电针八髎穴治疗脊髓损伤后神经源性膀胱的临床研究

摘要

Objective: To investigate the effect of electroacupuncture at Baliao acupoint combined with bladder surface electrical stimulation on neurogenic bladder after spinal cord injury(SCI).Methods: 60 cases of SCI patients were randomly divided into the electroacupuncture group and the control group, 30 cases in each.The control group received bladder function training combined with intermittent catheterization,while based on it,the electroacupuncture group were given electroacupuncture at Baliao acupoint.The treatment courses of both groups were 12 weeks.Results: 4 weeks after treatment,the average frequency of urination in 24 h,urine leakage frequency, residual urine volume and LUTS score decreased significantly;maximum flow rate,average single urine volume increased significantly, all of which were significantly improved than before treatment (P < 0.05), and the electroacupuncture group was better than the control group (P< 0.05).Conclusion: Electroacupuncture at Baliao acupoint can effectively improve the voiding dysfunction of neurogenic bladder caused by spinal cord injury.%目的 观察电针八髎穴联合膀胱体表电刺激治疗脊髓损伤后神经源性膀胱(SCI)的临床疗效并探讨其机制.方法 将60例SCI患者随机分为电针组和对照组,各30例,对照组采用膀胱功能训练加间歇导尿,治疗组在对照组基础上给予电针八髎穴治疗.两组疗程均为12周.结果 治疗4周后,两组患者24 h平均排尿次数、漏尿次数、残余尿量及LUTS评分明显减少,最大尿流率、平均单次尿量明显增加,均较治疗前有显著改善(P<0.05),电针组各项目均优于对照组(P<0.05).结论 电针八髎穴能有效改善脊髓损伤所致神经源性膀胱的排尿障碍.