Yang Yuxia, Xiang Rong, Liu Yanyan, Chang E, Huo Yanling
Department of Rehabilitation and Physical Therapy, Cangzhou Center Hospital, Cangzhou 061001, Hebei Province, China.
Zhongguo Zhen Jiu. 2017 Oct 12;37(10):1041-4. doi: 10.13703/j.0255-2930.2017.10.004.
To explore the methods for the therapeutic effect improvement in the treatment of post-stroke urinary retention.
Sixty-three patients of post-stroke urinary retention were randomized into an observation group (32 cases) and a control group (31 cases). The routine clinical medication of neurology and basic rehabilitation were adopted in the two groups. Additionally, in the control group, the intermittent urinary catheterization and bladder function training were applied. The duration and frequency of catheterization were determined by the autonomic urination and residual urine volume every day. In the observation group, on the basis of the treatment as the control group, acupuncture was applied to the twelve -well points in the sequence of flowing among the twelve meridians [Shaoshang (LU 11), Shangyang (LI 1), Lidui (ST 45), Yinbai (SP 1), Shaochong (HT 9), Shaoze (SI 1), Zhiyin (BL 67), Yongquan (KI 1), Zhongchong (PC 9), Guanchong (TE 1), Zuqiaoyin (GB 44) and Dadun (LR 1)]. Acupuncture was given once a day, 20 treatments were required. In 20 treatments, the clinical therapeutic effects and the residual urine volume were observed.
The total effective rate was 90.6% (29/32) in the observation group, better than 67.7% (21/31) in the control group (<0.01)). After treatment, the residue urine volume was all reduced apparently in the patients of the two groups (both <0.01). The result of the residue urine volume in the observation group was lower apparently than that in the control group (<0.01).
Acupuncture at the -well points in the sequence of flowing among meridians combined with bladder function training achieve the apparent therapeutic effects on post-stroke urinary retention. The results are better than those achieved by the routine western medicine with bladder function training involved.
探讨提高中风后尿潴留治疗效果的方法。
将63例中风后尿潴留患者随机分为观察组（32例）和对照组（31例）。两组均采用神经内科常规临床用药及基础康复治疗。此外，对照组采用间歇性导尿及膀胱功能训练，每日根据自主排尿及残余尿量确定导尿的持续时间和频率。观察组在对照组治疗的基础上，按十二经脉流注顺序针刺十二井穴[少商（LU 11）、商阳（LI 1）、厉兑（ST 45）、隐白（SP 1）、少冲（HT 9）、少泽（SI 1）、至阴（BL 67）、涌泉（KI 1）、中冲（PC 9）、关冲（TE 1）、足窍阴（GB 44）、大敦（LR 1）]。每天针刺1次，共需治疗20次。观察20次治疗后的临床疗效及残余尿量。
观察组总有效率为90.6%（29/32），优于对照组的67.7%（21/31）（P<0.01）。治疗后，两组患者残余尿量均明显减少（均P<0.01）。观察组残余尿量结果明显低于对照组（P<0.01）。
按经脉流注顺序针刺井穴结合膀胱功能训练对中风后尿潴留有明显治疗效果，其结果优于单纯西医常规加膀胱功能训练。
