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针刺治疗尿频、尿急和尿痛女性患者的尿动力学研究

Urodynamic studies in acupuncture for women with frequency, urgency and dysuria.

作者信息

Chang P L

机构信息

Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.

出版信息

J Urol. 1988 Sep;140(3):563-6. doi: 10.1016/s0022-5347(17)41719-8.

Abstract

Urodynamic measurements were performed before and after acupuncture at 2 different points in 52 women who presented with frequency, urgency and dysuria. Measurements included cystometry, anal sphincter electromyography, urethral pressure profilometry and uroflowmetry. The results of this study showed a significant increase in maximum cystometric capacity and a decrease in peak urinary flow rate after acupuncture at the Sp. 6 point, which has traditionally been used for the treatment of urinary problems. During acupuncture at the Sp. 6 point there were periodic increases in intraurethral pressure at the distal urethra, which were measured with a microtip transducer. Acupuncture-induced detrusor inhibition and external sphincteric contractions were demonstrated. Clinically symptomatic improvement was noted in 22 of the 26 patients who were treated by acupuncture at the Sp. 6 point. Our studies indicated that acupuncture could be used as a simple and effective method to treat female patients with frequency, urgency and dysuria.

摘要

对52名有尿频、尿急和尿痛症状的女性,在针刺两个不同穴位前后进行了尿动力学测量。测量包括膀胱测压、肛门括约肌肌电图、尿道压力测定和尿流率测定。本研究结果显示,针刺传统上用于治疗泌尿系统问题的三阴交穴后,最大膀胱测压容量显著增加,尿流峰值速率降低。在针刺三阴交穴时,用微尖端传感器测量发现尿道远端的尿道内压有周期性升高。证实了针刺引起逼尿肌抑制和外括约肌收缩。在26名接受三阴交穴针刺治疗的患者中,有22名患者临床症状得到改善。我们的研究表明,针刺可作为一种简单有效的方法来治疗有尿频、尿急和尿痛症状的女性患者。

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