穴位艾灸联合间歇性导尿应用于脊髓损伤后神经源性膀胱的临床疗效
Clinical effect of acupoint moxibustion combined with intermittent catheterization on neurogenic bladder after spinal cord injury
何丽群 1李玲 1温景清 1钟春红 1张丽 1官梦春1
作者信息
- 1. 江门市五邑中医院 骨六科,广东 江门 529000
- 折叠
摘要
目的 探讨穴位艾灸联合间歇性导尿应用于脊髓损伤后神经源性膀胱的临床疗效.方法 选取2021年3月至2023年2月江门市五邑中医院收治的40例脊髓损伤后神经源性膀胱患者作为研究对象,按照随机数字表法分为对照组与研究组,每组20例.对照组采用间歇性导尿治疗,研究组采用穴位艾灸联合间歇性导尿治疗,均连续治疗4周.比较两组临床疗效、治疗前后膀胱功能指标、生活质量、不良反应发生率.结果 研究组治疗总有效率更高,差异有统计学意义(P＜0.05).研究组膀胱功能指标改善程度明显高于对照组,差异有统计学意义(P＜0.05).研究组尿失禁生活质量问卷(incontinence quality of life instrument,I-QOL)、健康调查简表(the MOS item short form health survey,SF-36)明显高于对照组,差异有统计学意义(P＜0.05).两组不良反应总发生率比较,差异无统计学意义(P＞0.05).结论 穴位艾灸联合间歇性导尿可提高脊髓损伤后神经源性膀胱临床疗效.
Abstract
Objective To investigate the clinical effect of acupoint moxibustion combined with intermittent catheterization on neurogenic bladder after spinal cord injury.Methods A total of 40 patients with neurogenic bladder after spinal cord injury admitted to Wuyi Hospital of Traditional Chinese Medicine in Jiangmen City from March 2021 to February 2023 were selected as research objects,and they were divided into the control group and study group according to random number table method,with 20 cases in each group.The control group was treated with intermittent catheterization therapy while the study group was treated with acupoint moxibustion combined intermittent catheterization therapy,and both groups were treated for 4 weeks.The clinical efficacy,bladder function indicators before and after treatment,quality of life and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group,the difference was statistically significant(P＜0.05).The improvement of bladder function indexes in the study group was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).The incontinence quality of life instrument(I-QOL)and the MOS item short form health survey(SF-36)of the study group were significantly higher than those of the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P＞0.05).Conclusion Acupoint moxibustion combined with intermittent catheterization can improve the clinical efficacy of neurogenic bladder after spinal cord injury.
关键词
穴位艾灸/间歇性导尿/脊髓损伤/神经源性膀胱Key words
Acupoint moxibustion/Intermittent catheterization/Spinal cord injury/Neurogenic bladder引用本文复制引用
基金项目
江门市科技计划项目(2021YL03031)
出版年
2024
NETL
NSTL
万方数据