针刺加中药敷脐治疗逼尿肌活动低下疗效观察

摘要

目的:观察针刺联合中药敷脐治疗膀胱逼尿肌活动低下的疗效.方法:将2017年1至12月我院门诊收治的46例男性膀胱逼尿肌活动低下患者随机分为对照组和观察组,每组23例.对照组行间歇导尿治疗和常规护理,观察组在对照组基础上行针刺配合中药敷脐治疗.观察两组患者综合疗效、膀胱残余尿量及最大尿流率改善情况.结果:两组患者均无脱落病例.干预后,观察组总有效率为78.3％,显著高于对照组的52.2％(P＜0.05);干预后观察组膀胱残余尿量及最大尿流率改善程度均与对照组有统计学差异(均P＜0.05).结论:在间歇导尿治疗和常规护理基础上加用针刺联合中药敷脐治疗男性膀胱逼尿肌活动低下疗效确切,值得临床进一步深入研究.%Objective:To observe the clinical efficacy of acupuncture plus umbilicus application with Chinese medicine for detrusor underactivity.Methods:A total of 46 male patients with detrusor underactivity who were admitted to our hospital between January and December 2017 were randomized into a control group and an observation group,with 23 cases in each group.The control group received intermittent catheterization and routine nursing,and the observation group was treated with acupuncture plus umbilicus application with Chinese medicine on the basis of the treatment of the control group.The comprehensive efficacy,the improvement of bladder urine residue and maximum flow rate of the two groups were observed.Results:No cases dropped out in the two groups.After the intervention,the total effective rate of the observation group was 78.3％,which was significantly higher than 52.2％ of the control group (P＜0.05).After intervention,the improvements of bladder urine residue and maximum flow rate in the observation group were statistically different from those in the control group (both P＜0.05).Conclusion:The combination of acupuncture and umbilicus application with Chinese medicine added on the basis of intermittent catheterization and routine nursing has a certain effect in treating male patients with detrusor underactivity,and is worth further clinical study.