中极、足运感区治疗卒中后尿失禁的比较研究  

Comparative study of point Zhongji and foot motor-sensory area for treating postapoplectic urinary incontinence

作　　者：孙远征[1] 孙文静[1] 

机构地区：[1]黑龙江中医药大学附属第二医院,哈尔滨150001

出　　处：《上海针灸杂志》2007年第1期13-15,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的比较中极、足运感区在治疗卒中后尿失禁的相对特异性。方法A组在基础穴上加用中极穴(18例),B组加用足运感区(18例),C组同时加用中极和足运感区(18例),治疗前后观察三组的临床症状的变化,并运用临床症状,体征,泌尿系评分等量表和尿动力学检查进行评定。结果中极对尿失禁患者夜尿次数频繁,诱因诱发漏尿等症状具有相对特异性(P<0.01),而足运感区偏重于改善排尿时尿意,控尿能力等临床症状(P<0.01),诸穴联用对卒中后尿失禁排尿能力有着较为全面的改善。结论中极、足运感区在改善卒中后患者临床症状方面各有其相对特异性,诸穴联用效果最佳。Objective To compare the relative specificities of point Zhongji and foot motor-sensory area in treating postapoplectic urinary incontinence. Methods Group A （18 cases） was treated by puncturing basic points plus point Zhongjl, group B （18 cases） , plus foot motor-sensory area and group C （ 18 cases）, plus point Zhongji and foot motor-sensory area. Changes in the clinical symptoms were observed in the three groups after treatment. An evaluation was made by clinical symptoms and signs, urinary symptom scale and urodynamic examination. Results Point Zhongji had a relative specificity in cbecking nocturla and urine leakage due to precipitating factors （P 〈 0.01 ）, while foot motor-sensory area was superior in improving the desire to urinate and the ability to control micturition （ P 〈0.01 ）. The combined use of the above points improved the ability of patients with postapoplectic urinary incontinence to urinate more comprehensively. Conclusion Zhongji and foot motor-sensory area have their respective relative specificities in improving the clinical symptoms in patients with postapoplectic urinary incontinence. The combined use of the points produces the best effect.

关 键 词：卒中 尿失禁 穴 中极 足运感区 头针 

分 类 号：R246.6[医药卫生—针灸推拿学]