Objective: To observe the effect of navel acupuncture on bladder emptying function in patients with urinary retention after stroke based on the conventional treatment.
Methods: A total of 106 patients with urinary retention after stroke were randomly divided into an observation group (53 cases, 3 cases dropped off) and a control group (53 cases, 3 cases dropped off). Patients in the control group were treated with drugs, catheterization and bladder function rehabilitation training. On the basis of the treatment in the control group, the observation group was treated with navel acupuncture, 30 min each time, once every other day, for 4 weeks. The bladder residual urine volume, spontaneous urination volume and catheterization times before and after treatment were compared between the two groups, and the clinical efficacy was evaluated.
Results: After treatment, in the two groups, the bladder residual urine volume and catheterization times were lower than those before treatment (P<0.01), and the spontaneous urination volume was higher than that before treatment (P<0.01); the bladder residual urine volume and catheterization times in the observation group were less than those in the control group (P<0.05, P<0.01), and the spontaneous urination volume was higher than that in the control group (P<0.01). The effective rate of the observation group was 90.0 % (45/50), which was higher than 72.0 % (36/50) in the control group (P<0.05).
Conclusion: On the basis of conventional treatment, navel acupuncture can effectively improve the bladder emptying function of patients with urinary retention after stroke.
目的：在常规治疗基础上，观察脐针对卒中后尿潴留患者膀胱排空功能的影响。方法：将106例卒中后尿潴留患者随机分为观察组（53例，脱落3例）和对照组（53例，脱落3例）。对照组患者予药物、导尿及膀胱功能康复训练治疗；在对照组治疗基础上，观察组行脐针治疗，每次30 min，隔日1 次，共治疗4周。比较两组患者治疗前后膀胱残余尿量、自主排尿量、导尿次数，并评定临床疗效。结果：治疗后，两组患者膀胱残余尿量及导尿次数均较治疗前减少（P<0.01），自主排尿量较治疗前增加（P<0.01）；观察组膀胱残余尿量、导尿次数少于对照组（P<0.05，P<0.01），自主排尿量多于对照组（P<0.01)。观察组有效率为90.0%（45/50），高于对照组的72.0%（36/50，P<0.05）。结论：在常规治疗基础上，脐针能有效提高卒中后尿潴留患者膀胱排空功能。.
Keywords: bladder emptying function; bladder function rehabilitation training; navel acupuncture; urinary retention after stroke.