Therapeutic Observation ofNa Zhi Method plus Electroacupuncture for Poststroke Uninhibited Neurogenic Bladder
- 医学院－已发表论文 
目的 观察纳支法结合电针治疗中风后无抑制性神经源性膀胱的临床疗效.方法 将120例脑血管病变引起的无抑制性神经源性膀胱患者随机分为治疗组和对照组,每组60例.治疗组采用纳支法结合电针治疗;对照组采用电针疗法.每日1次,每次30 min,治疗2星期.观察两组治疗前后日排尿频率测试分度和膀胱最大容量的变化,并比较临床疗效.结果 治疗组总有效率为98.2%,愈显率为89.5%;对照组总有效率为93.1%,愈显率为72.4%.两组愈显率比较,差异有统计学意义（P〈0.05）.两组治疗前日排尿频率测试分度比较,差异无统计学意义（P〉0.05）;两组治疗前后日排尿频率测试分度比较,差异有极显著统计学意义（P〈0.01）;治疗组治疗后日排尿频率测试分度与对照组比较,差异有统计学性意义（P〈0.05）.两组治疗前膀胱最大容量比较,差异无统计学意义（P〉0.05）;两组治疗前后膀胱最大容量比较,差异有极显著统计学意义（P〈0.01）;治疗组治疗后膀胱最大容量与对照组比较差异有统计学意义（P〈0.05）.结论 电针治疗无抑制性神经源性膀胱疗效显著,结合纳支法疗效明显优于单纯电针.Objective To observe the clinical efficacy of Na Zhi method （midnight-noon ebb-flow method） plus electroacupuncture in treating poststroke uninhibited neurogenic bladder.Method A total of 120 patients with uninhibited neurogenic bladder due to cerebrovascular diseases were randomized into a treatment group and a control group, 60 cases in each group. The treatment group was intervened by Na Zhi method plus electroacupuncture; the control group was intervened by electroacupuncture. The intervention was conducted once a day, 30 min each time, for a total of 2 weeks. The daily voiding frequency index and maximum cystometric capacity （MCC） in the two groups were measured before and after the intervention, and the clinical efficacies were compared.Result The total effective rate and markedly effective rate were respectively 98.2% and 89.5% in the treatment group versus 93.1% and 72.4% in the control group. There was a significant difference in comparing the markedly effective rate between the two groups （P〈0.05）. There was no significant difference in comparing the daily voiding frequency index between the two groups before the intervention （P〉0.05）; the daily voiding frequency index was significantly changed after the intervention in both groups （P〈0.01）, and the daily voiding frequency index of the treatment group was significantly different from that of the control group after the intervention （P〈0.05）. There was no significant difference in comparing the MCC before the intervention between the two groups （P〉0.05）; the MCC was significantly changed after the intervention in both groups （P〈0.01）; the MCC of the treatment group was significantly different from that of the control group after the intervention （P〈0.05）.Conclusion Electroacupuncture can produce a significant efficacy in treating uninhibitedneurogenic bladder, while it can produce a more significant efficacy when combined withNa Zhi method.