CAJ | 학술논문

目的探讨针灸治疗神经源性膀胱的临床治疗效果。方法回顾性分析80例神经源性膀胱诊疗病例资料，其中采用间歇性导尿术治疗神经源性膀胱40例（导尿组），即鼓励患者自行排尿，有障碍后再插入导尿管排尽尿液，同时测量残余尿量后制定导尿次数；针灸治疗神经源性膀胱40例（针灸组），选取肾俞、关元、命门、阴谷、太溪、脾俞、三阴交等穴位针灸，留针30min,7d为1疗程；对比分析两种方法治疗效果；结果导尿组显效16例，有效13例，无效11例，有效率72.5%；针灸组显效17例，有效16例，无效7例，有效率82.5%；两组对比分析具有差异性（P＜0.05）。结论针灸治疗神经源性膀胱临床效果显著，值得临床推广应用。
목적탐토침구치료신경원성방광적림상치료효과。방법회고성분석80례신경원성방광진료병례자료，기중채용간헐성도뇨술치료신경원성방광40례（도뇨조），즉고려환자자행배뇨，유장애후재삽입도뇨관배진뇨액，동시측량잔여뇨량후제정도뇨차수；침구치료신경원성방광40례（침구조），선취신유、관원、명문、음곡、태계、비유、삼음교등혈위침구，류침30min,7d위1료정；대비분석량충방법치료효과；결과도뇨조현효16례，유효13례，무효11례，유효솔72.5%；침구조현효17례，유효16례，무효7례，유효솔82.5%；량조대비분석구유차이성（P＜0.05）。결론침구치료신경원성방광림상효과현저，치득림상추엄응용。
Objective To explore the clinical therapeutic effect of acupuncture in the treatment of neurogenic bladder. Methods a retrospective analysis of 80 cases of neurogenic bladder treatment cases, the intermittent catheterization in patients with neurogenic bladder in 40 cases (catheterization group), which encourage the patients urinate, then insert the catheter with obstacles as urine, simultaneous measurement of residual urine volume after the development of the urinary frequency; 40 cases of neurogenic bladder treated with acupuncture (acupuncture group), Shenshu, Mingmen, selected Guan Yuan, Yin Valley, Taixi, Pishu, Sanyinjiao acupoints acupuncture, needle for 30min, 7d for 1 courses;comparative analysis of two methods in the treatment of effect;Results urethral catheterization group 16 cases had marked effect, effective in 13, 11 had no effect, the effective rate was 72.5%;Acupuncture group of 17 cases were markedly effective, effective in 16 cases, 7 had no effect, the effective rate was 82.5%;The analysis of the two groups are different (P <0.05). Conclusion acupuncture and moxibustion treatment of neurogenic bladder clinical effect is significant, worthy of clinical application.