| 张倩,王雪丹,沈润斌,等.隔附子饼灸联合生物反馈刺激对脊髓损伤后尿潴留病人膀胱功能、膀胱压力及尿路感染的影响[J].安徽医药,2024,28(1):189-193. |
| 隔附子饼灸联合生物反馈刺激对脊髓损伤后尿潴留病人膀胱功能、膀胱压力及尿路感染的影响 |
| Influences of monkshood cake moxibustion combined with biofeedback stimulation on bladder function, bladder pressure and urinary tract infection in patients with urinary retention after spinal cord injury |
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| DOI：10.3969/j.issn.1009-6469.2024.01.040 |
| 中文关键词: 脊髓损伤 尿潴留 灸法 电刺激疗法 神经反馈 生物反馈刺激 隔附子饼灸 尿路感染 膀胱功能 |
| 英文关键词: Spinal cord injuries Urinary retention Moxibustion Electrical stimulation therapy Neurofeedback Biofeed- back stimulation Monkshood cake moxibustion Urinary tract infection Bladder function |
| 基金项目:河北省中医药管理局科研计划项目( 2018480) |
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| 中文摘要: |
| 目的探究隔附子饼灸联合生物反馈刺激对脊髓损伤后尿潴留病人膀胱功能、膀胱压力及尿路感染的影响。方法选取河北省沧州中西医结合医院 2020年 6月至 2022年 6月收治的 76例脊髓损伤后尿潴留病人进行研究，按照随机数字表法分为对照组( 38例)和联合组( 38例)。其中对照组给予生物反馈刺激，联合组给予隔附子饼灸联合生物反馈刺激。比较两组尿流动力学(最大膀胱压力、膀胱功能、最大膀胱测量容量)膀胱残余尿量，临床疗效，尿路感染发生率及生活自理能力。结果两组干预前、干预 4周、 8周后 MHU评分、膀胱残余尿量依，次降低( P<0.05)，且干预 4周、 8周后，联合组［( 2.45±0.26)分、(216.46±23.72)mL、(1.87±0.19)分、(114.37±11.58)mL］均明显低于对照组［(2.79±0.28)分、(242.75±26.84)mL、(2.14±0.22)分、(162.75±16.49)mL］(P<0.05)；两组干预前、干预 4周、 8周 MBI评分、膀胱压力依次升高( P<0.05)，且干预 4周、 8周后，联合组［( 38.57±3.46)分、(12.67±1.27)分、(46.57±4.72)分、(14.02±1.45)分］明显高于对照组［( 34.14±3.25)分、(10.96±1.14)分、(40.62±4.15)分、(12.57±1.31)分］(P<0.05)；联合组总有效率( 89.47%)明显高于对照组( 68.42%)(P<0.05)，尿路感染发生率(7.89%)明显低于对照组( 28.95%)(P<0.05)。结论隔附子饼灸联合生物反馈刺激对脊髓损伤后尿潴留可有效提高膀胱功能及膀胱压力，降低尿路感染及膀胱残余尿量，提升自理能力，效果较好。 |
| 英文摘要: |
| Objective To investigate the influences of monkshood cake moxibustion combined with biofeedback stimulation on blad-der function, bladder pressure and urinary tract infection in patients with urinary retention after spinal cord injury.Methods A total of 76 patients with urinary retention after spinal cord injury were selected from Cangzhou Hospital of Integrated Traditional Chinese andWestern Medicine in Hebei Province, China, who were admitted from June 2020 to June 2022 for the study and were divided into thecontrol group (38 cases) and the combined group (38 cases) according to the random number table method. Among them, the controlgroup was given biofeedback stimulation and the combined group was given monkshood cake moxibustion combined with biofeedbackstimulation. The two groups were compared in terms of urodynamics (maximal bladder pressure, bladder function, maximal cystometriccapacity), bladder residual urine volume, clinical efficacy, incidence of urinary tract infections, and self-care ability. Results The MHU score and residual bladder urinary volume decreased sequentially in both groups before intervention, after 4 weeks and 8 weeksof intervention (P < 0.05), and after 4 weeks and 8 weeks of intervention, the combined group [(2.45±0.26) points, (216.46±23.72) mL,(1.87±0.19) points, (114.37±11.58) mL] was significantly lower than that of the control group [(2.79±0.28) points, (244.37±11.58) mL].0.28) points, (242.75±26.84) mL, (2.14±0.22) points, and (162.75±16.49) mL] (P < 0.05). The MBI score and bladder pressure in bothgroups increased sequentially before intervention, after 4 weeks and 8 weeks of intervention (P < 0.05), and after 4 weeks and 8 weeksof intervention, the combined group [(38.57±3.46), (12.67±1.27), (46.57±4.72), (14.02±1.45) points] was significantly higher than thecontrol group [(34.14±3.25), (10.96±1.14), (40.62±4.15), (12.57±1.31) points] (P < 0.05). The total effective rate of the combined group (89.47%) was significantly higher than that of the control group (68.42%) (P < 0.05), and the incidence of urinary tract infection (7.89%) was significantly lower than that of the control group (28.95%) (P < 0.05).Conclusion The combination of monkshood cake moxibustion and biofeedback stimulation can effectively improve bladder function and bladder pressure, reduce urinary tract infectionand bladder residual urine volume, and enhance self-care ability after spinal cord injury, with better results. |
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