国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2015年
6期
490-493
,共4页
脊髓损伤%膀胱,神经原性%电针%牵张法
脊髓損傷%膀胱,神經原性%電針%牽張法
척수손상%방광,신경원성%전침%견장법
Spinal cord injuries%Urinary bladder,neurogenic%Electroacupuncture%Stretching
目的：探讨电针联合牵张法对脊髓损伤(spinal cord injury, SCI)后痉挛性膀胱安全容量的影响。方法本研究为随机对照研究。将符合纳入标准的山东省交通医院康复医学科90例住院患者按随机数字表法分为3组各30例。药物治疗组口服酒石酸托特罗定片(2 mg，2次/d)，电针组采用电针治疗，电针联合牵张组采用牵张法配合电针治疗，均治疗30 d。以膀胱安全容量和有效率评价疗效。结果药物组[(273.20±84.63)ml 比(179.50±59.07)ml ， t＝4.973]、电针组[(308.23±87.45)ml 比(169.17±54.58)ml，t＝7.389]、电针联合牵张组[(376.37±125.08)ml比(167.40±61.56)ml，t＝8.210]膀胱安全容量均较同组治疗前增加，其中电针联合牵张组与药物组、针刺组比较，差异均有统计学意义(P均＜0.05)。药物治疗组、电针组、电针联合牵张组有效率分别为60.0%(18/30)、83.3%(25/30)、93.3%(28/30)，药物治疗组与电针组、电针联合牵张组比较，差异均有统计学意义(χ2值分别为4.022、9.317，P均＜0.05)。结论药物治疗、电针治疗以及电针联合牵张治疗均可改善 SCI 后痉挛性膀胱患者的膀胱安全容量，但电针联合牵张治疗优于药物或电针治疗。
目的：探討電針聯閤牽張法對脊髓損傷(spinal cord injury, SCI)後痙攣性膀胱安全容量的影響。方法本研究為隨機對照研究。將符閤納入標準的山東省交通醫院康複醫學科90例住院患者按隨機數字錶法分為3組各30例。藥物治療組口服酒石痠託特囉定片(2 mg，2次/d)，電針組採用電針治療，電針聯閤牽張組採用牽張法配閤電針治療，均治療30 d。以膀胱安全容量和有效率評價療效。結果藥物組[(273.20±84.63)ml 比(179.50±59.07)ml ， t＝4.973]、電針組[(308.23±87.45)ml 比(169.17±54.58)ml，t＝7.389]、電針聯閤牽張組[(376.37±125.08)ml比(167.40±61.56)ml，t＝8.210]膀胱安全容量均較同組治療前增加，其中電針聯閤牽張組與藥物組、針刺組比較，差異均有統計學意義(P均＜0.05)。藥物治療組、電針組、電針聯閤牽張組有效率分彆為60.0%(18/30)、83.3%(25/30)、93.3%(28/30)，藥物治療組與電針組、電針聯閤牽張組比較，差異均有統計學意義(χ2值分彆為4.022、9.317，P均＜0.05)。結論藥物治療、電針治療以及電針聯閤牽張治療均可改善 SCI 後痙攣性膀胱患者的膀胱安全容量，但電針聯閤牽張治療優于藥物或電針治療。
목적：탐토전침연합견장법대척수손상(spinal cord injury, SCI)후경련성방광안전용량적영향。방법본연구위수궤대조연구。장부합납입표준적산동성교통의원강복의학과90례주원환자안수궤수자표법분위3조각30례。약물치료조구복주석산탁특라정편(2 mg，2차/d)，전침조채용전침치료，전침연합견장조채용견장법배합전침치료，균치료30 d。이방광안전용량화유효솔평개료효。결과약물조[(273.20±84.63)ml 비(179.50±59.07)ml ， t＝4.973]、전침조[(308.23±87.45)ml 비(169.17±54.58)ml，t＝7.389]、전침연합견장조[(376.37±125.08)ml비(167.40±61.56)ml，t＝8.210]방광안전용량균교동조치료전증가，기중전침연합견장조여약물조、침자조비교，차이균유통계학의의(P균＜0.05)。약물치료조、전침조、전침연합견장조유효솔분별위60.0%(18/30)、83.3%(25/30)、93.3%(28/30)，약물치료조여전침조、전침연합견장조비교，차이균유통계학의의(χ2치분별위4.022、9.317，P균＜0.05)。결론약물치료、전침치료이급전침연합견장치료균가개선 SCI 후경련성방광환자적방광안전용량，단전침연합견장치료우우약물혹전침치료。
ObjectiveTo investigate the effect of electroacupuncture combined with stretching method on the safe bladder capacity in patients with spastic bladder following spinal cord injury (SCI).MethodsA total of 90 patients with spastic bladder following SCI were randomly divided into 3 groups according to the random number table, a medical treatment group (tolterodine tartrate, 2 mg, 2/d), a electroacupuncture group and a electroacupuncture combined with stretching group, with 30 cases in each group. Safe bladder capacity and efficiency were measured.ResultsAfter treatment, the safe bladder capacity were significantly increased in the medical treatment group (273.20 ± 84.63 mlvs.179.50 ± 59.07 ml,t=4.973), the electroacupuncture group (308.23±87.45 mlvs.169.17 ± 54.58 ml,t=7.389), and the electroacupuncture combined with stretching group (376.37 ± 125.08 mlvs.167.40 ± 61.56 ml,t=8.210) compared with before the treatment; while improvement of safe bladder capacity in the electroacupuncture combined with stretching group was superior to the medical treatment group and the electroacupuncture group (allP<0.05). The effective rates in the medical treatment group, the electroacupuncture group and the electroacupuncture combined with stretching group were 60% (18/30), 83.3%(25/30), 93.3%(28/30), respectively, and the medical treatment group showed significant difference to the electroacupuncture group and the electroacupuncture combined with stretching group (χ2values were 4.022, 9.317, respectively, allP<0.05).ConclusionsMedical treatment, electroacupuncture and electroacupuncture combined with stretching can improve the safe bladder capacity in patients with spastic bladder following SCI, and electroacupuncture combined with stretching is superior to medical treatment or electroacupuncture.
