针灸推拿医学（英文版）2025，Vol.23Issue(6)：523-530,8.DOI:10.1007/s11726-025-1539-4
针灸治疗脑卒中后尿潴留患者拔管困难的临床疗效观察
Clinical efficacy observation of acupuncture-moxibustion in treating difficult catheter removal in patients with poststroke urinary retention
摘要
Abstract
Objective:To observe the clinical efficacy of turtle-shell-insulated moxibustion combined with acupuncture at Baliao points in treating difficult catheter removal in poststroke urinary retention. Methods:Eighty patients with poststroke urinary retention experiencing difficult catheter removal were randomly allocated to an observation group and a control group using the random number table method,each consisting of 40 cases.The control group received intermittent catheterization,based on which,the observation group additionally received turtle-shell-insulated moxibustion plus acupuncture at Baliao points 5 times weekly.The number of successful catheter removals after 1,2,and 3 weeks of treatment,respectively,the postvoid residual urine volume before and after 1,2,and 3 weeks of treatment,bladder safe volume,end-filling bladder resting pressure,and bladder compliance before and after 2 weeks of treatment were recorded.Adverse reactions that occurred during the treatment period were observed. Results:There was no significant difference in the number of successful catheter removals between the observation group and control group after 1 week of treatment(P>0.05);the observation group had more successful catheter removals than the control group after 2 and 3 weeks of treatment(P<0.05).The between-group difference in the postvoid residual urine volume was statistically insignificant at treatment week 1(P>0.05),while the residual volume was smaller in the observation group than in the control group at treatment weeks 2 and 3(P<0.05).Compared to the control group,the observation group had lower bladder safe capacity and compliance(P<0.01)and higher end-filling bladder resting pressure(P<0.01)after 2 weeks of treatment.During the treatment period,the observation group had a lower adverse reaction rate than the control group(P<0.05). Conclusion:Based on intermittent catheterization,turtle-shell-insulated moxibustion plus acupuncture at Baliao points can increase the success rate of urine catheter removal and lower the adverse reaction rate in patients with poststroke urinary retention.The mechanism may be associated with elevating the end-filling bladder resting pressure and decreasing bladder safe capacity,thus restoring normal bladder compliance and reducing residual urine volume.关键词
针灸疗法/针刺疗法/间接灸/穴,八髎/中风后遗症/尿潴留/随机对照试验Key words
Acupuncture-moxibustion Therapy/Acupuncture Therapy/Indirect Moxibustion/Points,Baliao/Poststroke Syndrome/Urinary Retention/Randomized Controlled Trial分类
医药卫生引用本文复制引用
YANG Pengyan,JI Ying,WU Qiang,HONG Jue..针灸治疗脑卒中后尿潴留患者拔管困难的临床疗效观察[J].针灸推拿医学（英文版）,2025,23(6):523-530,8.基金项目
This study was supported by the Project of Science and Technology Benefit for People in Jiangning District,Nanjing City(南京市江宁区科技惠民计划项目,No.2023028S). （南京市江宁区科技惠民计划项目,No.2023028S）
