[长针针刺秩边（BL 54）和水道（ST 28）对脊髓损伤后尿潴留的影响]

[Effects on urinary retention after spinal cord injury treated with acupuncture at Zhibian (BL 54) and Shuidao (ST 28) with elongated needle].

作者信息

Zhang Can, Quan Ren-Fu, Chai Le, Hu Hua-Hui

机构信息

Zhejiang Chinese Medical University, Hangzhou 310053, China.

Hangzhou Xiaoshan District TCM Hospital, Hangzhou 311201, Zhejiang Province.

出版信息

Zhongguo Zhen Jiu. 2019 Apr 12;39(4):359-63. doi: 10.13703/j.0255-2930.2019.04.004.

DOI:10.13703/j.0255-2930.2019.04.004

PMID:30957445

Abstract

OBJECTIVE

To explore the clinical effects of acupuncture with elongated needle on urinary retention after spinal cord injury.

METHODS

A total of 66 patients with urinary retention after spinal cord injury were randomized into an elongated needle group (34 cases) and a filiform needle group (32 cases). In both of the groups, the routine orthopedic treatment and the bladder function training were adopted. Additionally, in the elongated needle group, the acupuncture at Zhibian (BL 54) and Shuidao (ST 28) was used with the elongated needle. In the filiform needle group, the acupuncture with filiform needle was used at Zhibian (BL 54) and Shuidao (ST 28). In both of the groups, acupuncture treatment was provided once every two days, for 2 months consecutively. Separately, before treatment and after 1, 2 month treatment, the residual urine volume, urodynamic parameters (bladder capacity, peak urinary flow rate and bladder pressure) and safety indicators were observed in the patients of the two groups. The clinical therapeutic effects were compared between the two groups.

RESULTS

As compared with the results before treatment, the residual urine volume was reduced obviously (all <0.01), bladder capacity, peak urinary flow rate and bladder pressure were improved obviously (all <0.01) after 1, 2 month treatment in the two groups. After 1, 2 month treatment, the residual urine volume in the elongated needle group was lower than the filiform needle group (both <0.01). The improvements in bladder capacity, peak urinary flow rate and bladder pressure in the elongated needle group were superior to the filiform needle (all <0.01). The total effective rate was 94.1% (32/34) in the elongated needle group, higher than 71.9% (23/32) in the filiform needle group (<0.01). During treatment, there was no damage of kidney function, no fainting or broken needle happened in the two groups.

CONCLUSION

Acupuncture with elongated needle achieves the significant effects on urinary retention after spinal cord injury. This therapy is better than acupuncture with filiform needle and safe in operation.

摘要

目的

探讨芒针治疗脊髓损伤后尿潴留的临床疗效。

方法

将66例脊髓损伤后尿潴留患者随机分为芒针组（34例）和毫针组（32例）。两组均采用骨科常规治疗及膀胱功能训练。此外，芒针组采用芒针针刺秩边（BL 54）、水道（ST 28）；毫针组采用毫针针刺秩边（BL 54）、水道（ST 28）。两组均每2天进行1次针刺治疗，连续治疗2个月。分别观察两组患者治疗前及治疗1、2个月后的残余尿量、尿动力学参数（膀胱容量、最大尿流率、膀胱压力）及安全性指标，并比较两组的临床疗效。

结果

与治疗前比较，两组治疗1、2个月后残余尿量均明显减少（均P<0.01），膀胱容量、最大尿流率、膀胱压力均明显改善（均P<0.01）。治疗1、2个月后，芒针组残余尿量低于毫针组（均P<0.01）；芒针组膀胱容量、最大尿流率、膀胱压力的改善程度优于毫针组（均P<0.01）。芒针组总有效率为94.1%（32/34），高于毫针组的71.9%（23/32）（P<0.01）。治疗期间，两组均未出现肾功能损害、晕针及断针情况。