针灸配合间隙导尿在神经源性膀胱中的作用

目的：观察针灸配合间隙性清洁导尿在神经源性膀胱中的疗效。方法将46例患者随机分成实验组23例和对照组23例，实验组应用针灸配合间隙清洁导尿法，对照组则应用间隙清洁导尿法，5个月后比较两组患者排尿功能重建（残余尿量）及实验室指标（菌尿发生率）。结果实验组17例排尿功能重建（残余尿量明显减少），对照组7例；实验组菌尿发生3例，对照组11例。两组比较差异有统计学意义（P〈0.05）。结论针灸结合间隙性导尿更能维持膀胱的正常生理状态，减少残余尿量，减少泌尿系细菌感染机会。

The effect of acupuncture combined with clean intermittent catheteriza-tion used for neurogenic bladder

Objective To study the effect of acupuncture combined with clean intermittent catheterization in the treat-ment of neurogenic bladder. Methods A total of 46 patients were randomly divided into test and control groups. There were 23 patients in the each group. The clean intermittent catheterization only used in the control group. However inte-grated acupuncture and clean intermittent catheterization were used in the test group. Final the residual urine volume and the incidence of bacteriuria were researched after 5 months. Results There were 17 cases restored the micturating function in the test group, however only 7 cases in the control group. There were 3 cases suffered bacteriuria in the test group, but there were 11 cases suffered bacteriuria in the control group. The difference between the two groups was sta-tistical ly significantly （P〈0.05）. Conclusion Combined acupuncture with clean intermittent catheterization can effi-ciently maintain the normal function of bladder, decrease the residual urine volume, and reduce the incidence of bac-teriuria.