CAJ | 학술논문

目的：观察温针灸配合穴位注射治疗中风后尿潴留的疗效。方法将70例符合诊断、纳入和排除标准的中风后尿潴留患者随机分为治疗组35例和对照组35例。治疗组予以温针灸配合穴位注射治疗，对照组予以单纯温针灸治疗。观察治疗前后尿潴留症状变化。结果治疗1星期后，两组尿潴留情况都有所改善，两组比较差异具有统计学意义(P＜0.05)，治疗组优于对照组；治疗结束2星期和1个月后两组尿潴留状况比较，治疗组优于对照组(P＜0.05)。两组不良反应发生例数比较，治疗组不良反应发生少于对照组(P＜0.05)。结论温针灸配合穴位注射治疗中风后尿潴留有较好的疗效，值得临床运用。但对于首次排尿时间和每次排尿时间效果不佳，仍需要进一步改善。
목적：관찰온침구배합혈위주사치료중풍후뇨저류적료효。방법장70례부합진단、납입화배제표준적중풍후뇨저류환자수궤분위치료조35례화대조조35례。치료조여이온침구배합혈위주사치료，대조조여이단순온침구치료。관찰치료전후뇨저류증상변화。결과치료1성기후，량조뇨저류정황도유소개선，량조비교차이구유통계학의의(P＜0.05)，치료조우우대조조；치료결속2성기화1개월후량조뇨저류상황비교，치료조우우대조조(P＜0.05)。량조불량반응발생례수비교，치료조불량반응발생소우대조조(P＜0.05)。결론온침구배합혈위주사치료중풍후뇨저류유교호적료효，치득림상운용。단대우수차배뇨시간화매차배뇨시간효과불가，잉수요진일보개선。
ObjectiveTo observe the therapeutic efficacy of warm needling plus acupoint injection in treating post-stroke urinary retention.MethodSeventy eligible subjects with post-stroke urinary retention were randomized into a treatment group of 35 cases and a control group of 35 cases. The treatment group was intervened by warm needling plus acupoint injection, while the control group was by warm needling alone. The relevant symptoms of urinary retention were observed before and after treatment.Result After 1-week treatment, the retention condition was improved in both groups, and the treatment group was significantly superior to the control group (P<0.05); The 2-week and 1-month follow-up studies showed that the retention condition in the treatment group was significantly better than that in the control group (P<0.05). The adverse events in the treatment group were significantly less than that in thecontrol group (P<0.05).ConclusionWarm needling plus acupoint injection can produce a satisfactory efficacy in treating post-stroke urinary retention and is worth application in clinic. However, this method still needs improving as its effect on initialurination and urination duration is not significant.