摘要
神经源性膀胱是脊髓损伤后最常见的并发症,其临床治疗虽已取得一定程度的进展,但神经系统病变的痊愈和神经损伤的再生依旧没有有效的治疗方法。其主要症状表现为尿失禁和尿潴留,常并发于脊髓损伤。针灸对脊髓损伤后神经源性膀胱的治疗有一定的作用,针灸和相关联合疗法已被证明在改善残余尿量、尿流动力学指标和生活质量评分等方面具有确切的治疗效果,因此越来越受到患者及其家属的认可。笔者整理归纳针灸治疗的相关临床观察文献,发现包括单纯针刺、电针、温针、艾灸、联合针灸疗法等多种针灸疗法可以提高疗效。本文旨在为相关研究和临床治疗开拓新的思路。
Neurogenic bladder is the most common complication after spinal cord injury.Although the clinical treatment of neurogenic bladder has made some progress,there is still no effective treatment for the recovery of nervous system lesions and regeneration of nerve injury.Its main symptoms are urinary incontinence and retention,often accompanied by spinal cord injury.Acupuncture and moxibustion play a certain role in the treatment of neurogenic bladder after spinal cord injury.Acupuncture and related combined therapy have been proved to have definite therapeutic effects in improving residual urine volume,urinary fluidity indexes and quality of life scores,so they are more and more widely recognized by patients and their families.The author summarized the relevant clinical observation literature of acupuncture treatment,and found that acupuncture treatment including simple acupuncture,electric acupuncture,warm acupuncture,moxibustion,combined acupuncture and other acupuncture treatments can improve the curative effect.This paper aims to open up new ideas for related research and clinical treatment.
作者
周立新
孙忠人
尹洪娜
ZHOU Lixin;SUN Zhongren;YIN Hongna(Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《陕西中医》
CAS
2023年第10期1482-1486,共5页
Shaanxi Journal of Traditional Chinese Medicine
基金
国家自然科学基金资助面上项目(81873378)。
关键词
脊髓损伤
神经源性膀胱
针灸
尿失禁
尿潴留
Spinal cord injury
Neurogenic bladder
Acupuncture
Urinary incontinence
Urinary retention