穴位注射联合刮痧治疗小儿遗尿临床效果观察

目的 观察穴位注射联合刮痧治疗小儿遗尿的近期及远期疗效.方法 将入选病例309例分为两组,治疗组153例,对照组156例.治疗组分为两组,治疗组一33例：给予黄芪注射液穴位注射联合刮痧疗法;治疗组二120例：在上述治疗的基础上配合中医护理.对照组分为四组,对照组一60例：口服甲氯芬酯;对照组二30例：口服金匮肾气丸;对照组三36例：单纯针灸疗法;对照组四30例：行为干预疗法.观察各组近期及远期疗效.结果 治疗组一33例患儿近期治愈率为72.73％,总有效率为90.91％;远期治愈率为60.61％,总有效率为78.79％.治疗组二120例患儿近期治愈率为76.67％,总有效率为91.67％;远期治愈率为55.00％,总有效率为78.33％.对照组一近期治愈率为60.00％,总有效率为70.67％;远期治愈率为43.33％,总有效率为61.67％.对照组二近期治愈率为63.33％,总有效率为83.33％;远期治愈率为56.67％,总有效率为73.33％.对照组三近期治愈率为58.33％,总有效率为69.44％;远期治愈率为47.22％,总有效率为66.67％.对照组四近期治愈率为33.33％,总有效率为43.33％;远期治愈率为20.00％,总有效率为33.33％.治疗组一与各对照组治愈率、总有效率比较,差异均有高度统计学意义（P＜0.01）.结论 黄芪注射液穴位注射联合刮痧疗法治疗复发性小儿遗尿及配合中医护理治疗小儿遗尿的近、远期疗效可靠,值得临床广泛推广.

Observation on clinical effect of acupoint injection combined with scraping in the treatment of infantile enuresis

Objective To observe the short-term and long-term therapeutic effect of acupoint injection combined with scraping in the treatment of infantile enuresis.Methods The selected 309 cases were randomly divided into two groups,with 153 cases in the treatment group,156 cases in the control group.The treatment group was divided into 2 groups,treatment group one was given Astragalus Membranaceus Injection for acupoint injection and scrapping therapy,treatment group two was given nursing of traditional Chinese medicine on basis of treatment above.The control group was divided into 4 groups,60 cases of control group one：oral Meclofenoxate; 30 cases of control group two：oral Kidney-Qi-Tonifying Pill; 36 cases of control group three：acupuncture therapy alone; 30 cases of control group four.behavior intervention therapy.The short-term and long-term therapeutic effects of all groups were observed.Results In 33 cases of treatment group one,the short-term cure rate was 72.73％,the total effective rate was 90.91％; the long-term cure rate was 60.61％,the total effective rate was 78.79％.In 120 cases of treatment group two,the short-term cure rate was 76.67％,the total effective rate was 91.67％; the long-term cure rate was 55.00％,the total effective rate was 78.33％.In control group one,the short-term cure rate was 60.00％,the total effective rate was 70.67％; the long-term cure rate was 43.33％,the total effective rate was 61.67％.In control group two,the short-term cure rate was 63.33％,the total effective rate was 83.33％; the long-term cure rate was 56.67％,the total effective rate was 73.33％.In control group three,the short-term cure rate was 58.33％,the total effective rate was 69.44％; the long-term cure rate was 47.22％,the total effective rate was 66.67％.In control group four,the short-term cure rate was 33.33％,the total effective rate was 43.33％; the long-term cure rate was 20.00％,the total effective rate was 33.33％.There were significant differences of cure rate and total effective rate among treatment group one with all control groups （P ＜ 0.01）.Conclusion Astragalus Membranaceus Injection for acupoint injection combined with scraping in the treatment of infantile enuresis and that combined with nursing of traditional Chinese medicine in the treatment of infantile enuresis has reliable short-term and long-term therapeutic effect,which is worthy of clinical promotion.