[1]赵青,田烜,王丽丽.温针灸配合膀胱功能训练对肾气亏虚型缺血性脑卒中后尿潴留的影响[J].西部中医药,2024,37(10):130-132.[doi:10.12174/j.issn.2096-9600.2024.10.29]
　ZHAO Qing,TIAN Xuan,WANG Lili.Curative Observation on Warming Needle Moxibustion Combined with Bladder Function Training in Treating Urinary Retention after Ischemic Stroke of Kidney Qi Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2024,37(10):130-132.[doi:10.12174/j.issn.2096-9600.2024.10.29]
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温针灸配合膀胱功能训练对肾气亏虚型缺血性脑卒中后尿潴留的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年10期
页码:
130-132
栏目:
特色医疗
出版日期:
2024-10-15

文章信息/Info

Title:
Curative Observation on Warming Needle Moxibustion Combined with Bladder Function Training in Treating Urinary Retention after Ischemic Stroke of Kidney Qi Deficiency Pattern
作者:
赵青, 田烜, 王丽丽
沧州市人民医院，河北 沧州 061000
Author(s):
ZHAO Qing, TIAN Xuan, WANG Lili
Cangzhou People′s Hospital, Cangzhou 061000, China
关键词:
脑卒中; 尿潴留; 肾气亏虚证; 温针灸; 膀胱功能训练
Keywords:
stroke; urinary retention; kidney deficiency pattern; warming needle moxibustion; bladder function training
分类号:
R246.1
DOI:
10.12174/j.issn.2096-9600.2024.10.29
文献标志码:
B
摘要:
目的探讨温针灸配合膀胱功能训练对肾气亏虚型缺血性脑卒中后尿潴留的影响。 方法将66例肾气亏虚型缺血性脑卒中后尿潴留患者按随机数字表法分为对照组和观察组各33例。对照组行膀胱功能训练，观察组在对照组基础上予温针灸干预；比较两组患者治疗前后尿流动力学参数、肾气亏虚证症状评分及血清内源性活性氧（reactive oxygen species，ROS）、丙二醛（malonaldehyde，MDA）、超氧化物歧化酶（superoxide dismutase，SOD）水平，观察两组临床疗效。 结果治疗后观察组患者最大尿流量、最大尿意时膀胱容量及血清SOD水平高于对照组（P＜0.01），残余尿量、肾气亏虚证症状评分及血清ROS、MDA水平低于对照组（P＜0.01）；观察组总有效率为90.9%（30/33），高于对照组的66.7%（22/33）（P＜0.05）。 结论温针灸配合膀胱功能训练治疗肾气亏虚型缺血性脑卒中后尿潴留疗效优于单纯膀胱功能训练，其机制可能与温针灸配合膀胱功能训练能够降低患者血清ROS、MDA表达，提高SOD表达有关。
Abstract:
ObjectiveTo discuss the influence of warming needle moxibustion joined with bladder function training on urinary retention after ischemic stroke of kidney Qi deficiency pattern. MethodsAltogether 66 cases of urinary retention were allocated to the control group and the observation group according to random number table method with 33 cases in each group. The control group performed bladder function training, and the observa-tion group accepted warming needle moxibustion based on the therapy the control group accepted. To compare the urodynamic parameters, symptom scores of kidney Qi deficiency pattern, and the levels of ROS, MDA and SOD before and after the treatment in the two groups, to observe clinical effects of the groups. ResultsAfter the treatment, maximum urine flow, bladder capacity during a strong desire to void, the levels of serum SOD of the observation group were higher than these of the control group (P<0.01), residual urine volume, symptom scores of kidney Qi deficiency pattern, the levels of ROS and MDA were lower than these of the control group (P<0.01); total effective rate of the observation group was 90.9% (30/33), higher than 66.7% (22/33) of the control group (P<0.05). ConclusionWarming needle moxibustion joined with bladder function training are superior to only bladder function training in the treatment of urinary retention after ischemic stroke of kidney Qi deficiency pattern, and its mechanism might be related to that the therapy could reduce the expressions of serum ROS and MDA, and increase the levels of SOD.

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备注/Memo

备注/Memo:
赵青（1988—），女，主管护师。研究方向：神经内科护理。沧州市科技计划项目（162302074）。
更新日期/Last Update: 2024-10-15