国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
International Journal of Traditional Chinese Medicine
2015年
10期
894-896
,共3页
神经源性膀胱%益肾调督%灸法%膀胱训练
神經源性膀胱%益腎調督%灸法%膀胱訓練
신경원성방광%익신조독%구법%방광훈련
Neurogenic bladder%Yishen-Tiaodu%Moxibustion%Bladder training
目的 探讨益肾调督灸法结合膀胱训练对脊髓损伤(spinal cord injury, SCI)术后神经源性膀胱(neurogenic bladder, NB)患者尿流动力学的影响.方法 将符合纳入标准的SCI术后NB患者72例按随机数字表法分为2组各36例,对照组进行膀胱训练,治疗组在对照组基础上配合益肾调督灸法治疗,共治疗3个月.观察2组治疗前后NB患者尿流动力学改变,以及尿常规与肾功能指标的变化.结果 治疗后,治疗组膀胱初感觉[(90.2±6.9)ml比(53.1±6.9)ml,t=22.812]、最大排尿量[(302.1±37.8)ml比(207.7±40.9)ml,t=10.170]、最大膀胱容量[(399.8±74.1)ml比(330.9±50.2)ml,t=4.619]均高于对照组(P值均<0.01),残余尿量[(82.9±32.9)ml比(109.8±51.8)ml,t=2.630]均低于对照组(P<0.01);治疗组24 h尿蛋白[(70.8±9.1)mg比(96.3±14.9)mg,t=8.763]、尿素[(5.7±2.1)mmol/L比(9.3±2.9)mmol/L, t=6.033]、肌酐[(100.8±19.6)μmol/L比(119.2±19.7)μmol/L,t=3.973]、尿素氮[(5.2±1.8)mmol/L比(6.7±2.4)mmol/L,t=3.000]均低于对照组(P<0.01).结论 益肾调督灸法结合膀胱训练可有效改善SCI术后NB尿流动力学,减少尿路感染的发生.
目的 探討益腎調督灸法結閤膀胱訓練對脊髓損傷(spinal cord injury, SCI)術後神經源性膀胱(neurogenic bladder, NB)患者尿流動力學的影響.方法 將符閤納入標準的SCI術後NB患者72例按隨機數字錶法分為2組各36例,對照組進行膀胱訓練,治療組在對照組基礎上配閤益腎調督灸法治療,共治療3箇月.觀察2組治療前後NB患者尿流動力學改變,以及尿常規與腎功能指標的變化.結果 治療後,治療組膀胱初感覺[(90.2±6.9)ml比(53.1±6.9)ml,t=22.812]、最大排尿量[(302.1±37.8)ml比(207.7±40.9)ml,t=10.170]、最大膀胱容量[(399.8±74.1)ml比(330.9±50.2)ml,t=4.619]均高于對照組(P值均<0.01),殘餘尿量[(82.9±32.9)ml比(109.8±51.8)ml,t=2.630]均低于對照組(P<0.01);治療組24 h尿蛋白[(70.8±9.1)mg比(96.3±14.9)mg,t=8.763]、尿素[(5.7±2.1)mmol/L比(9.3±2.9)mmol/L, t=6.033]、肌酐[(100.8±19.6)μmol/L比(119.2±19.7)μmol/L,t=3.973]、尿素氮[(5.2±1.8)mmol/L比(6.7±2.4)mmol/L,t=3.000]均低于對照組(P<0.01).結論 益腎調督灸法結閤膀胱訓練可有效改善SCI術後NB尿流動力學,減少尿路感染的髮生.
목적 탐토익신조독구법결합방광훈련대척수손상(spinal cord injury, SCI)술후신경원성방광(neurogenic bladder, NB)환자뇨류동역학적영향.방법 장부합납입표준적SCI술후NB환자72례안수궤수자표법분위2조각36례,대조조진행방광훈련,치료조재대조조기출상배합익신조독구법치료,공치료3개월.관찰2조치료전후NB환자뇨류동역학개변,이급뇨상규여신공능지표적변화.결과 치료후,치료조방광초감각[(90.2±6.9)ml비(53.1±6.9)ml,t=22.812]、최대배뇨량[(302.1±37.8)ml비(207.7±40.9)ml,t=10.170]、최대방광용량[(399.8±74.1)ml비(330.9±50.2)ml,t=4.619]균고우대조조(P치균<0.01),잔여뇨량[(82.9±32.9)ml비(109.8±51.8)ml,t=2.630]균저우대조조(P<0.01);치료조24 h뇨단백[(70.8±9.1)mg비(96.3±14.9)mg,t=8.763]、뇨소[(5.7±2.1)mmol/L비(9.3±2.9)mmol/L, t=6.033]、기항[(100.8±19.6)μmol/L비(119.2±19.7)μmol/L,t=3.973]、뇨소담[(5.2±1.8)mmol/L비(6.7±2.4)mmol/L,t=3.000]균저우대조조(P<0.01).결론 익신조독구법결합방광훈련가유효개선SCI술후NB뇨류동역학,감소뇨로감염적발생.
objective To evaluate effect of the Yishen-Tiaodu moxibustion combined with bladder training to treat neurogenic bladder after spinal cord injury operation.Methods 72 patients met the inclusion criteria of neurogenic bladder were divided into two groups according to random number table: a control group was treated with bladder training, and a treatment group on the basis of the control group was treated with Yishen-Tiaodu moxibustion therapy. Both groups were treated for 3 months. The urodynamics as well as the change of urinalysis and kidney function were observed in both groups.Results The original bladder feeling (90.2 ± 6.9 mlvs. 53.1 ± 6.9 ml,t=22.812)、maximum urinary output(302.1 ± 37.8 mlvs. 207.7 ± 40.9 ml, t=10.170), the maximum bladder capacity (399.8 ± 74.1 mlvs. 330.9 ± 50.2 ml,t=4.619) in the treatment group were higher than the control group after treatment (P<0.01). Residual urine volume (82.9 ± 32.9 mlvs. 109.8 ± 51.8 ml,t=2.630) in the treatment group was lower than the control group (P<0.01); the 24h urinary protein (70.8 ± 9.1 mgvs. 96.3 ± 14.9 mg,t=8.763), Urea (5.7 ± 2.1 mmol/Lvs. 9.3 ± 2.9 mmol/L,t=6.033), Scr (100.8 ± 19.6μmol/Lvs. 119.2 ± 19.7μmol/L,t=3.973), BUN (5.2 ± 1.8 mmol/Lvs. 6.7 ± 2.4 mmol/L,t=3.000) in the treatment group were significantly decreased than the control group(P<0.01).Conclusions Yishen-Tiaodu moxibustion combined with bladder training could effectively improve urodynamics for the neurogenic bladder in patients with SCI, and decrease the incidence of urinary tract infections.
