文献类型：期刊文献

中文题名：电针“膀胱组穴”治疗脑卒中后神经源性膀胱尿潴留的疗效分析

英文题名：Therapeutic Effect of Electroacupuncture on “Bladder Group Acupoints” for Post Stroke Neurogenic Bladder Urinary Retention

作者：李明[1];毛忠南[1];毛立亚[1];张晓凌[1];姚军孝[1];杨虹[1]

第一作者：李明

机构：[1]甘肃中医药大学附属医院康复医学科

第一机构：甘肃中医药大学第二附属医院

年份：2018

卷号：3

期号：20

起止页码：1

中文期刊名：系统医学

外文期刊名：Systems Medicine

基金：2017年甘肃省中医药管理局科研立项课题(GZK-2017-19)

语种：中文

中文关键词：电针;脑卒中;神经源性膀胱;尿潴留

外文关键词：Electroacupuncture;Stroke;Neurogenicbladder;Urinary retention

摘要：目的观察电针"膀胱组穴"治疗脑卒中后神经源性膀胱(PSNB)尿潴留的临床疗效。方法纳入2015年1月—2017年1月收治的80例脑卒中后神经源性膀胱尿潴留患者,按就诊顺序随机分成2组,每组40例。治疗组在常规治疗基础上,采取电针"膀胱组穴"治疗。对照组在常规治疗的基础上,采用间歇导尿治疗,以膀胱最大容量及残余尿量作为评价指标进行疗效对比。结果治疗前两组的膀胱最大容量、残余尿量为两组比较差异无统计学意义(P>0.05);治疗后,对照组患者的膀胱最大容量为(263.60±43.02)mL、残余尿量为(97.15±31.16)m L,治疗组患者膀胱最大容量为(285.66±41.36)mL、残余尿量为(75.12±30.51)mL,两组膀胱最大容量及残余尿量均较前减少,治疗组改善更明显(t_1=2.249、t_2=3.073,P<0.05);治疗组与对照组的临床治疗总有效率分别为94.74%、66.67%,差异有统计学意义(χ~2=9.496,P<0.05)。结论电针"膀胱组穴"治疗脑卒中后神经源性膀胱尿潴留疗效确切,值得临床推广。
Objective To observe the clinical efficacy of electroacupuncture on ＂bladder group acupoints＂ in thetreatment of post stroke neurogenic bladder （PSNB） urinary retention. Methods Eighty patients with neurogenicbladder urinary retention after stroke from January 2015 to January 2017 were randomly divided into two groupschronologically, 40 cases in each group. On the basis of conventional treatment, the treatment group was treatedwith electroacupuncture on ＂bladder group acupoints ＂, and the control group was given intermittent catheterization.The maximum volume of bladder and residual urine volume were used as evaluation indicators for comparison.Results There was no difference in the maximum bladder volume and residual urine volume between the two groupsbefore treatment （P〉0.05）. After treatment, the maximum bladder capacity of the control group was （263.60±43.02）mL and the residual urine volume was （97.15±31.16） mL, the maximum volume of bladder in the treatment groupwas （285.66±41.36） mL, and the residual urine volume was （75.12±30.51） mL. The maximum volume and residualurine volume of the bladder in both groups were lower than before, and the treatment group improved moreobviously （t =4.249、4.073,P〈0.05）. The total effective rate of clinical treatment in the treatment group and thecontrol group was 94.74% and 66.67%, respectively, and the difference was statistically significant （χ2=9.496, P〈0.05）.Conclusion Electroacupuncture on ＂bladdergroup acupoints＂ is effective in the treatment ofneurogenic bladder urinary retention after stroke,which is worthy of clinical promotion.