中文摘要：

目的通过临床随机对照研究，观察针刺肾俞、会阳、肾俞加会阳对不稳定膀胱（USB）主要症状的影响，探索针刺不同穴位治疗USB的穴位特异性。方法将89例USB患者随机分为三组，即肾俞组、会阳组和肾俞加会阳组，以I-PSS积分为观察指标，分别在治疗3次、治疗6次后进行疗效评定和组间比较。结果（1）肾俞组、会阳组和肾俞加会阳组均能明显改善USB患者I-PSS总积分（P〈0．05），会阳组和肾俞加会阳组疗效优于肾俞组（P〈0．05）。（2）肾俞组、会阳组和肾俞加会阳组的有效率分别为50．0％、82．8％和90．0％。但会阳组和肾俞加会阳组要明显高于肾俞组（P〈0．05）。结论会阳穴、肾俞穴、肾俞加会阳穴均能调节USB患者排尿紊乱症状，改善生活质量。并且以肾俞加会阳穴治疗效应最显著。

英文摘要：

Objective To investigate the effects of acupuncture of Shenshu （ BL 23）, Huiyang（ BL 35 ） and Shenshu plus Huiyang on the main symptoms of unstable bladder （USB） and explore the specificity of different points in treating USB through a clinical randomized controlled trial. Methods Eighty-nine USB patients were allocated to three groups： Shenshu, Huiyang and Shenshu plus Huiyang. I-PSS was used as an observation index. The effects were evaluated and a comparison was made between the groups after three and six treatments. Results （ 1 ） I-PSS significantly improved in all Shenshu, Hulyang and Shenshu plus Huiyang groups of USB patients （ P 〈0.05 ）. The effect was significantly better in the Huiyang and Shenshu plus Huiyang groups than in the Shenshu group （ P 〈0.05）. （2） The efficacy rate was 50.0% in the Shenshu group, 82.8% in the Huiyang group and 90.0% in the Shenshu plus Huiyang group. It was significantly higher in the Huiyang and Shenshu plus Huiyang groups than in the Shenshu group （ P 〈 0.05 ）. Conclusion Points Shenshu, Huiyang and Shenshu plus Huiyang can all regulate voiding dysfunction and improve quality of life in USB patients. Shenshu plus Huiyang has the most marked curative effect.