[1]徐秀梅,徐彦龙,米登海.“三调针法”治疗脊髓损伤后神经源性膀胱临床观察[J].西部中医药,2024,37(08):153-156.[doi:10.12174/j.issn.2096-9600.2024.08.35]
　XU Xiumei,XU Yanlong,MI Denghai.Clinical Observation on the Treatment of Neurogenic Bladder after Spinal Cord Injury by "Three Modulation Acupuncture"[J].Western Journal of Traditional Chinese Medicine,2024,37(08):153-156.[doi:10.12174/j.issn.2096-9600.2024.08.35]
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“三调针法”治疗脊髓损伤后神经源性膀胱临床观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年08期
页码:
153-156
栏目:
特色医疗
出版日期:
2024-08-15

文章信息/Info

Title:
Clinical Observation on the Treatment of Neurogenic Bladder after Spinal Cord Injury by "Three Modulation Acupuncture"
作者:
徐秀梅1, 徐彦龙1, 米登海2
1.甘肃省中医院，甘肃 兰州 730050
2.甘肃省中医药研究院，甘肃 兰州 730050
Author(s):
XU Xiumei1, XU Yanlong1, MI Denghai2
1.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
2.Gansu Provincial Academy of Chinese Medicine, Lanzhou 730050, China
关键词:
神经源性膀胱; 三调针法; 脊髓损伤; 尿流动力学; 膀胱残余尿量
Keywords:
neurogenic bladder; three modulation acupuncture; spinal cord injury; urodynamics; residual urine output
分类号:
R246
DOI:
10.12174/j.issn.2096-9600.2024.08.35
文献标志码:
B
摘要:
目的观察“三调针法”治疗脊髓损伤后神经源性膀胱（neurogenic bladder，NB）的临床疗效。 方法选择脊髓损伤后NB患者60例，随机分为对照组和观察组，每组30例。对照组采用间歇无菌导尿、训练辅助排尿等常规治疗，观察组在对照组基础上采用“三调针法”进行治疗，比较两组治疗前后尿流动力学、残余尿量的变化情况及临床疗效。 结果治疗后两组尿流动力学指标均明显改善（P＜0.05），观察组较对照组改善明显（P＜0.05）。治疗后两组膀胱残余尿量均较治疗减少（P＜0.05）；观察组较对照减少明显（P＜0.05）；总有效率观察组［100.00%（30/30）］高于对照组［83.33%（25/30）］（P＜0.05）。 结论“三调针法”治疗脊髓损伤后NB，可改善尿流动力学，恢复排尿功能，提高临床疗效。
Abstract:
ObjectiveTo observe the curative effects of "three modulation acupuncture" in the treatment of neurogenic bladder after spinal cord injury. MethodsSixty patients were chosen and randomized into the control group and the observation group with 30 cases in each group. The control group adopted conventional therapy including intermittent sterile catheterization, and training assisted urination, the observation group was treated with "three modulation acupuncture" based on the therapy that the control group received, to compare urodynamics and residual urine output before and after the treatment, and clinical effects between both groups. ResultsAfter the treatment, urodynamic indexes improved noticeably in both groups (P<0.05), the improvement of the observation group was more remarkable than that of the control group (P<0.05). After the treatment, residual urine output decreased than before treating (P<0.05); the decrease of the observation group was more remarkable (P<0.05). Total effective rate of the observation group was [100.00%(30/30)], higher than [83.33%(25/30)] of the control group(P<0.05). Conclu-sion: "Three modulation acupuncture" in the treatment of neurogenic bladder (NB) after spinal cord injury (SCI) could improve urodynamics, restore urinary function and raise the therapeutic effects.

相似文献/References:

[1]张晓菊,李美妮.不完全性脊髓损伤后神经源性膀胱中西医护理体会[J].西部中医药,2017,30(03):128.
　ZHANG Xiaoju,LI Meini.Integrated Traditional Chinese and Western Medicine Nursing Experience for the Patients with Neurogenic Bladder after Incomplete Spinal Cord Injury[J].Western Journal of Traditional Chinese Medicine,2017,30(08):128.
[2]徐秀梅,徐彦龙,寄婧,等.针灸结合康复训练治疗脊髓损伤患者神经源性膀胱疗效观察[J].西部中医药,2018,31(05):97.
　XU Xiumei,XU Yanlong,JI Jing,et al.Clinical Observation on Acupuncture Combined with Rehabilitation Training on Neurogenic Bladder of the Patients with Spinal Injury[J].Western Journal of Traditional Chinese Medicine,2018,31(08):97.
[3]王芳,米术斌△,勾丽洁.济生肾气丸治疗神经源性膀胱疗效的Meta分析[J].西部中医药,2019,32(03):61.
　WANG Fang,MI Shubin,GOU Lijie.Meta Analysis of Clinical Effects of JiSheng ShenQi Pills in Treating Neurogenic Bladder[J].Western Journal of Traditional Chinese Medicine,2019,32(08):61.
[4]罗颖慧,王琼,欧阳梦婷,等.不同时间针灸治疗联合膀胱再训练模式对脊髓损伤后神经源性膀胱的价值分析[J].西部中医药,2024,37(04):145.[doi:10.12174/j.issn.2096-9600.2024.04.31]
　LUO Yinghui,WANG Qiong,OUYANG Mengting,et al.The Value of Acupuncture at Different Times Combined with Bladder Retraining Mode on Neurogenic Bladder after Spinal Cord Injury[J].Western Journal of Traditional Chinese Medicine,2024,37(08):145.[doi:10.12174/j.issn.2096-9600.2024.04.31]

备注/Memo

备注/Memo:
徐秀梅（1982—），女，硕士学位，副主任医师。研究方向：神经系统疾病的中医康复与临床研究。甘肃省自然科学基金（22JR5RA618）。
更新日期/Last Update: 2024-08-15