不同时长任脉灸对骶上脊髓损伤后神经源性膀胱患者排尿功能的影响

目的:观察不同时长任脉灸对骶上脊髓损伤(SSCI)后神经源性膀胱(NB)患者排尿功能的影响。方法:选择2016年12月—2018年12月在山东中医药大学第二附属医院康复医学科治疗的SSCI后NB患者60例,采用随机数字表法分为对照组和观察组,每组30例。对照组在患者鸠尾穴至中极穴的任脉段给予任脉灸,每次灸治1 h,3次/周,共治疗4周;观察组每次灸治时间改为2 h,其余治疗操作同对照组,3次/周,共治疗4周。于治疗前、治疗4周后分别采用24 h排尿日记(单次排尿量、24 h排尿次数、24 h漏尿次数)、最大膀胱安全容量和残余尿量评价患者的排尿功能。结果:治疗4周后,对照组排尿次数、漏尿次数、单次排尿量、最大膀胱安全容量、残余尿量分别为(11.25±0.43)次/d、(5.30±0.37)次/d、(148.55±17.81)mL、(301.90±14.73)mL、(72.50±7.21)mL,观察组排尿次数、漏尿次数、单次排尿量、最大膀胱安全容量、残余尿量分别为(9.80±1.51)次/d、(4.45±0.31)次/d、(159.40±10.97)mL、(314.90±16.33)mL、(67.05±7.18)mL。与治疗前比较,2组治疗4周后每日排尿次数、漏尿次数、残余尿量均明显降低,单次尿量、膀胱安全容量均明显升高(P<0.05)。与对照组比较,观察组每日排尿次数、漏尿次数、残余尿量降低更加明显,单次排尿量、最大膀胱安全容量改善更加明显(P<0.05)。结论:长时程任脉灸可以更有效改善SSCI后NB患者排尿功能,减少尿失禁。

Effect of Conception Vessel Moxibustion of Different Duration on Urinary Function in Patients with Neurogenic Bladder after Suprasacral Spinal Cord Injury

Objective:To observe the effect of conception vessel moxibustion of different duration on urinary function in patients with neurogenic bladder(NB)after suprasacral spinal cord injury(SSCI).Methods:A total of 60 patients with NB after SSCI in the second affiliated Hospital of Shandong University of Traditional Chinese Medicine from December 2016 to December 2018,which were randomly divided into the control group and the observation group,with 30 cases in each group.The control group was given conception vessel moxibustion at conception vessel segmentJiuwei(RN 15)to Zhongji(RN 3)],moxibustion for one hour each time,three times a week,continuous treatment for four weeks.The observation group moxibustion for two hours each time,and the other treatment procedures were the same as those in the control group,three times a week,continuous treatment for four weeks.Before treatment and after treatment for four weeks,the bladder urination function was evaluated by 24-hour urination diary(single urination volume,24-hour urination frequency,24-hour leakage frequency),maximum safe bladder capacity and residual urine volume.Results:After treatment for four weeks,the number of urination,the number of leaks,single urination volume,maximum safe bladder capacity and residual urine volume in the control group were(11.25±0.43)times/day,(5.30±0.37)times/day,and(148.55±17.81)mL/time,(301.90±14.73)mL,(72.50±7.21)mL,respectively.While the observation group were(9.80±1.51)times/day,(4.45±0.31)times/day,(159.40±10.97)mL,(314.90±16.33)mL,(67.05±7.18)mL,respectively.Compared with before treatment,24-hour urination frequency,24-hour leakage frequency and residual urine volume of the two groups after treatment for four weeks were significantly decreased,single urination volume and maximum safe bladder capacity of the two groups were significantly improved(P<0.05).Compared with the control group,24-hour urination frequency,24-hour leakage frequency and residual urine volume of the observation group decreased more significantly,single urination volume and maximum safe bladder capacity of the observation group improved more significantly(P<0.05).Conclusion:Long-term conception vessel moxibustion can effectively improve the urination function and reduce urinary incontinence in patients with neurogenic bladder after SSCI.