针刺治疗脊髓损伤后神经源性膀胱验案一则
Neurogenic Bladder after Spinal Cord Injury Treated by Acupuncture: A Case Report
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1.广东省第二中医院针灸康复科,广州 510095
2.广州中医药大学,广州 510405
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张觉予, 杨志琼, 文希. 针刺治疗脊髓损伤后神经源性膀胱验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31857030&Fpath=home&index=0
ZHANG Jueyu, YANG Zhiqiong, WEN Xi. Neurogenic Bladder after Spinal Cord Injury Treated by Acupuncture: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31857030&Fpath=home&index=0
张觉予, 杨志琼, 文希. 针刺治疗脊髓损伤后神经源性膀胱验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31857030&Fpath=home&index=0 DOI:
ZHANG Jueyu, YANG Zhiqiong, WEN Xi. Neurogenic Bladder after Spinal Cord Injury Treated by Acupuncture: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31857030&Fpath=home&index=0 DOI:
病史摘要,2,患者罗某某,女性,55岁,2021年08月13日因“反复小便困难伴漏尿2个月余”入院。患者2个月前不慎从高处坠落后出现双下肢运动不能伴麻木,行“T12、L1椎体骨折切开复位+椎管减压+植骨融合+椎弓根内固定术”,术后患者小便点滴而短少,时有漏尿,不能拔除尿管,外院多次诊断“脊髓损伤后神经源性膀胱。西医对症处理后小便困难及漏尿情况未见明显缓解,故寻求中医治疗。四诊信息 小便不通或点滴不爽,时有漏尿,不能自行控制排尿,神疲乏力,面白肢冷,双下肢乏力,腰膝酸软,大便困难,纳眠一般。舌淡红、苔白,脉细弱。中医诊断 癃闭(肾阳衰惫证)。西医诊断 脊髓损伤后神经源性膀胱。干预措施 中医以温固下元,补肾固本为法,予长针透刺、八髎穴深刺及电针针刺治疗。西医予间歇导尿术治疗。疗效转归 显效。
Summary of case history ,The patient Luo, female, 55 years old, was admitted to the hospital on August 13, 2021 due to "repeated difficulty in urination with urinary leakage for more than 2 months". 2 months ago, the patient suffered from inability to move both lower extremities with numbness after accidentally falling from a height. She had undergone "T12, L1 vertebral body fracture open reduction + spinal canal decompression + bone graft fusion+pedicle internal fixation" After the operation, the patient had little urination, sometimes leaking urine, and could not pull out the catheter. The external hospital repeatedly diagnosed "neurogenic bladder after spinal cord injury. After the symptomatic treatment of western medicine, the patient had difficulty urinating and no obvious relief of urine leakage, so he sought the treatment of traditional Chinese medicine. Symptoms and signs:poor urination or dribbling, frequent urine leakage, inability to control urination, fatigue, white face and cold limbs, fatigue of both lower limbs, sore waist and knees, difficulty in defecation, and general sleep. The tongue is light red, the fur is white, and the pulse is weak.,TCM diagnosis ,Retention of urine (Kidney yang deficiency).,Western medicine diagnosis ,Spinal cord injury neurogenic bladder.,Therapeutic methods ,The traditional Chinese medicine treatment is based on the principle of warming and strengthening the lower energy and tonifying the kidney. The acupuncture prescription is long needle penetration needling, deep needling of Baliao point and electroacupuncture. Western medicine gives intermittent catheterization treatment.,Clinical outcomes ,effective.
脊髓损伤神经源性膀胱长针透刺八髎穴深刺电针治疗
Spinal】 cord injuryneurogenic bladderlong-needle penetrating acupuncturedeep acupuncture at Bliao pointelectroacupuncture
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