Clinical research of electroacupuncture combined with transperineal injection of BTX-A for neurogenic bladder after spinal cord injury

doi:10.13703/j.0255-2930.2015.01.005

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Clinical research of electroacupuncture combined with transperineal injection of BTX-A for neurogenic bladder after spinal cord injury

更新时间：2023-05-10

- Clinical research of electroacupuncture combined with transperineal injection of BTX-A for neurogenic bladder after spinal cord injury
- Chinese Acupuncture and Moxibustion Vol. 35, Issue 1, Pages: 17-20(2015)
- 作者机构：
  
  1. 南京医科大学
  2. 南京医科大学第一附属医院康复医学科
  3. 江苏省苏北人民医院康复医学科
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.2015.01.005
  CLC：
- Published：2015
- 稿件说明：
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Clinical research of electroacupuncture combined with transperineal injection of BTX-A for neurogenic bladder after spinal cord injury[J]. Chinese Acupuncture and Moxibustion, 2015, 35(1): 17-20.
DOI：

Clinical research of electroacupuncture combined with transperineal injection of BTX-A for neurogenic bladder after spinal cord injury[J]. Chinese Acupuncture and Moxibustion, 2015, 35(1): 17-20. DOI： 10.13703/j.0255-2930.2015.01.005.

摘要

目的:评价电针结合经会阴注射A型肉毒杆菌毒素(BTX-A)治疗脊髓神经损伤所致神经源性膀胱的临床疗效。方法:将脊髓损伤后合并神经源性膀胱患者35例于术后第1天随机分为BTX-A+电针组(20例)和BTX-A组(15例)。两组均在常规膀胱功能康复训练的基础上

行经会阴尿道外括约肌注射BTX-A 200IU(4mL)

BTX-A+电针组辅以电针治疗

穴取中极、关元、肾俞、会阳、八!

每日1次

每次40min

每周治疗6天

治疗4周。观察两组治疗前后排尿状况

并于治疗前后分别行尿动力学检查

检测尿道压变化。结果:治疗4周后

两组患者平均尿失禁次数、平均导尿量及尿失禁量均较治疗前改善(均P<0.05)

BTX-A+电针组优于BTX-A组(均P<0.05)。两组治疗后残余尿量、膀胱压力、最大膀胱容积、最大尿道闭合压及最大尿流率均较治疗前改善(均P<0.01);BTX-A+电针组对残余尿量、最大膀胱容积、最大尿道闭合压的改善较BTX-A组显著(均P<0.05)。结论:电针结合经会阴注射BTX-A治疗可以有效改善脊髓损伤所致神经源性膀胱的排尿障碍。

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