Clinical observation of intradermal needles and moxibustion combined with bladder irrigation in the treatment of post-stroke urinary retention
摘要
To observe the clinical efficacy of intradermal needles and moxibustion combined with bladder irrigation in the treatment of post-stroke urinary retention and its effect on the patient’s quality of life and depressive mood.
MethodsA total of 80 patients with post-stroke urinary retention were divided into an observation group and a control group by the random number table method, with 45 patients in each group. Both groups received the same basic treatment. In the control group, bladder irrigation was added; in the observation group, intradermal needles and moxibustion were added in addition to the treatment in the control group. After 2 weeks of continuous treatment, the clinical efficacy and the occurrence of adverse events were compared between the two groups, and the changes in the traditional Chinese medicine (TCM) symptom score, urinary function, quality of life, and depressive mood were observed.
ResultsThe total effective rate of the observation group was higher than that of the control group (P<0.05). After treatment, the TCM symptom score, residual urine volume, subjective quality of life profile score, and self-rating depression scale score of both groups were significantly reduced (P<0.05), and those of the observation group were significantly lower than those of the control group (P<0.05). Single maximal voiding volume, maximum cystometric capacity, and intravesical pressure were significantly increased in both groups (P<0.05) and were significantly higher in the observation group than in the control group (P<0.05). No needle shock, needle breakage, or allergic reaction happened in the two groups.
ConclusionBased on conventional treatment, the efficacy of intradermal needles and moxibustion combined with bladder irrigation in the treatment of post-stroke urinary retention was better than that of bladder irrigation. It was effective in reducing clinical symptoms, improving urinary function, improving quality of life and depression, and had a good safety profile.