摘要
Objective:To observe the clinical efficacy of intradermal needles and moxibustion combined with bladder irrigation in the treatment of post-stroke urinary retention and its effect on the patient’s quality of life and depressive mood.Methods:A total of 80 patients with post-stroke urinary retention were divided into an observation group and a control group by the random number table method,with 45 patients in each group.Both groups received the same basic treatment.In the control group,bladder irrigation was added;in the observation group,intradermal needles and moxibustion were added in addition to the treatment in the control group.After 2 weeks of continuous treatment,the clinical efficacy and the occurrence of adverse events were compared between the two groups,and the changes in the traditional Chinese medicine(TCM)symptom score,urinary function,quality of life,and depressive mood were observed.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the TCM symptom score,residual urine volume,subjective quality of life profile score,and self-rating depression scale score of both groups were significantly reduced(P<0.05),and those of the observation group were significantly lower than those of the control group(P<0.05).Single maximal voiding volume,maximum cystometric capacity,and intravesical pressure were significantly increased in both groups(P<0.05)and were significantly higher in the observation group than in the control group(P<0.05).No needle shock,needle breakage,or allergic reaction happened in the two groups.Conclusion:Based on conventional treatment,the efficacy of intradermal needles and moxibustion combined with bladder irrigation in the treatment of post-stroke urinary retention was better than that of bladder irrigation.It was effective in reducing clinical symptoms,improving urinary function,improving quality of life and depression,and had a good safety profile.
目的:观察揿针艾灸联合膀胱冲洗治疗脑卒中后尿潴留的临床疗效及其对患者生活质量和抑郁情绪的影响。方法:将80例脑卒中后尿潴留患者采用随机数字表法分为观察组和对照组,每组45例。两组均接受相同的常规基础治疗。对照组加用膀胱冲洗治疗;观察组在对照组的治疗基础上加用揿针和艾灸治疗。连续治疗2周后比较两组临床疗效和不良事件发生情况,观察中医症状评分、排尿功能、生活质量和抑郁情绪的变化。结果:观察组总有效率高于对照组(P<0.05)。治疗后,两组中医症状评分、残余尿量、生活质量精简问卷评分、抑郁自评量表评分均明显降低(P<0.05),且观察组明显低于对照组(P<0.05)。两组单次最大排尿量、最大膀胱容量、膀胱内压力均明显升高(P<0.05),观察组明显高于对照组(P<0.05)。两组均未发现晕针、断针及过敏反应。结论:在常规治疗基础上,揿针艾灸联合膀胱冲洗治疗脑卒中后尿潴留疗效优于膀胱冲洗。在减轻临床症状、改善排尿功能、提高生活质量、减轻抑郁情绪方面有作用,同时具有较高的安全性。
基金
温州市基础性科研项目,No.Y20190382。
