基于子午流注理论择时脐疗治疗脊髓损伤后神经源性膀胱：随机对照试验

王东利; 王学乾; 王蕊; 郝有志

doi:10.13703/j.0255-2930.20230324-0005

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基于子午流注理论择时脐疗治疗脊髓损伤后神经源性膀胱：随机对照试验

临床研究2 | 更新时间：2024-06-03

- 基于子午流注理论择时脐疗治疗脊髓损伤后神经源性膀胱：随机对照试验
- Timing umbilical therapy in treatment of neurogenic bladder after spinal cord injury based on midnight-noon and ebb-flow doctrine: a randomized controlled trial
- 中国针灸 2023年43卷第11期页码：1246-1250
- 作者机构：
  
  河北省沧州中西医结合医院骨伤康复科，沧州 061000
- 作者简介：
  
  王学乾，主治医师。E-mail：820344627@qq.com
- 基金信息：
  
  河北省中医药管理局项目(2022592)
- DOI：10.13703/j.0255-2930.20230324-0005
  中图分类号： R 246.6
- 收稿：2023-03-24，
  
  网络首发：2023-08-22，
  
  纸质出版：2023-11-12
- 稿件说明：
移动端阅览
王东利,王学乾,王蕊等.基于子午流注理论择时脐疗治疗脊髓损伤后神经源性膀胱：随机对照试验[J].中国针灸,2023,43(11):1246-1250.

WANG Dong-li,WANG Xue-qian,WANG Rui,et al.Timing umbilical therapy in treatment of neurogenic bladder after spinal cord injury based on midnight-noon and ebb-flow doctrine: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2023,43(11):1246-1250.
王东利,王学乾,王蕊等.基于子午流注理论择时脐疗治疗脊髓损伤后神经源性膀胱：随机对照试验[J].中国针灸,2023,43(11):1246-1250. DOI： 10.13703/j.0255-2930.20230324-0005.

WANG Dong-li,WANG Xue-qian,WANG Rui,et al.Timing umbilical therapy in treatment of neurogenic bladder after spinal cord injury based on midnight-noon and ebb-flow doctrine: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2023,43(11):1246-1250. DOI： 10.13703/j.0255-2930.20230324-0005.

摘要

目的

观察基于子午流注理论择时脐疗治疗脊髓损伤后神经源性膀胱的临床疗效。

方法

将60例脊髓损伤后神经源性膀胱患者随机分为子午流注脐疗组和其他时间脐疗组，每组30例。子午流注脐疗组根据子午流注纳子法于申时（15：00-17：00）行脐疗，其他时间脐疗组避开申时，于其他时间行脐疗，均每次贴敷4 h，每日1次，2周为一疗程，连续治疗4周。比较两组患者治疗前后尿流动力学指标［最大尿流率（Qmax）、最大逼尿肌压力（Pdet-max）、残余尿量（RUV）］、排尿情况（日均排尿次数、日均漏尿次数、日均单次排尿量）、神经源性膀胱症状评分（NBSS）、泌尿症状困扰量表（USDS）评分、世界卫生组织生存质量评估简表（WHOQOL-BREF）评分，并评定临床疗效。

结果

治疗后，两组患者Qmax、Pdet-max、日均单次排尿量、WHOQOL-BREF评分较治疗前增加（

0.05），RUV、日均排尿次数、日均漏尿次数、NBSS及USDS评分均较治疗前减少（

0.05）；子午流注脐疗组患者Qmax、Pdet-max、日均单次排尿量、WHOQOL-BREF评分均高于其他时间脐疗组（

0.05），RUV、日均排尿次数、日均漏尿次数、

NBSS及USDS评分均低于其他时间脐疗组（

0.05）。子午流注脐疗组总有效率为96.7%（29/30），高于其他时间脐疗组的76.7%（23/30，

0.05）。

结论

基于子午流注理论择时脐疗可有效改善脊髓损伤后神经源性膀胱患者排尿困难症状，提高其生活质量。

Abstract

Objective

To observe the clinical efficacy of timing umbilical therapy for neurogenic bladder after spinal cord injury based on the midnight-noon and ebb-flow doctrine.

Methods

Sixty patients with neurogenic bladder after spinal cord injury were randomly divided into a trial group and a control group

with 30 patients in each group. In the trial group

based on the midnight-noon and ebb-flow doctrine

umbilical therapy was given at the time zone

15:00 to 17:00. In the control group

umbilical therapy was delivered at any time zones except the period 15:00 to 17:00. The herbal plaster was remained on the umbilicus for 4 h each time

once daily. One course of treatment was composed of 2 weeks and the treatment lasted 4 weeks. Before and after treatment

the urodynamic indexes (maximum urinary flow rate [Qmax]

maximum detrusor pressure [Pdet-max]

residual urine volume [RUV])

voiding diary (average daily number of voiding

average daily number of leakage

average daily voided volume)

neurogenic bladder symptom score (NBSS)

the score of urinary symptom distress scale (USDS) and the score of World Health Organization quality of life assessment-BREF (WHOQOL-BREF) were compared between the two groups; and the clinical efficacy of the two groups was assessed.

Results

After treatment

Qmax

Pdet-max

the average daily voided volume and the scores of WHOQOL-BREF were increased (

0.05); and RUV

the average daily number of voiding

the average daily number of leakage

NBSS and the scores of USDS were all reduced (

0.05) in comparison with those before treatment in the two groups. When compared with those in the contro

l group

Qmax

Pdet-max

the average daily voided volume and the score of WHOQOL-BREF were all higher (

0.05); and RUV

the average daily number of voiding

the average daily number of leakage

NBSS and the score of USDS were lower (

0.05) in the trial group. The total effective rate was 96.7% (29/30) in the trial group

higher than that (76.7%

23/30) in the control group (

0.05).

Conclusion

Timing umbilical therapy

based on the midnight-noon and ebb-flow doctrine

effectively relieves the symptoms of dysuria and improves the quality of life in patients with neurogenic bladder after spinal cord injury.

关键词

Keywords

references

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