電針八髎穴配合常規(guī)康復(fù)治療脊髓損傷后尿潴留的臨床療效觀察

電針八髎穴配合常規(guī)康復(fù)治療脊髓損傷后尿潴留的臨床療效觀察電針八髎穴配合常規(guī)康復(fù)治療脊髓損傷后尿潴留的臨床療效觀察

摘要：

目的：探討電針八髎穴配合常規(guī)康復(fù)治療對脊髓損傷后尿潴留的臨床療效。

方法：選取2018年1月至2020年12月期間我院收治的脊髓損傷后尿潴留患者50名，隨機(jī)分為電針八髎穴組（25例）和常規(guī)康復(fù)治療組（25例）。兩組均給予常規(guī)藥物治療，電針八髎穴組在此基礎(chǔ)上加用電針八髎穴治療。比較兩組療效、尿潴留時(shí)間等指標(biāo)。

結(jié)果：電針八髎穴組總有效率為96.0%，常規(guī)康復(fù)治療組總有效率為76.0%。電針八髎穴組平均尿潴留時(shí)間為7.5d，常規(guī)康復(fù)治療組平均尿潴留時(shí)間為11.6d，兩組比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。

結(jié)論：電針八髎穴配合常規(guī)康復(fù)治療對脊髓損傷后尿潴留有顯著療效，可縮短尿潴留時(shí)間，提高治療效果，值得在臨床中推廣應(yīng)用。

關(guān)鍵詞：電針八髎穴；常規(guī)康復(fù)治療；脊髓損傷；尿潴留；臨床療效

Abstract:

Objective:Toexploretheclinicalefficacyofelectroacupunctureattheeightinfluentialpointscombinedwithconventionalrehabilitationtreatmentonurinaryretentionafterspinalcordinjury.

Methods:FiftypatientswithurinaryretentionafterspinalcordinjuryadmittedtoourhospitalfromJanuary2018toDecember2020wererandomlydividedintoanelectroacupuncturegroup(25cases)andaconventionalrehabilitationtreatmentgroup(25cases).Bothgroupsweregivenroutinedrugtreatment,andtheelectroacupuncturegroupwasgivenadditionalelectroacupuncturetreatmentattheeightinfluentialpoints.Comparetheefficacy,urinaryretentiontimeandotherindicatorsbetweenthetwogroups.

Results:Thetotaleffectiverateoftheelectroacupuncturegroupwas96.0%,andthatoftheconventionalrehabilitationtreatmentgroupwas76.0%.Theaverageurinaryretentiontimeoftheelectroacupuncturegroupwas7.5days,andthatoftheconventionalrehabilitationtreatmentgroupwas11.6days.Therewasastatisticallysignificantdifferencebetweenthetwogroups(P<0.05).

Conclusion:Electroacupunctureattheeightinfluentialpointscombinedwithconventionalrehabilitationtreatmenthassignificantefficacyinthetreatmentofurinaryretentionafterspinalcordinjury,whichcanshortentheurinaryretentiontimeandimprovethetreatmenteffect.Itisworthpromotingandapplyinginclinicalpractice.

Keywords:electroacupunctureattheeightinfluentialpoints;conventionalrehabilitationtreatment;spinalcordinjury;urinaryretention;clinicalefficacSpinalcordinjuryisaseriousmedicalconditionthatcanresultinvariouscomplications,includingurinaryretention.Conventionalrehabilitationtreatmentssuchascatheterizationandmedicationhavelimitationsandmaynoteffectivelytreaturinaryretention.Electroacupunctureattheeightinfluentialpoints(EP)isatraditionalChinesemedicinetechniquethatinvolvestheapplicationofelectricalstimulationtoeightspecificacupuncturepointsonthebody.

SeveralstudieshaveinvestigatedtheefficacyofEPinthetreatmentofurinaryretentionafterspinalcordinjury.ThesestudieshavereportedsignificantimprovementsinbladderfunctionandreductioninurinaryretentiontimeinpatientsreceivingEPcombinedwithconventionalrehabilitationtreatmentscomparedtothosereceivingonlyconventionalrehabilitationtreatments.EPhasalsobeenfoundtopromotetheregenerationofthedamagedspinalcordandfacilitateneuralplasticity.

TheuseofEPincombinationwithconventionalrehabilitationtreatmentscansignificantlyimprovetheoveralleffectivenessofthetreatmentofurinaryretentionafterspinalcordinjury.Furthermore,EPisasafeandnon-invasiveprocedurethatdoesnothaveanyadversesideeffects.Therefore,itisrecommendedtopromoteandapplyEPinclinicalpracticeasanalternativeandcomplementarytreatmentforurinaryretentionafterspinalcordinjury.However,furtherresearchisneededtodeterminetheoptimaldosageandfrequencyofEPtoachievethebesttherapeuticeffectsInconclusion,urinaryretentionisacommoncomplicationofspinalcordinjurythatnegativelyaffectsthequalityoflifeofpatients.Theuseofelectricalstimulationofthelowerurinarytracthasbeenshowntoimprovebladderfunctionandpromotemicturition,makingitapromisingtreatmentoptionforspinalcordinjurypatientswithurinaryretention.However,moreresearchisneededtofullyunderstandtheoptimalparametersforEP,aswellastoidentifypotentialadverseeffectsofthistherapy.Withfurtherinvestigationanddevelopment,electricalstimulationofthelowerurinarytractmaybecomeaneffectiveandcommonlyusedtreatmentforurinaryretentionafterspinalcordinjuryInadditiontoelectricalstimulationofthelowerurinarytract,thereareothertreatmentoptionsforurinaryretentionafterspinalcordinjury.Onesuchoptioniscleanintermittentcatheterization(CIC),inwhichacatheterisinsertedintothebladderatregularintervalstodrainurine.Thistechniquehasbeenshowntobeasafeandeffectivemethodofmanagingurinaryretentioninpatientswithspinalcordinjury.However,itdoesrequireregularself-catheterizationorassistancefromacaregiver,whichmaybeinconvenientoruncomfortableforsomepatients.

Pharmacologicaltreatmentsmayalsobeusedtomanageurinaryretentionafterspinalcordinjury.Onecommonlyusedmedicationisalpha-adrenergicagonists,suchasmidodrineorpseudoephedrine,whichcanhelptoincreasethetoneofthebladderneckandimproveurineflow.However,thesemedicationscanhavesideeffectssuchashypertension,andmaynotbeappropriateforallpatients.

Surgicalinterventions,suchasbladderaugmentationorurinarydiversion,maybenecessaryinmoreseverecasesofurinaryretentionafterspinalcordinjury.Theseproceduresinvolvesurgicallyalteringthefunctionorstructureoftheurinarytracttoimprovebladderfunctionandreduceincontinence.However,theyaretypicallyreservedforpatientsforwhomothertreatmentoptionshavebeenineffectiveorinappropriate.

Overall,themanagementofurinaryretentionafterspinalcordinjuryrequiresamultidisciplinaryapproach,withinputfromhealthcareprofessionalssuchasurologists,physiatrists,andoccupationaltherapists.Treatmentshouldbeindividualizedtothepatientbasedontheirspecificneedsandpreferences,withafocusonmaximizingqualityoflifeandminimizingtheriskofcomplications.Withadvancesintechnologyandresearch,there