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目的:对一些疑难杂病在针灸方面寻找中西医结合的最佳治疗方法.方法:将100例顽固性膀胱功能障碍患者随机分成两组,观察组根据神经节支配和神经走向取穴针刺胸腰夹脊穴为主治疗,与对照组根据传统腹部取穴方法治疗比较.结果:观察组10天后总有效率为62％,20天后总有效率为92.1％.对照组10天后总有效率为38％,20天后的总有效率为69.6％.观察组均明显优于对照组相应治疗时间的治疗结果.两组疗效差异均具备统计学意义(均P＜0.05).结论:针刺胸腰夹脊穴为主治疗顽固性膀胱功能障碍疗效优于传统腹部取穴治疗方法.“,”Objective:For some miscellaneous in looking for the best treatment method of traditional Chinese and Western medicine on acupuncture and moxibustion.Methods:The 100cases of refractory patients with bladder dysfunction were randomly divided into two groups.The observation group treated according to the ganglion control and nerve to thoracic and lumbar Jiaji acupoint acupuncture therapy,the controlled group treated according to the traditional methods of abdominal acupuncture.Results:The total effective rate of the observation group was 62％ after 10days,20days total effective rate was 92.1％.The total effective rate was 38％ after 10days in the controlled group,20days after the total effective rate was 69.6％.The effect of the observation group were significantly better than the controlled group.It was statistically significant differences of the two groups (P ＜0.05).Conclusion:Acupuncture thoracic and lumbar Jiaji points for treatment of refractory bladder dysfunction is superior to traditional abdominal acupuncture treatment.