CAJ | 학술논문

目的：观察针灸配合间隙性清洁导尿在神经源性膀胱中的疗效。方法将46例患者随机分成实验组23例和对照组23例，实验组应用针灸配合间隙清洁导尿法，对照组则应用间隙清洁导尿法，5个月后比较两组患者排尿功能重建(残余尿量)及实验室指标(菌尿发生率)。结果实验组17例排尿功能重建(残余尿量明显减少)，对照组7例；实验组菌尿发生3例，对照组11例。两组比较差异有统计学意义(P<0.05)。结论针灸结合间隙性导尿更能维持膀胱的正常生理状态，减少残余尿量，减少泌尿系细菌感染机会。
목적：관찰침구배합간극성청길도뇨재신경원성방광중적료효。방법장46례환자수궤분성실험조23례화대조조23례，실험조응용침구배합간극청길도뇨법，대조조칙응용간극청길도뇨법，5개월후비교량조환자배뇨공능중건(잔여뇨량)급실험실지표(균뇨발생솔)。결과실험조17례배뇨공능중건(잔여뇨량명현감소)，대조조7례；실험조균뇨발생3례，대조조11례。량조비교차이유통계학의의(P<0.05)。결론침구결합간극성도뇨경능유지방광적정상생리상태，감소잔여뇨량，감소비뇨계세균감염궤회。
Objective To study the effect of acupuncture combined with clean intermittent catheterization in the treat-ment of neurogenic bladder. Methods A total of 46 patients were randomly divided into test and control groups. There were 23 patients in the each group. The clean intermittent catheterization only used in the control group. However inte-grated acupuncture and clean intermittent catheterization were used in the test group. Final the residual urine volume and the incidence of bacteriuria were researched after 5 months. Results There were 17 cases restored the micturating function in the test group, however only 7 cases in the control group. There were 3 cases suffered bacteriuria in the test group, but there were 11 cases suffered bacteriuria in the control group. The difference between the two groups was sta-tistical ly significantly (P<0.05). Conclusion Combined acupuncture with clean intermittent catheterization can effi-ciently maintain the normal function of bladder, decrease the residual urine volume, and reduce the incidence of bac-teriuria.