吉林大学学报（医学版）2019，Vol.45Issue(1)：100-104,5.DOI:10.13481/j.1671-587x.20190119
中医综合康复疗法治疗不完全性脊髓损伤后神经源性膀胱尿潴留的多中心临床随机对照试验
Chinese medicine synthesis rehabilitation in treatment of neurogenic bladder urinary retention after incomplete spinal cord injury:A multicenter randomized controlled clinical trial
摘要
Abstract
Objective:To discuss the curative effect of Chinese medicine synthesis rehabilitation in the treatment of neurogenic bladder dysfunction after incomplete spinal cord injury, and to provide the clinical evidences for its application.Methods:A total of 184patients meeting the inclusion criteria were randonly divided into trial group (n=89) and control group (n=95) with central area group method.The patients in two groups were given the intermittent catheterization and the urinary functional training.The patients in trial group were treated by the electricity needle (20min/time, one time a day, 6dper week) and the massage (20min/time, one time a day, 6d per week) .All patients in two groups were treated for 4courses (2 weeks for a course) .The residual urine volumes, the bladder securiey capacities, and the intravesical pressures of the patients in two groups were measured before and after treatment, and the curative effects were evaluated.Results:Compared with before treatment the residual urine volume of the patients in trial group was reduced significantly after treatment (P＜0.01) , the bladder security capacity was significantly increased (P＜0.01) , and there was no significant change in intravesical pressure (P＞0.05) ;the residual urine volume of the patients in control group was reduced significantly after treatment (P＜0.01) , there were no significant changes in the bladder security capacity and intravesical pressure (P＞0.05) .After treatment, the residual urine volume of the patients in trial group was significantly lower than that in control group (P＜0.01) , while there were no significant differences in the bladder security capacities and intravesical pressures between two groups (P＞0.05) .Conclusion:Chinese medicine synthesis rehabilitation may reduce the residual urine volume of the patients with neurogenic bladder urinary retention after incomplete spinal cord injury, and its curative effect is superior to modern rehabilitation of intermittent catheterization and urinary bladder function training.关键词
中医/康复疗法/脊髓损伤/尿潴留/多中心临床随机对照试验Key words
Chinese medicine/rehabilitation therapy/spinal cord injury/urinary retention/multicenter randomized controlled clinical trial分类
医药卫生引用本文复制引用
边静,张为民,王宇峰,丛德毓,宋柏林..中医综合康复疗法治疗不完全性脊髓损伤后神经源性膀胱尿潴留的多中心临床随机对照试验[J].吉林大学学报（医学版）,2019,45(1):100-104,5.基金项目
国家科技部"十二五"科技支撑计划项目资助课题(2013BAI10B02) （2013BAI10B02）
