| Objective:The efficacy and safety of Xingnao Kaiqiao acupuncture combined with warm acupuncture in the treatment of urinary retention after stroke were observed.Methods:A total of 60 patients with urinary retention after stroke admitted to the acupuncture ward of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from January 2021 to December 2021 were selected and randomly divided into the treatment group and the control group,with 30 patients in each group.According to the relevant guidelines and the individual condition of the patients,the two groups were given symptomatic and supportive treatment for cerebrovascular diseases such as regulating blood lipid and lowering blood pressure,controlling blood glucose,anti-plate,anticoagulation,and improving cerebral circulation without interfering with micturition function,and were treated with Xingnao Kaiqiao acupuncture method for improving stroke symptoms.On this basis,the treatment group was treated with warm acupuncture,once a day,continuous acupuncture for 6days as a course of treatment,rest for 1 day,a total of 4 courses(28 days)after the end;the control group was treated with oral tamsulosin hydrochloride sustained-release capsules(0.2mg),0.2 mg / d,a total of 4 courses.The Bladder Function Score(BFS),Residual Urine Volume(RUV),Clinical Grading Of Urinary Retention(CGOUR)and catheter rate were recorded and analyzed before and after treatment in the two groups.The ’ diagnostic efficacy standard of traditional Chinese medicine ’ was used as the overall efficacy evaluation index.Results:A total of 60 patients were included in this study.Finally,60 patients actually completed the clinical trial observation and there were no shedding cases in both groups.The results were as follows :1.Baseline data : The general data of the two groups of patients were statistically analyzed before treatment,and the difference was not statistically significant(P > 0.05),indicating that the two groups were comparable.2.Bladder function score : Before treatment,there was no significant difference in BFS data between the two groups after statistical analysis(P > 0.05),indicating comparability.After treatment,the BFS of patients in the treatment group and the control group was improved compared with that before treatment(P < 0.05),and the improvement in the treatment group was more significant than that in the control group(P < 0.05),and the difference was statistically significant.3.Bladder residual urine volume : Before treatment,there was no statistically significant difference in RUV data between the two groups(P > 0.05),indicating comparability.After treatment,the RUV of patients in the treatment group and the control group was decreased compared with that before treatment(P < 0.05),and the decrease in residual urine volume in the treatment group was larger than that in the control group(P < 0.05),and the difference was statistically significant.4.Clinical classification of urinary retention : Before treatment,two groups of subjects CGOUR data after statistical analysis test were not statistically significant(P > 0.05),comparable.After treatment,the CGOUR of the treatment group and the control group were lower than before(P < 0.05),and the conversion rate of the treatment group was higher than that of the control group(P < 0.05),the difference was statistically significant.5.Urinary tube rate : Two groups of patients were indwelling catheter during the treatment,after the end of treatment,the number of patients in the treatment group was more than that in the control group,the data between the groups after statistical analysis test,the difference was statistically significant(P < 0.05),comparable.6.Clinical total effective rate : The final treatment results of the two groups were compared after curative effect evaluation,the total effective rate of the treatment group(83.33 %)was higher than that of the control group(76.67 %),indicating that the treatment group was better,the difference was statistically significant(P < 0.05).Conclusion:1.For the treatment of urinary retention after stroke,warm acupuncture and oral tamsulosin capsules have a certain clinical effect.2.Xingnao Kaiqiao acupuncture combined with warm acupuncture treatment has better therapeutic effect than Xingnao Kaiqiao acupuncture combined with oral administration of Tamsulosin capsule in reducing residual urine volume,bladder function score and the risk of urinary retention,improving the rate of catheter withdrawal,promoting the improvement of urination disorder symptoms and accelerating the rehabilitation process of stroke and sequelae.3.Xingnao Kaiqiao acupuncture combined with warm acupuncture in the treatment of urinary retention after stroke can effectively shorten the course of disease,and better reduce the psychological pressure and family burden of patients.It has the advantages of safe,effective and convenient operation.It is a green,healthy and comprehensive treatment method,which is worthy of further test and promotion in clinical practice. |
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