【摘要】 目的:脊髓损伤膀胱功能障碍患者采用八穴药物注射配合膀胱功能训练与单纯膀胱功能训练进行疗效对比观察。方法:选择2001-10/2004-03在广州工伤康复医院住院的脊髓损伤膀胱功能障碍患者24例,随机分为两组,治疗组12例,对照组12例。治疗组采用膀胱功能训练配合八穴药物注射疗法。①八穴药物注射:将维生素B1200mg+维生素B12500μg+生理盐水3～5mL,注入上穴,次穴,中穴,下穴,每穴位注入2～2.5mL,1次/d,两侧穴位每天交替注射,10d为1个疗程,平均治疗2～4个疗程,每疗程间隔3～5d。②膀胱功能训练的方法:限制饮水量,24h总入水量控制在2500mL左右;依据残余尿量多少进行间歇导尿。③对照组仅行上述膀胱功能训练方法。④膀胱功能评定以自主性排尿节律,勿需导尿管排尿,残余尿量<100mL为显效;导尿次数减少,残余尿量100～150mL为有效;无明显改善为无效。结果:按意向处理分析,24例患者均进入结果分析。治疗组显效5例,有效5例,无效2例。对照组显效2例,有效2例,无效8例。治疗组总有效率显著高于对照组犤83%(10/12),33%(4/10),χ2=4.29,P<0.05犦。结论:采用八穴药物注射配合膀胱功能训练治疗脊髓损伤膀胱功能障碍患者,比单纯的膀胱功能训练方法疗效显著。说明八穴药物注射后,发挥了穴位和药物的综合治疗作用,能有效的改善脊髓损伤后的膀胱功能。更多还原

【Abstract】 AIM To observe clinical treatment comparison of the bladder dysfunction due to spinal cord injury by injecting eight-liao UB31 UB34 UB33 UB34 drug combined with bladder function training and simple bladder function training. METHODS The experiment was conducted in Guangzhou Industrial Rehabilitation Hospital from October 2001 to March 2004. Twenty-four patients were selected and divided randomly into therapy group and control group with 12 patients in each group. Bladder function training combined with eight-liao point treatment was performed in therapy group. ① Eight-liao point drug injection Vitamine B1 200 mg vitamine B12 500 μg and saline 3-5mL were injected into ShangliaoUB 31 Tz’uliaoUB34 ChungliaoUB33 and HsialiaoUB34. Every points 2-2.5mL once per day amphi-acupuncture points were injected alternatively everyday with a ten-day course and every three to five days it was treated averagely two to four courses . ② Bladder function training method Water drinking quantity was limited about 2 500 mL in 24 hours. Intermission urethral catheterization was done according to residual urine. ③ Above-mentioned ladder function training method was performed in control group. ④ Automatic micturition rhythm was evaluated on ladder function without bladder catheter. If residual urine was less than 100mL it was considered effectively 100-150 mL utility It was inefficiency if the result had no significant amelioration.RESULTS Totally 24 patients were involved in the result according to intention-to-treat analysis. In therapy group five cases were obvious effectiveness. Two cases were effective and eight cases were ineffective. The general efficiency of therapy group was significantly higher than that of control group 83%(10/12),33%(4/10),χ2=4.29,P < 0.05.CONCLUSION The drug injection at eight-liao combined with bladder function training has significant effectiveness in patients with spinal injury bladder dysfunction compared with pure bladder function training. It explains that eight-liao drug injection plays an important role in the colligation treatment of points and drugs to improve bladder function.更多还原