温针灸联合甲硫酸新斯的明穴位注射治疗脊髓损伤后尿潴留临床观察

Clinical Observation on the Treatment of Urinary Retention after Spinal Cord Injury by Warm Acupuncture Combined with Neosmine Methosulfate Injection

摘要: 目的：本研究旨在探讨温针灸联合甲硫酸新斯的明穴位注射在脊髓损伤后尿潴留治疗中的临床疗效。方法：选取2023年1月至2023年1月期间，在乌鲁木齐市自治区人民医院收治的60例脊髓损伤后尿潴留患者作为研究对象，采用随机数字表法将其分为对照组和试验组，每组30例。对照组仅接受甲硫酸新斯的明肌肉注射治疗，而试验组则采用温针灸联合甲硫酸新斯的明穴位注射的治疗方案。通过比较两组患者的排尿次数、排尿量、漏尿次数、临床疗效以及尿路感染发生率评估温针灸联合甲硫酸新斯的明穴位注射足三里治疗脊髓损伤后尿潴留的有效性。结果：显示试验组的治疗总有效率显著高于对照组(P < 0.05)，且试验组的首次排尿时间更短、最大排尿量更多、残余尿量更少，同时尿路感染发生率也低于对照组(P < 0.05)。结论：温针灸联合甲硫酸新斯的明穴位注射在治疗脊髓损伤后尿潴留方面具有显著疗效，能够减少排尿次数及漏尿次数，增加膀胱储尿量，提高患者控尿能力，预防泌尿系感染，提高患者生活质量，值得临床推广。

Abstract: Objective: This study was to investigate the clinical efficacy of warm acupuncture combined with neosmine methsulfate injection in the treatment of urinary retention after spinal cord injury. Methods: A total of 60 patients with urinary retention after spinal cord injury treated in Urumqi Autonomous Region People’s Hospital from January 2023 to January 2023 were selected as research objects and divided into control group and experimental group by random number table method, with 30 cases in each group. The control group only received intramuscular injection of neosmine methionate, while the experimental group received warm acupuncture combined with acupoint injection of neosmine methionate. By comparing the frequency of urination, the volume of urination, the frequency of urine leakage, the clinical efficacy and the incidence of urinary tract infection of the two groups, the effectiveness of warm acupuncture combined with neosmine methosulfate injection at Zusanli in the treatment of urinary retention after spinal cord injury was evaluated. Results: The total effective rate of the experimental group was significantly higher than that of the control group (P < 0.05), and the first urination time, maximum urination volume and residual urine volume of the experimental group were shorter, and the incidence of urinary tract infection was also lower than that of the control group (P < 0.05). Conclusion: The combination of warm acupuncture and moxibustion with neosmine methosulfate has a significant effect on the treatment of urinary retention after spinal cord injury, which can reduce the frequency of urination and urine leakage, increase bladder urine storage, improve patients’ urinary control ability, prevent urinary system infection, and improve patients’ quality of life. It is worthy of clinical promotion.