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吴明莉,任亚锋,王 磊,冯晓东,刘承梅,寇 娟,王永福.督脉穴、夹脊穴电针联合电子生物反馈治疗脊髓损伤后神经源性膀胱临床观察[J].中国康复医学杂志,2020,(7):843~846
督脉穴、夹脊穴电针联合电子生物反馈治疗脊髓损伤后神经源性膀胱临床观察    点此下载全文
吴明莉  任亚锋  王 磊  冯晓东  刘承梅  寇 娟  王永福
河南中医药大学第一附属医院,河南郑州,450000
基金项目:河南省中医药科学研究专项(2018JDZX083);河南省第九批重点学科(2018年)
DOI:10.3969/j.issn.1001-1242.2020.07.014
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摘要:
      摘要 目的:观察督脉穴、夹脊穴电针联合电子生物反馈治疗脊髓损伤后神经源性膀胱的临床效果。 方法:选取我院收治的60例符合纳入标准的神经源性膀胱的患者随机分组到电针组、生物反馈组、电针生物反馈组。3组患者均接受基础康复治疗,电针组取穴督脉、夹脊穴,生物反馈组进行电子生物反馈治疗,电针生物反馈组在电针组的基础上加上电子生物反馈治疗。4周后观察3组患者的膀胱容量、膀胱充盈压力、最大尿流率、残余尿量,生存质量评分和国际下尿路功能症状评分,盆底肌的肌电指标等指标。 结果:3组患者治疗后膀胱容量、膀胱充盈压力、最大尿流率、残余尿量,生存质量评分和国际下尿路功能症状评分,盆底肌的肌电指标等指标与治疗前比较,均有显著性差异(P<0.05),且电针生物反馈组疗效优于单一电针组和生物反馈组治疗,差异具有显著性意义(P<0.05)。 结论:督脉、夹脊穴电针联合电子生物反馈能有效治疗脊髓损伤后神经源性膀胱,且疗效优于单一电针治疗或单一生物反馈治疗。
关键词:督脉穴  夹脊穴  电针  电子生物反馈  脊髓损伤  神经源性膀胱
Clinical observation on changes of neurogenic bladder function after spinal cord injury treated by electroacupuncture at Du Meridian points and Jiaji points combined with electronic biofeedback    Download Fulltext
The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, 450000
Fund Project:
Abstract:
      Abstract Objective:To observe the clinical effect of Du Meridian points and Jiaji points acupuncture combined with electronic biofeedback in the treatment of neurogenic bladder after spinal cord injury. Method:Sixty patients with neurogenic bladder who met the inclusion criteria in our hospital were randomly divided into electroacupuncture group, biofeedback group and electroacupuncture biofeedback group. All the patients in three groups received basic rehabilitation treatment, the electroacupuncture group took electroacupuncture on Du Meridian points and Jiaji acupoint, the biofeedback group received electronic biofeedback treatment, and the electroacupuncture biofeedback group took both electronic biofeedback treatment and electroacupuncture. After 4 weeks treatment, the bladder volume, bladder filling pressure, maximum urine flow rate, residual urine volume, quality of life score and international lower urinary tract function symptom score, as well as myoelectric index of pelvic floor muscle in the 3 groups were observed. Result:All the bladder capacity, bladder filling pressure, maximum urinary flow rate, residual urine volume, quality of life score and lower urinary tract function and symptom scores, pelvic floor muscle electromyography index improved significantly after treatment (P<0.05) in three groups and those in electric acupuncture and biological feedback treatment group is superior to single electric acupuncture group or biofeedback treatment(P<0.05). Conclusion:Du meridian, Jiaji point cave acusector joint electronic biofeedback is an effective treatment of neurogenic bladder after spinal cord injury, and the curative effect is superior to the single electric acupuncture therapy or a single biological feedback therapy.
Keywords:Du meridian acupuncture point  Jiaji point  electroacupuncture  electronic biofeedback  spinal cord injury  neurogenic bladder
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