目的:观察针刺治边(BL54)对超声下女性膀胱控制尿功能的影响。
方法:74例健康体检者随机分为深针组37例和浅针组37例。在超声波的引导下,两组受试者在双侧BL54处进行针刺。深针组针刺阴部神经,浅针组针刺浅筋膜。使用超声观察收缩期峰值速度(PSV),时间平均最大速度(TAMX),舒张末期血流速度(EDV),脉动指数(PI),阴部动脉阻力指数(RI),两组受试者针刺前后的膀胱容积。测量所有受试者双侧BL54的解剖分层结构和马萨诸塞州总医院针灸感觉量表(C-MASS)中文版评分。
结果:针灸后,PSV,阴部动脉的TMAX,膀胱容积,深针组C-MASS量表评分高于浅针组(P<0.05)。浅针组阴部动脉RI较针刺前下降(P<0.05)。
结论:针刺BL54可以增加阴部动脉血流速度,改善女性膀胱控制尿液的功能,不同深度的针刺会有不同的治疗效果。
OBJECTIVE: To observe the effect of acupuncture Zhibian (BL54) on the function of the
bladder in controlling urine in women under ultrasound.
METHODS: 74 healthy subjects were randomly divided into deep acupuncture group of 37 cases and shallow acupuncture group of 37 cases. Under the guidance of ultrasound, the two groups of subjects were acupunctured at bilateral BL54. The deep acupuncture group was acupunctured to the pudendal nerve, and the shallow acupuncture group was acupunctured to the superficial fascia. Ultrasound was used to observe the peak systolic velocity (PSV), time average maximum velocity (TAMX), end diastolic velocity (EDV), pulsation index (PI), resistance index (RI) of the pudendal arteries, and
bladder volume of two groups of subjects before and after acupuncture. The anatomical hierarchical structure of bilateral BL54 and score of Chinese version of the Massachusetts General Hospital Acupuncture Sensation Scale (C-MASS) of all subjects was measured.
RESULTS: After acupuncture, the PSV, TMAX of the pudendal artery,
bladder volume, and the Score of C-MASS Scale in the deep acupuncture group were higher than in the shallow acupuncture group (P < 0.05). The RI of the pudendal arteries in the shallow acupuncture group decreased compared to before acupuncture (P < 0.05).
CONCLUSIONS: Acupuncture at the BL54 can increase the blood flow velocity of the pudendal artery, improve the function of the
bladder in controlling urine in women, and different depths of acupuncture will have different therapeutic effects.