深刺八髎穴联合隔盐灸神阙穴治疗脑卒中后尿潴留临床研究
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R246.6

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广东省中医药局科研课题面上项目(20231027);广东省科技厅区域联合基金-青年基金项目(2021A1515110736)


Clinical Study on Deep Acupuncture at Baliao Points Combined with Salt-Indirect Moxibustion at Shenque (CV8) Point for Post-Stroke Urinary Retention
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    摘要:

    目的:观察在常规治疗基础上加用深刺八髎穴联合隔盐灸神阙穴治疗脑卒中后尿潴留(URAS) 的 临床疗效。方法:将123例URAS患者按随机数字表法分为隔盐灸神阙组、深刺八髎组和联合治疗组各41例。 3组均接受常规治疗,在此基础上,隔盐灸神阙组加用隔盐灸神阙穴治疗,深刺八髎组加用深刺八髎穴治疗, 联合治疗组则加用深刺八髎穴联合隔盐灸神阙穴治疗。每天治疗1次,每周连续治疗6 d,2周为1个疗程, 3 组均治疗2个疗程。比较3组临床疗效、膀胱功能积分、间歇导尿次数、膀胱残余尿量、拔管率及首次排尿 时间。结果:治疗后,3组总有效率总体比较,差异有统计学意义(P<0.05);联合治疗组总有效率均高于隔 盐灸神阙组、深刺八髎组,差异均有统计学意义(P<0.05);3组膀胱功能积分均较治疗前降低,间歇导尿次 数、膀胱残余尿量均较治疗前减少,差异均有统计学意义(P<0.05);3组膀胱功能积分、间歇导尿次数及膀 胱残余尿量总体比较,差异均有统计学意义(P<0.05);联合治疗组膀胱功能积分低于隔盐灸神阙组,间歇导 尿次数少于隔盐灸神阙组,膀胱残余尿量均少于隔盐灸神阙组及深刺八髎组,差异均有统计学意义(P< 0.05);联合治疗组膀胱功能积分、间歇导尿次数、膀胱残余尿量治疗前后差值均大于隔盐灸神阙组、深刺八 髎组,差异均有统计学意义(P<0.05);3 组拔管率、首次排尿时间总体比较,差异均有统计学意义(P< 0.05);联合治疗组拔管率高于隔盐灸神阙组,首次排尿时间短于隔盐灸神阙组,差异均有统计学意义(P< 0.05)。结论:在常规治疗基础上加用深刺八髎穴联合隔盐灸神阙穴治疗URAS临床疗效显著,可缓解症状,改 善膀胱功能,提高拔管率。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of deep acupuncture at Baliao points combined with salt-indirect moxibustion at Shenque (CV8) point on post-stroke urinary retention (URAS) based on conventional treatment. Methods:A total of 123 cases of patients with URAS were divided into the salt-indirect moxibustion at Shenque (CV8) point group, the deep acupuncture at Baliao points group and combined treatment group according to the random number table method, with 41 cases in each group. The three groups received conventional treatment. On this basis, the salt-indirect moxibustion at Shenque (CV8) point group was treated with salt-indirect moxibustion at Shenque (CV8) point, the deep acupuncture at Baliao points group was treated with deep acupuncture at Baliao points,and the combined treatment group was treated with deep acupuncture at Baliao points combined with salt-indirect moxibustion at Shenque (CV8) point. The three groups were treated once a day, six days a week, two weeks as a course of treatment and two courses in total. The clinical effects,scores of bladder function, intermittent catheterization times, residual urine volume, extubation rates and first urination time were compared among the three groups. Results: After treatment, there was significance being found in the comparison of the total effective rate among the three groups (P<0.05); the total effective rate in the combined treatment group was higher than that in the salt-indirect moxibustion at Shenque (CV8) point group and the deep acupuncture at Baliao points group,differences being significant (P<0.05);the scores of bladder function in the three groups were reduced when compared with those before treatment,and the intermittent catheterization times and residual urine volume were dwindled when compared with those before treatment,differences being significant (P<0.05);there were significant differences being found in the comparisons of scores of bladder function,intermittent catheterization times and residual urine volume among the three groups (P<0.05); the scores of bladder function in the combined treatment group was lower than that in the salt-indirect moxibustion at Shenque (CV8) point group, the intermittent catheterization times were less than that in the salt-indirect moxibustion at Shenque (CV8) point group,and the residual urine volume was less than that in the salt-indirect moxibustion at Shenque (CV8) point group and the deep acupuncture at Baliao points group,differences being significant (P<0.05);the difference of scores of bladder function, intermittent catheterization times and residual urine volume before and after treatment in the combined treatment group was greater than that in the salt-indirect moxibustion at Shenque (CV8) point group and the deep acupuncture at Baliao points group,differences being significant (P<0.05);there were significant differences being found in the comparisons of the extubation rate and the first urination time among the three groups (P<0.05);the extubation rate in the combined treatment group was higher than that in the salt-indirect moxibustion at Shenque (CV8) point group,and the first urination time was shorter than that in the salt-indirect moxibustion at Shenque (CV8) point group,differences being significant (P<0.05). Conclusion: The therapy of deep acupuncture at Baliao points combined with saltindirect moxibustion at Shenque (CV8) point has a significant clinical effect on URAS based on conventional treatment, which can mitigate the symptoms, improve the bladder function and increase the extubation rate.

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熊亮,刘琨,刘通,江烨,邝伟川.深刺八髎穴联合隔盐灸神阙穴治疗脑卒中后尿潴留临床研究[J].新中医,2024,56(24):103-108

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  • 在线发布日期: 2024-12-27
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