| 黎玉婷 魏丽珠 董珍英 肖萃 邵银进 吴桂华.热敏灸八髎穴联合盆底肌功能训练对神经源性膀胱逼尿肌过度活动的效果[J].江西中医药大学学报,2025,37(5):52-55. |
| 热敏灸八髎穴联合盆底肌功能训练对神经源性膀胱逼尿肌过度活动的效果 |
| Effect of Heat-sensitive Moxibustion at Baliao Acupoint Combined with Pelvic Floor Muscle Function Training on Overactive Detrusor in Neurogenic Bladder |
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| DOI：10.20140/j.2095-7785.2025.05.15 |
| 中文关键词: 热敏灸；八髎穴；盆底肌功能训练；神经源性膀胱；逼尿肌过度活动 |
| 英文关键词: Heat-sensitive Moxibustion; Baliao Points; Pelvic Floor Muscle Function Training; Neurogenic Bladder; Detrusor Overactivity |
| 基金项目:江西省中医药管理局科技计划项目（2023B0464）。 |
| 作者 | 单位 | | 黎玉婷 魏丽珠 董珍英 肖萃 邵银进 吴桂华 | 赣州市人民医院康复医学科 江西 赣州
341000 |
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| 中文摘要: |
| 目的：观察热敏灸八髎穴联合盆底肌功能训练对神经源性膀胱逼尿肌过度活动（NDO）的效果。方法：选取赣州市
人民医院 2023 年 5 月—2024 年 3 月收治的不完全性脊髓损伤神经源性膀胱患者共 60 例，采用随机数字表法分为对照组（常
规治疗 + 盆底肌功能锻炼）和观察组（常规治疗 + 盆底肌功能锻炼 + 热敏灸八髎穴），各 30 例。观察 2 组患者神经源性膀
胱症状评分（NBSS）、膀胱过度活动症状评分（OABSS）、尿流动力学指标、盆底肌功能。结果：治疗后，2 组患者的 NBSS、
OABSS 评分较同组治疗前均有下降（P<0.05），且观察组患者的 NBSS 评分和 OABSS 评分均低于对照组（P<0.05）。治疗后，
2 组患者的最大膀胱容积、逼尿肌首次压力容积较同组治疗前均有上升，逼尿肌漏尿点压、逼尿肌最大收缩压较同组治疗前
均有下降（P<0.05），且观察组的最大膀胱容积、逼尿肌首次压力容积高于对照组，逼尿肌漏尿点压、逼尿肌最大收缩压低
于对照组（P<0.05）。治疗后，2 组患者的改良牛津肌力（MOS）分级、Glazer 各评估指标较同组治疗前均有提升（P<0.05），
且观察组的 MOS 分级、Glazer 各评估指标均高于对照组（P<0.05）。结论：采用热敏灸八髎穴联合盆底肌功能训练对 NDO
患者有较好的干预效果。 |
| 英文摘要: |
| To observe the effect of heat-sensitive moxibustion at the Baliao points combined with pelvic floor muscle function
training on neurogenic detrusor overactivity (NDO). Methods: A total of 60 patients with incomplete spinal cord injury neurogenic bladder
admitted to Ganzhou People's Hospital from May 2023 to March 2024 were selected for the study. They were randomly divided into a control
group (conventional treatment+pelvic floor muscle function exercise) and a observation group (conventional treatment+pelvic floor muscle
function exercise+heat-sensitive moxibustion at the Baliao acupoint) using a random number table method, with 30 cases in each group.
Observe the neurogenic bladder symptom score (NBSS), overactive bladder symptom score (OABSS), urodynamic indicators, and pelvic
floor muscle function in two groups of patients. Results: After treatment, the NBSS and OABSS scores of both groups of patients decreased
compared to before treatment in the same group (P<0.05). After treatment, the NBSS and OABSS scores of the observation group were lower
than those of the control group (P<0.05). After treatment, the maximum bladder volume and first detrusor pressure volume of both groups of
patients increased compared to before treatment, while the detrusor leak point pressure and maximum detrusor systolic pressure decreased
compared to before treatment (P<0.05). After treatment, the maximum bladder volume and first detrusor pressure volume of the observation
group were higher than those of the control group, while the detrusor leak point pressure and maximum detrusor systolic pressure were
lower than those of the control group (P<0.05). After treatment, the MOS grading and Glazer evaluation indicators of both groups of patients
improved compared to before treatment in the same group (P<0.05). After treatment, the MOS grading and Glazer evaluation indicators of
the observation group were higher than those of the control group (P<0.05). Conclusion: Heat-sensitive moxibustion at the Baliao points
combined with pelvic floor muscle function training has a good interventional effect on NDO patients. |
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