"通督益肾"法温针灸联合功能磁刺激治疗脑卒中后尿潴留的临床研究OACSTPCD

Objective:To explore the clinical effect of warm acupuncture and moxibustion combined with functional magnetic stimulation on urinary retention after stroke based on"TongduYishen"method.Methods:Totally,70 pa-tients with neurogenic urinary retention after stroke were included and divided into a control group and a treatment group by the random number table method,with 35 cases in each group.The control group received conventional acupuncture and functional magnetic stimulation,and the treatment group received warm acupuncture and moxibus-tion at Baihui(GV20),Shenshu(BL23),Mingmen(GV4),Bladder Shu(BL28),and Taixi(KI3)on the basis of the control group.The two groups were treated for 30 min each,once a day for 4 weeks.The difference in cystody-namics,urination,catheterization times and other indexes before and after treatment between the two groups and the clinical efficacy were observed.The efficacy of"Tongdu Yishen"method warm acupuncture combined with function-al magnetism was evaluated.Results:The total effective rate in the control group and treatment group were 77.1％and 97.1％respectively(P＜0.05).After treatment,the maximum urine flow rate,frequency and volume of urine in 2 groups were increased(P＜0.05),and detrusor pressure during filling,maximum bladder capacity,the volume of residual urine in the bladder,number of catheterization decreased as compared with those before treatment(P＜0.05).In addition,there was significant difference between the treatment group and the control group(P＜0.05).Conclusion:Warm acupuncture and moxibustion with"Tongdu Yishen"method is better than simple acupuncture,and combined functional magnetic stimulation significantly improved the clinical efficacy of urinary retention after stroke,alleviated the clinical symptoms of patients,promoted the recovery of nerve function and improved the prog-nosis of patients.