摘要
目的评价中药内服、针刺、热奄包外敷治疗中风后尿潴留肾气亏虚证疗效。方法将符合入选标准的2017年1月-2020年12月承德市中医院患者106例,按随机数字表法分为2组,每组53例。对照组给予西医常规疗法+膀胱功能训练,观察组在对照组基础上结合中药内服+针刺+热奄包外敷治疗。2组均治疗28 d。分别于治疗前后进行中医证候评分;采用腹部B超检测并记录最大尿意膀胱容量,排尿完成后记录残余尿量,评估膀胱功能;观察并记录治疗期间的尿痛改善时间、首次排尿时间、尿管留置时间、住院时间、不良反应,评价临床疗效。结果观察组总有效率为96.2%(51/53)、对照组为84.9%(45/53),2组比较差异有统计学意义(χ^(2)=3.98,P=0.046)。观察组治疗后残余尿量[(54.23±6.23)ml比(91.24±11.25)ml,t=20.95]低于对照组(P<0.01),最大尿意膀胱容量[(366.23±30.23)ml比(259.63±26.23)ml,t=19.35]高于对照组(P<0.01)。观察组治疗后中医证候评分低于对照组(t=13.25,P<0.01),膀胱功能评分低于对照组(t=13.53,P<0.01)。观察组尿痛改善时间、首次排尿时间、尿管留置时间、住院时间均低于对照组(t值分别为5.73、17.91、6.76、9.67,P值均<0.01)。2组治疗期间均未发生不良反应。结论在西医常规疗法+膀胱功能训练基础上,结合中药内服+针刺+热奄包外敷可较好改善中风后尿潴留肾气亏虚证患者的膀胱功能,提高临床疗效。
Objective To observe the clinical effect of internal administration of Traditional Chinese Medicine(TCM)and external application of hot election bag combined with acupuncture on urinary retention after stroke with kidney qi deficiency type.Methods A total of 106 patients admitted to Chengde Hospital of Traditional Chinese Medicine from January 2017 to December 2020 who met the inclusion criteria were randomly divided into 2 groups according to the random number table method,with 53 in each group.The control group was treated with conventional western medicine therapy and bladder function training,while the observation group was treated with TCM,acupuncture and external application on the basis of the control group.Both groups were treated for 28 days.Before and after treatment,TCM syndrome scores were performed,and the maximum urinary capacity and residual urine volume were recorded by abdominal B-ultrasound to evaluate the bladder function of the patients.The improvement time of urinary pain,first urination time,catheter indwelling time,length of hospital stay and adverse reactions during treatment were observed and recorded,and the clinical efficacy was evaluated.Results The total effective rate was 96.2%(51/53)in the observation group and 84.9%(45/53)in the control group,and the difference between the two groups was statistically significant(χ^(2)=3.98,P=0.046).The residual urine volume of the observation group after treatment[(54.23±6.23)ml vs.(91.24±11.25)ml,t=20.95]was significantly lower than that of the control group(P<0.01),and the maximum urinary bladder volume[(366.23±30.23)ml vs.(259.63±26.23)ml,t=19.39]was significantly higher than that of the control group(P<0.01).After treatment,the TCM syndrome score of the observation group was significantly lower than that of the control group(t=13.25,P<0.01),and the bladder function score of the observation group was significantly lower than that of the control group(t=13.53,P<0.01).The improvement time of urinary pain,first urination time,catheter indwelling time and hospital stay in the observation group were significantly lower than those in the control group(t=5.73,17.91,6.76,9.67,all Ps<0.01).No adverse reactions occurred in the two groups during treatment.Conclusion The combination of TCM,hot compress therapy and acupuncture plus routine therapy can treat the patients with urinary retention after stroke and kidney qi deficiency type with good bladder function,improved symptoms and fast recovery and safety.
作者
孙海艳
赵春生
赵凤敏
殷红
佟飞
丁广谦
Sun Haiyan;Zhao Chunsheng;Zhao Fengmin;Yin Hong;Tong Fei;Ding Guangqian(Department of Encephalopathy and Rehabilitation,Chengde Hospital of Traditional Chinese Medicine,Chengde 067000,China;Department of Emergency,Affiliated Hospital of Chengde Medical College,Chengde 067000,China;Department of Endoscopy,Fengning County Hospital,Chengde 068350,China;Department of Pathology,Fengning County Hospital,Chengde 068350,China)
出处
《国际中医中药杂志》
2022年第12期1385-1388,共4页
International Journal of Traditional Chinese Medicine
基金
承德市科技计划项目(202109A025)。
关键词
卒中
尿潴留
中风后遗症
脑卒中康复
热敷疗法
针刺疗法
Stroke
Urinary retention
Sequela of apoplexy
Stroke rehabilitation
Hot compress therapy
Acupuncture therapy
作者简介
通信作者:孙海艳,Email:wangxiaol1812@163.com。
