[论著]电针联合牵张法对脊髓损伤后痉挛性膀胱安全容量的影响

Time:2016-02-22 00:46:04 来源:250031济南,山东省交通医院康复医学科等 作者:白田雨

《国际中医中药杂志》[ISSN:1673-4246/CN:CN11-5398/R]

卷: 37 期数: 2015年06期

页码: 490-493

栏目: 论著

出版日期: 2015-06-08

文章信息/Info

Title: Effect of electroacupuncture combined with stretching method on the safe bladder capacity in patients with spastic bladder following spinal cord injury

作者: 白田雨 250031济南,山东省交通医院康复医学科

Author(s): Bai Tianyu. ' target="_blank" rel="external"> Bai Tianyu. Shandong Traffic Hospital, Jinan 250031, China

关键词: 脊髓损伤; 膀胱; 神经原性; 电针; 牵张法

Keywords:

punctuation-wrap: simple">Spinal cord injuries;  Urinary bladder;  neurogenic;  Electroacupuncture; ' target="_blank" rel="external"> Stretching

DOI: 10.3760/cma.j.issn.1673-4246.2015.06.003

摘要: 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。

Abstract: Objective To investigate the effect of electroacupuncture combined with stretching method on the safe bladder capacity in patients with spastic bladder following spinal cord injury (SCI). Methods A 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. Results After treatment, the safe bladder capacity were significantly increased in the medical treatment group (273.20 ± 84.63 ml vs. 179.50 ± 59.07 ml, t=4.973), the electroacupuncture group (308.23 ± 87.45 ml vs. 169.17 ± 54.58 ml, t=7.389), and the electroacupuncture combined with stretching group (376.37 ± 125.08 ml vs. 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 (all P<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 (χ2 values were 4.022, 9.317, respectively, all P<0.05). Conclusions Medical 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.

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