Study on the clinical effect of acupuncture and rehabilitation training for neurogenic bladder in patients with spinal cord injury
针灸结合康复训练治疗脊髓损伤患者神经源性膀胱临床效果研究

摘要

目的 研究在脊髓损伤后神经源性膀胱患者中开展针灸结合康复训练治疗的临床效果。方法 本次研究对象选取2022年6月至2024年6月期间我院收治的脊髓损伤后神经源性膀胱患者90例，用随机数字表法将入选的患者分成两组开展治疗研究，组别类型为观察组与对照组，组间人数为45例，对照组给予单独康复训练治疗，观察组开展针灸结合康复训练治疗，将最终两组取得的治疗效果进行对比分析。结果 两组最终结果比较显示，观察组患者的症状改善时间明显短于对照组，最大尿流率、最大膀胱容量以及残余尿量改善效果均优于对照组，发生的并发症少于对照组，最终患者生活质量与对照组相比明显提高，（P＜0.05）。结论 将针灸联合康复训练方案应用于脊髓损伤后神经源性膀胱患者治疗中，可使治疗效果得到进一步提升，尽早改善患者的临床症状，减少膀胱残余尿量，降低并发症发生率，提高患者生活质量。

Abstract

Objective: To study the clinical effect of acupuncture combined with rehabilitation training in patients with neurogenic bladder after spinal cord injury.
Methods: the study object during June 2022 to June 2024 during our hospital admitted after spinal cord injury in 90 cases, neurogenic bladder patients with random number table method will be divided into two groups for treatment study, the group type for observation group and control group, group number of 45 cases, the control group given separate rehabilitation training treatment, observation group of acupuncture combined with rehabilitation training treatment, the final two groups of treatment effect.
Results: The comparison of the two final results of the groups showed that the symptom improvement time of the patients in the observation group was significantly shorter than that of the control group, the maximum urinary flow rate, maximum bladder capacity and residual urine volume were better than that of the control group, the complications were less than that of the control group, and the final quality of life of the patients was significantly improved compared with that of the control group (P <0.05).
Conclusion  : The application of TCM acupuncture combined rehabilitation training program to the treatment of neurogenic bladder patients after spinal cord injury can further improve the treatment effect, improve the clinical symptoms of patients as soon as possible, reduce the residual urine volume of the bladder, reduce the incidence of complications, and improve the quality of life of patients.