong, Shaoze, Zhi Yin, Yong Quan, Zhong Chong, Guan Chong, Zu Qiaoyin, Da Dun). After 20 d. 20 d treatment, the clinical efficacy and residual urine volume in the two groups were observed. Results: the total effective rate of the observation group was 90.6% (29 / 32), which was better than that of the control group (67.7%) (21 / 31, P0.01). The residual urine volume of the two groups decreased significantly after treatment (P0.01), and the residual urine volume of the observation group was significantly lower than that of the control group (P0.01). Conclusion: acupuncture combined with bladder function training is effective in the treatment of urinary retention after apoplexy, which is better than that of traditional western medicine such as bladder function training.
【作者单位】：沧州中心医院康复理疗科;
【基金】：沧州市科技局科技计划项目:162302127
【分类号】：R246.6

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