间歇导尿联合针刺治疗脑卒中后神经源性膀胱的疗效观察

目的探讨间歇导尿联合针刺在治疗脑卒中后神经源性膀胱的疗效。方法选择在温州市中两医结合医院神经内科住院或门诊治疗的脑卒中后合并排尿障碍的患者90例，随机分为治疗组和对照组各45例。对照组在基础治疗上采用留置导尿法，治疗组在基础治疗上采用间歇导尿联合针刺治疗。针刺治疗：刺入神阙、关元、气海、中极、三阴交、曲泉、肾腧、膀胱腧、八髂（上髂、次髂、中髎、下髂穴），行捻转提插手法，每次治疗30min．每周治疗5次，疗稗4周。疗程结束时比较两组残余尿量、出现尿路感染和达到平衡膀胱的例数。结果疗程结束时，相比对照组，治疗组患者残余尿量减少（96．3±45．5）mL，尿路感染人数较少（10例），达到平衡膀胱的人数较多（31例），两组相比有统计学差异（P〈0．05）。结论相比留置导尿法，间歇导尿联合针刺法治疗脑卒中后神经源性膀胱具有明确疗效。

Treating neurogenic bladder after stroke with acupuncture and intermittent catheterization

Objective To evaluate the effect of treating neurogenic bladder after stroke with acupuncture and intermit- tent catheterization. Methods Ninety cases of neurogenic bladder ＇after stroke were randomized into the treatment group and control group. 45 cases in each group. Control group treated with indwelling catheter for four weeks, treat- ment group treated with acupuncture and intermittent catheterization. Acupuncture treatment： Pierce Shenque, Guanyuan, Qihai, Mid-extremely, Sanyinjiao, Ququan, Shenshu, bladder point, eight Liao （Shangliao, Ciliao, Mid-liao, Lower-liao points）. Acupuncture lifting-thrusting manipulation. 30 minutes each treatment. The treatment was 5 times a week, for 4 weeks. After treatment, observed the residual urine volume, number of urinary tract infection and number of achieve a balance of bladder. Results By the end of the course,compared with the control group, the treatment group has less residual urine （96.3±45.5）mL, less urinary tract infection （10 eases）, more balanced bladder （31 cases）（P 〈 0.05）. Conclusion Acupuncture and intermittent catheterization treat neurogenic bladder after stroke was effective.