【作者】 刘路然；

【导师】 高维滨；

【作者基本信息】 黑龙江中医药大学 ， 针灸推拿学， 2003， 硕士

【摘要】 目的：研究电针治疗无抑制性神经原性膀胱(uninhibitive neurogenic bladder)的方法，并评估其临床疗效。 方法：本研究以脑血管病变引起的无抑制性神经原性膀胱患者为研究对象，采用抽签法将60例病人随机分为两组。针刺治疗组采用电针疗法，取四神聪穴、肾俞穴、会阳穴，每日一次；30分钟／每次，6天后休息一天，二周为一疗程；口服中药对照组取桑螵蛸散6g／次，2次／日，早晚温服，连续2周。以治疗前后的排尿日记，B超膀胱最大容量为指标，进行组间与组内，疗前疗后的对比观察，来探讨针灸治疗无抑制性神经原性膀胱的临床治疗作用。 结果：电针治疗组中各项指标的改善程度均明显优于中药对照组，治疗组排尿频率愈显率达90％，对照组排尿频率愈显率为23.3％，两组有极显著性差异(P＜0.01)。治疗组尿失禁愈显率达86.7％，对照组尿失禁愈显率达13.3％，两组有极显著性差异(P＜0.01)。治疗组膀胱最大容量较对照组有极显著性差异(P＜0.01)，较治疗前有极显著性差异(P＜0.01)。说明针刺治疗明显优于口服中药治疗。 结论：电针治疗无抑制性神经原性膀胱的疗效显著，明显改善了患者的症状和体征，优于口服中药。电针疗法操作简单，易于推广，为本病的治疗摸索出一条新的途径。更多还原

【Abstract】 Objective: to introduce treatment of uninhibitive neurogenic bladder by acupuncture with electric simulation and to evaluate its outcome.Methods: this research discussed the clinical treatment effect through treating uninhibitive neurogenic bladder who had been cerebrovascular accident, we divided 60 patients into two groups at random allocation, thirty patients per group, we compared the different curative results of Acupuncture with Electric Stimulation, Oral Chinese Herbs with urinary diary and the biggest capacity of bladder.Result: the result indicated that every parameters show notable improvement. The urinary effective rate was about 90% and urinary incontinence rate was above 86.7%. the biggest capacity of bladder, two groups before and after treating with dramatic difference, (P< 0.01).Conclusions: curative effect of acupuncture with electric stimulation in the treatment of uninhibitive neurogenic bladder was remarkable.更多还原