针灸推拿医学(英文版)2025,Vol.23Issue(1):56-62,7.DOI:10.1007/s11726-025-1479-z
揿针与艾灸联合膀胱冲洗治疗脑卒中后尿潴留临床观察
Clinical observation of intradermal needles and moxibustion combined with bladder irrigation in the treatment of post-stroke urinary retention
摘要
Abstract
Objective:To observe the clinical efficacy of intradermal needles and moxibustion combined with bladder irrigation in the treatment of post-stroke urinary retention and its effect on the patient's quality of life and depressive mood. Methods:A total of 80 patients with post-stroke urinary retention were divided into an observation group and a control group by the random number table method,with 45 patients in each group.Both groups received the same basic treatment.In the control group,bladder irrigation was added;in the observation group,intradermal needles and moxibustion were added in addition to the treatment in the control group.After 2 weeks of continuous treatment,the clinical efficacy and the occurrence of adverse events were compared between the two groups,and the changes in the traditional Chinese medicine(TCM)symptom score,urinary function,quality of life,and depressive mood were observed. Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the TCM symptom score,residual urine volume,subjective quality of life profile score,and self-rating depression scale score of both groups were significantly reduced(P<0.05),and those of the observation group were significantly lower than those of the control group(P<0.05).Single maximal voiding volume,maximum cystometric capacity,and intravesical pressure were significantly increased in both groups(P<0.05)and were significantly higher in the observation group than in the control group(P<0.05).No needle shock,needle breakage,or allergic reaction happened in the two groups. Conclusion:Based on conventional treatment,the efficacy of intradermal needles and moxibustion combined with bladder irrigation in the treatment of post-stroke urinary retention was better than that of bladder irrigation.It was effective in reducing clinical symptoms,improving urinary function,improving quality of life and depression,and had a good safety profile.关键词
埋藏疗法/皮内针疗法/灸法/中风后遗症/尿潴留/抑郁Key words
Embedding Therapy/Intradermal Needle Therapy/Moxibustion Therapy/Poststroke Syndrome/Urinary Retention/Depression分类
医药卫生引用本文复制引用
林苏进,支英豪,潘录录,孔谐和..揿针与艾灸联合膀胱冲洗治疗脑卒中后尿潴留临床观察[J].针灸推拿医学(英文版),2025,23(1):56-62,7.基金项目
This study was supported by the Basic Scientific Research Project of Wenzhou(温州市基础性科研项目,No.Y20190382). (温州市基础性科研项目,No.Y20190382)