针刺结合拟胆碱能药物治疗膀胱逼尿肌收缩力低下症

目的：观察固定穴位针刺结合拟胆碱能药物治疗膀胱逼尿肌收缩力低下症的临床疗效。方法：对17例经尿流动力学检查诊断为膀胱逼尿肌收缩力低下症的患者,针刺百会、三阴交、关元、膀胱俞、肾俞、中极,同时口服拟胆碱能药溴吡斯的明,3例合并膀胱出口梗阻患者加用坦索洛辛。结果：治疗3疗程后,16例临床症状有不同程度缓解,其中4例恢复自行排尿;1例仍需膀胱造瘘引流。结论：固定穴位针刺结合拟胆碱能药物治疗膀胱逼尿肌收缩力低下症安全有效,疗效差异可能与原发疾病、病程长短和疗程有关。

Pinpricking in Fixed Acupuncture Points and Oral Intake of Anticholinesterase Agents in Treating Destrusor Underactivity

Objective To observe the clinical effect of treating destrusor underactivity with pinpricking fixed acupuncture points and oral administration of anticholinesterase. Methods To 17 patients （10 male;7 female） with destrucor underactivity diagnosed by urodynamic study,pinpricking acupuncture points of Baihui（百会）,Sanyinjiao（三阴交）,Guanyuan（关元）,Pangguangshu（膀胱俞）,Shenshu（肾俞） and Zhongji（中极） were done and neostigmine bromide （anticholinesterase agent） given orally.Three patients complicated with bladder outlet obstruction were given tamsulosin additionally. Results After 3 treatment courses,16 patients had symptoms relieved apparently,4 patients could autonomously micturate,only one patient still had to undergo suprapubic puncture fistulation. Conclusion Treating destrusor underactivity with pinpricking fixed acupuncture points and oral intake of anticholinesterase agents is safe and effective,the discrepancy of effect are relative with primary disorders,duration of diseases or periods of treatment probably.