[1]宋鹏冉,李春颖,刘宇,等.头排针联合八髎灸法治疗中风后排尿障碍疗效观察[J].陕西中医,2025,46(8):1127-1130,1140.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.024]
 SONG Pengran,LI Chunying,LIU Yu,et al.The therapeutic effect of scalp acupuncture combined with Baliao moxibustion on urinary disorder after stroke[J].,2025,46(8):1127-1130,1140.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.024]
点击复制

头排针联合八髎灸法治疗中风后排尿障碍疗效观察

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年8期
页码:
1127-1130,1140
栏目:
针灸经络
出版日期:
2025-08-05

文章信息/Info

Title:
The therapeutic effect of scalp acupuncture combined with Baliao moxibustion on urinary disorder after stroke
作者:
宋鹏冉李春颖刘宇何玉伟刘倩
(北京中医药大学附属护国寺中医医院针灸科,北京 100039)
Author(s):
SONG PengranLI ChunyingLIU YuHE YuweiLIU Qian
(Department of Acupuncture and Moxibustion,Huguosi Hospital of Traditional Chinese Medicine Affiliated to Beijing University of Traditional Chinese Medicine,Beijing 100039,China)
关键词:
中风排尿障碍头排针八髎灸法临床疗效生存质量
Keywords:
StrokeUrinary disorderScalp acupunctureBaliao moxibustion methodEffectivenessQuality of life
分类号:
R 743.3
DOI:
DOI:10.3969/j.issn.1000-7369.2025.08.024
文献标志码:
A
摘要:
目的:观察头排针联合八髎灸法治疗中风后排尿障碍的疗效。方法:选取83例中风后排尿障碍患者为研究对象,采用随机数字表法分为对照组(行常规留置导尿治疗,42例)和试验组(在常规留置导尿治疗的基础上行头排针联合八髎灸法,41例)。比较两组的临床疗效、排尿频率、尿流动力学[最大尿流速(Qmax)、膀胱残余尿量(RUV)、最大膀胱容积(MCC)]和生存质量水平。结果:治疗1个月后,试验组临床疗效优于对照组(P<0.05);试验组排尿频率等级优于对照组(P<0.05);试验组Qmax、MCC高于对照组,RUV低于对照组(均P<0.05);试验组生存质量水平高于对照组(均P<0.05)。结论:头排针联合八髎灸法治疗中风后排尿障碍疗效显著,可调节尿动力学水平,改善膀胱功能,从而提高患者生活质量。
Abstract:
Objective:Observation of the therapeutic effect of scalp acupuncture combined with Baliao moxibustion on urinary disorder after stroke.Methods:83 patients with urinary disorders after stroke were selected as the research subjects.Random number table method was used to divide them into a control group (receiving routine indwelling catheterization treatment,42 cases) and an experimental group (receiving head acupuncture combined with Baliao moxibustion on the basis of routine indwelling catheterization treatment,41 cases).The clinical efficacy,urination frequency,urodynamics [maximum urinary flow rate (Qmax),residual urine volume of the bladder (RUV),maximum bladder volume (MCC)] and quality of life levels of the two groups were compared.Results:After one month of treatment,the clinical efficacy of the experimental group was higher than that of the control group (P<0.05).The urinary frequency level of the experimental group was better than that of the control group (P<0.05).The Qmax and MCC of the experimental group were higher than those of the control group,and the RUV was lower than that of the control group (all P<0.05).The quality of life level of the experimental group was higher than that of the control group (all P<0.05).Conclusion:The combination of scalp acupuncture and Baliao moxibustion has a significant therapeutic effect on post-stroke urinary disorder,which can regulate the level of urodynamics and improve the bladder function of patients,thereby providing a better quality of life for patients.

参考文献/References:

[1]戴雨婷,王清,张敏,等.脑卒中患者运动康复偏好的概念分析[J].实用临床医药杂志,2024,28(8):113-118.
[2]刘满满,韩萍,王新陆.基于血浊理论探讨风痰瘀阻型中风的发病机制及治疗思路[J].天津中医药,2024,41(6):685-688.
[3]UNIKEN VENEMA S M,DANKBAAR J W,VAN DER LUGT A,et al.Cerebral collateral circulation in the era of reperfusion therapies for acute ischemic stroke[J].Stroke,2022,53(10):3222-3234.
[4]司峰,左佳,李庆彬,等.尿动力检查对指导老年缺血性脑卒中患者康复期下尿路功能障碍治疗的价值[J].现代泌尿外科杂志,2024,29(9):776-780.
[5]陈士炯,倪凌雁,任超,等.针刺配合补阳还五汤加减治疗对中风后肢体偏瘫患者康复的影响[J].实用临床医药杂志,2021,25(22):106-108.
[6]刘俊智,贾松涛,张春敏,等.烧山火针刺法结合盆底肌训练治疗卒中后尿失禁疗效观察[J].现代中西医结合杂志,2023,32(21):2982-2986.
[7]王储,王东岩,宋晶,等.针灸治疗非痴呆性血管性认知障碍机制研究进展[J].针灸临床杂志,2023,39(2):98-101.
[8]章葱葱,王浩,朱顺,等.针灸联合盆底肌训练治疗脑卒中后尿失禁的Meta分析[J].中西医结合心脑血管病杂志,2023,21(6):999-1006.
[9]白田雨,李虎.八髎穴隔药饼灸结合调经促孕针法治疗脾肾阳虚型早发性卵巢功能不全临床研究[J].山东中医杂志,2023,42(10):1074-1079.
[10]许铛瀚,刘钊汐,林国基,等.杨文辉运用杨氏八髎灸治疗腰痹病经验[J].广州中医药大学学报,2024,41(11):2973-2979.
[11]徐思禹,孙忠人,邢广月,等.头针治疗中风后神经功能重建的机制研究进展[J].中国中医急症,2023,32(5):937-940.
[12]唐云,王颖.头针联合通督调神针刺法对脑卒中偏瘫患者肢体功能和日常生活活动能力的影响[J].中华物理医学与康复杂志,2024,46(9):833-835.
[13]中国中西医结合学会神经科专业委员会.中国脑梗死中西医结合诊治指南(2017)[J].中国中西医结合杂志,2018,38(2):136-144.
[14]那彦群,叶章群,孙光.中国泌尿外科疾病诊断治疗指南:2011版[M].北京:人民卫生出版社,2011:14-21.
[15]孙燕,沈雅萍,钟亮,等.经皮胫神经电刺激联合电针调节骶3神经治疗对脊髓损伤逼尿肌过度活动的影响[J].中华物理医学与康复杂志,2024,46(6):539-543.
[16]KOLARI V,RAHELI V,SAKI Z.The quality of life of caregivers of people with type 2 diabetes estimated using the WHOQOL-BREF questionnaire[J].Diabetology,2023,4(4):430-439.
[17]贾娜.探讨康复训练早期介入对脑卒中患者功能恢复的影响——评《脑卒中康复临床实践》[J].世界中医药,2023,18(2):297.
[18]辜桂兰,李小会,王爽,等.基于《金匮要略》辨析小便利与不利[J].环球中医药,2023,16(7):1373-1376.
[19]张倩,王雪丹,沈润斌,等.电针八髎穴联合盆底肌电刺激对脊髓损伤后尿失禁病人排尿情况、尿流动力学及生活质量的影响[J].安徽医药,2023,27(12):2421-2424.
[20]张雪卓,胡丙成,蔡绍杰,等.基于数据挖掘探讨针刺治疗中风后排尿障碍的选穴规律[J].中国中医药科技,2023,30(2):408-412.
[21]FURRER M A,KESSLER T M,PANICKER J N,et al.Detrusor sphincter dyssynergia[J].Urol Clin North Am,2024,51(2):221-232.
[22]陈佳华,倪金霞.基于“脑为髓海”理论浅议头穴丛刺法治疗中风思路[J].辽宁中医药大学学报,2021,23(8):79-82.
[23]刘思思,贺军.浅析中西医治疗脑卒中后排尿障碍[J].中华针灸电子杂志,2020,9(2):81-83.
[24]缪霖,刘思润,王燕,等.浅谈杨氏八髎灸治疗中风后尿失禁[J].医学食疗与健康,2022,19(24):235-236.
[25]周文奇.针药并用治疗脑卒中后遗症[J].中国药理学与毒理学杂志,2023,37(S1):76.

相似文献/References:

[1]倪建俐,黄 姝,袁 晴△.中医特色疗法治疗中风后肢体功能障碍研究进展*[J].陕西中医,2020,(9):1339.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.045]
[2]张晓霞,杨 峥△,赵 亭.风三针治疗中风后吞咽障碍临床研究*[J].陕西中医,2020,(10):1504.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.046]
 ZHANG Xiaoxia,YANG Zheng,ZHAO Ting..The clinical effect of “three wind needles” in patients with dysphagia after stroke[J].,2020,(8):1504.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.046]
[3]郭 爽,于存娟,陈婷婷.星蒌承气汤治疗中风病痰热腑实证疗效及对患者生物学指标和血浆内毒素脂多糖的影响[J].陕西中医,2022,(5):592.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.011]
 GUO Shuang,YU Cunjuan,CHEN Tingting.Effect of Xinglou Chengqi decoction on biological indexes and plasma LPS of patients with stroke disease[J].,2022,(8):592.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.011]
[4]兰 谢,余帅江.温针灸对中风后遗症患者血清炎症因子的影响[J].陕西中医,2022,(7):954.[doi:DOI:10.3969/j.issn.1000-7369.2022.07.035]
 LAN Xie,YU Shuaijiang.Effects of warm acupuncture and moxibustion on serum inflammatory factor in patients with stroke sequelae[J].,2022,(8):954.[doi:DOI:10.3969/j.issn.1000-7369.2022.07.035]
[5]赵康如,柳 雪,范兆鹏,等.针灸联合门德尔松手法对中风后吞咽困难患者吞咽功能的影响[J].陕西中医,2022,(7):958.[doi:DOI:10.3969/j.issn.1000-7369.2022.07.036]
 ZHAO Kangru,LIU Xue,FAN Zhaopeng,et al.Effect of acupuncture and Mendelssohn's manipulation on the improvement of swallowing function in patients with dysphagia after stroke[J].,2022,(8):958.[doi:DOI:10.3969/j.issn.1000-7369.2022.07.036]
[6]王友刚,高大红,柳 刚,等.压灸足运感区联合盆底肌肉训练对中风后尿失禁患者临床症状、膀胱残余尿量及生活质量的影响[J].陕西中医,2023,(5):663.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.030]
 WANG Yougang,GAO Dahong,LIU Gang,et al.Effects of foot massage and pelvic floor muscle training on clinical symptoms,residual urine volume of bladder and quality of life of patients with urinary incontinence after stroke[J].,2023,(8):663.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.030]
[7]陈雨菲,李小黎,张 婧,等.温针灸治疗气虚血瘀型中风后遗症研究进展[J].陕西中医,2023,(8):1150.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.036]
[8]梁艳桂,吴海科,黄耀渠,等.针灸不同穴位组治疗中风后假性球麻痹吞咽功能障碍疗效研究[J].陕西中医,2024,(3):411.[doi:DOI:10.3969/j.issn.1000-7369.2024.03.029]
 LIANG Yangui,WU Haike,HUANG Yaoqu,et al.Curative effect study on different acupuncture point on swallowing dysfunction caused by pseudobulbar palsy after stroke[J].,2024,(8):411.[doi:DOI:10.3969/j.issn.1000-7369.2024.03.029]
[9]张 敌,王彦华,陈昺伃.脑卒中半身不遂中医病机探析[J].陕西中医,2024,(7):947.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.019]
 ZHANG Di,WANG Yanhua,CHEN Bingyu.Traditional Chinese medicine pathogenesis of stroke hemiplegia[J].,2024,(8):947.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.019]
[10]罗春梅,李佩芳,刘 霞,等.针刺夹脊穴联合通督调神针刺治疗中风后平衡障碍临床研究[J].陕西中医,2024,(9):1262.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.026]
 LUO Chunmei,LI Peifang,LIU Xia,et al.Clinical study on acupuncture at Jiaji point combined with Tongdu Tiaoshen acupuncture in the treatment of post-stroke balance disorders[J].,2024,(8):1262.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.026]

备注/Memo

备注/Memo:
首都卫生发展科研专项课题(首发2022-3-7028)
更新日期/Last Update: 2025-08-08