| 樊雨楠,何梦娇,高山钥,贾静,李艳红.“通督益肾”法温针灸联合功能磁刺激治疗脑卒中后尿潴留的临床研究[J].中国康复,2024,39(1):12-16 |
| “通督益肾”法温针灸联合功能磁刺激治疗脑卒中后尿潴留的临床研究 |
| Clinical study on the treatment of urinary retention after stroke by “Tongdu Yishen” warm acupuncture combined with functional magnetic stimulation |
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| DOI： |
| 中文关键词: 脑卒中 温针灸 功能磁 尿潴留 神经源性膀胱 尿动力学 |
| 英文关键词: stroke warm acupuncture functional magnetism urinary retention neurogenic bladder urodynamics |
| 基金项目:河北省重点研发计划项目(223777138D)；河北省中医药管理局科研计划项目(2020029) |
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| 中文摘要: |
| 目的：基于“通督益肾”法探讨温针灸联合功能磁刺激治疗卒中后尿潴留的临床疗效。方法：将70例卒中后尿潴留患者随机分为对照组和观察组，每组各35例。其中对照组给予常规针刺和功能磁刺激，观察组在对照组的基础上另对百会、肾俞（双）、命门（双）、膀胱俞（双）、太溪（双）进行温针灸，2组治疗各30min，均每日1次，共治疗4周。观察2组治疗前后的膀胱尿动力学、排尿情况、导尿次数等指标差异及治疗后的临床疗效。结果：治疗后，2组的最大膀胱容量、最大尿流率、排尿次数、排尿量均较治疗前增加（P<0.05），充盈期逼尿肌压力、膀胱残余尿量及导尿次数均较治疗前减少（P<0.05），且观察组均优于对照组（P<0.05）。治疗后，观察组总有效率高于对照组（97.1%，77.1%，P<0.05）；结论：“通督益肾”法温针灸优于单纯针刺，且联合功能磁刺激显著提高了卒中后尿潴留的临床疗效，可以改善患者临床症状，促进神经功能恢复，提高患者的预后。 |
| 英文摘要: |
| Objective: To explore the clinical effect of warm acupuncture and moxibustion combined with functional magnetic stimulation on urinary retention after stroke based on “TongduYishen” method. Methods: Totally, 70 patients with neurogenic urinary retention after stroke were included and divided into a control group and a treatment group by the random number table method, with 35 cases in each group. The control group received conventional acupuncture and functional magnetic stimulation, and the treatment group received warm acupuncture and moxibustion at Baihui (GV20), Shenshu (BL23), Mingmen (GV4), Bladder Shu (BL28), and Taixi (KI3) on the basis of the control group. The two groups were treated for 30 min each, once a day for 4 weeks. The difference in cystodynamics, urination, catheterization times and other indexes before and after treatment between the two groups and the clinical efficacy were observed. The efficacy of “Tongdu Yishen” method warm acupuncture combined with functional magnetism was evaluated. Results: The total effective rate in the control group and treatment group were 77.1% and 97.1% respectively (P<0.05). After treatment, the maximum urine flow rate, frequency and volume of urine in 2 groups were increased (P<0.05), and detrusor pressure during filling, maximum bladder capacity, the volume of residual urine in the bladder, number of catheterization decreased as compared with those before treatment (P<0.05). In addition, there was significant difference between the treatment group and the control group (P<0.05). Conclusion: Warm acupuncture and moxibustion with “Tongdu Yishen” method is better than simple acupuncture, and combined functional magnetic stimulation significantly improved the clinical efficacy of urinary retention after stroke, alleviated the clinical symptoms of patients, promoted the recovery of nerve function and improved the prognosis of patients. |
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