针刺大赫、水道治疗膀胱无力型女性尿道综合征的临床研究

目的 :探讨针刺大赫、水道治疗膀胱无力型女性尿道综合征 (FUS)的疗效。方法 :观察针刺前后 ,膀胱无力型FUS患者尿动力学指标的变化。结果 :针刺治疗的总有效率为 91.67% ,与治疗前比较患者的尿动力学各项指标均有明显改善 (P <0 .0 5～ 0 .0 1)。结论 :针刺大赫、水道可以提高膀胱逼尿肌的压力 ,改善尿流率 ,从而缓解因膀胱无力而引起的排尿功能障碍

Clinical Study on Effects of Acupuncture of Dahe and Shuidao Points on Female Urethral Syndrome of Inertia Vesica-urinaria Type

Objective: To study the therapeutic effect of acupuncture of Dahe (KI 12) and Shuidao (ST 28) on female urethral syndrome of bladder inertia type. Methods: A total of 120 cases of urethral syndrome of lower intravesical pressure women were observed in the present paper. Dahe (KI 12) and Shuidao (ST 28) were punctured with gauge 30 stainless steel needles (3 cun long) and stimulated electrically with an electroacupuncture therapeutic apparatus for 20 min after gaining needling sensations. The treatment was conducted once daily, with 10 times being a therapeutic course. Clinical symptoms of urinary frequency, urinary times during night, urinary dysfunction, lower abdominal distension, etc. and urinary dynamics (detrusor urinae pressure, maximum uroflow rate and intraabdominal pressure) were detected. Results: Following one course of treatment, of the 120 patients, 101 (84.17%) experienced marked improvement, 9 (7.50%) had improvement in their symptoms and 10 (8.33%) failed in the treatment, with the effective rate being 91.67%. In comparison with pre treatment, values of detrusor urinae pressure, maximum uroflow rate and intra abdominal pressure increased significantly (P<0.05～0.01). Conclusion: Acupuncture can improve clinical symptoms and urodynamics of patients with urethral syndrome of acraturesis type.