温针灸配合盆底肌训练治疗中风后神经源性膀胱疗效观察

摘要

目的 观察温针灸配合盆底肌训练治疗中风后神经源性膀胱的临床疗效.方法 将124例中风后神经源性膀胱患者按随机数字表法分为治疗组和对照组,每组62例.治疗组采用针刺、艾灸、盆底肌训练治疗,对照组采用口服中成药物治疗.2星期为1个疗程,共治疗3个疗程.观察两组治疗前后日排尿频率测试及膀胱最大容量,并比较两组的临床疗效.结果 两组治疗后日排尿频率测试分级与同组治疗前比较,差异均具有统计学意义(P<0.01);治疗组治疗后日排尿频率测试分级与对照组比较,差异也具有统计学意义(P<0.01).两组治疗后膀胱最大容量与同组治疗前比较,差异均具有统计学意义(P<0.01);治疗组治疗后膀胱最大容量与对照组比较,差异有统计学意义(P<0.01).治疗组治愈率和总有效率分别为35.5%和96.8%,对照组分别为19.4%和77.4%,两组总有效率比较差异具有统计学意义(P<0.01),两组治愈率比较差异具有统计学意义(P<0.05).结论 温针灸配合盆底肌训练治疗中风后神经源性膀胱疗效显著,疗效明显优于药物治疗.%Objective To observe the clinical efficacy of needle warming therapy plus pelvic floor muscle training in treating post-stroke neurogenic bladder.Method A total of 124 patients with post-stroke neurogenic bladder were divided into a treatment group and a control group by random number table, 62 cases in each group. The treatment group was intervened by acupuncture, moxibustion plus pelvic floor muscle training; the control group was intervened by Chinese patent drugs. The intervention was conducted with 2 weeks as a treatment course, for 3 treatment courses in total. The daily voiding frequency test and maximum cystometric capacity (MCC) in the two groups were measured before and after the intervention, and the clinical efficacies were compared between the two groups.Result Each item of the daily voiding frequency test in the two groups was significantly changed after the treatment (P<0.01). Each item of the daily voiding frequency test in the treatment group was significantly different from that in the control group after the treatment (P<0.01). The MCC was significantly changed after the intervention in both groups (P<0.01). The MCC in the treatment group was significantly different from that in the control group after the treatment (P<0.01). The recovery rate and total effective rate were respectively 35.5% and 96.8% in the treatment group versus 19.4% and 77.4% in the control group. There were significant differences in comparing the total effective rate (P<0.01) and the recovery rate between the two groups (P<0.05).Conclusion Needle warming therapy plus pelvic floor muscletraining can produce a significant therapeutic efficacy in treating post-stroke neurogenic bladder, and the therapeutic efficacy is obviously better than that of medication.