艾灸关元穴对老年轻型脑梗死患者夜尿次数的影响  

Effect of moxibustion on the number of nocturnal urination in senile patients with mild cerebral infarction

作　　者：金杰[1] 金晨曦[2] 王庆[3] 陈海燕[1] Jin Jie;Jin Chenxi;Wang Qing;Chen Haiyan

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]南昌大学,江西南昌330031 [3]河南中医药大学,河南郑州450046

出　　处：《中医临床研究》2019年第30期73-75,共3页Clinical Journal Of Chinese Medicine

基　　金：河南省重点中医学科（专科）学术带头人培养对象资助项目（豫中医201143号）;国家中医药管理局第四批全国中医（临床、基础）优秀人才研修项目资助;河南省中医药管理局基金资助项目（2013ZY02028）

摘　　要：目的:观察艾灸关元穴对老年轻型脑梗死患者下尿路症状的改善作用。方法:将84例老年男性轻型脑梗死患者随机分为治疗组和对照组,治疗组平均年龄(67.83±7.21)岁,平均前列腺体积(39.12±4.01)cm^3,神经功能缺损NIHSS评分(4.54±0.44)分;对照组平均年龄(68.12±0.68)岁,平均前列腺体积(38.97±0.39)cm^3,神经功能缺损NIHSS评分(4.58±0.41)分。治疗组服用非那雄胺者31人,服用坦索罗辛者12人,同时服用两种药物者10人;对照组服用非那雄胺者30人,服用坦索罗辛者13人,同时服用两种药物者11人。治疗组患有高血压者42人,同时患有糖尿病者17人;对照组患有高血压者42人,同时患有糖尿病者16人。两组患者一般资料差异无统计学意义(P> 0.05),具有可比性。对照组予脑梗死基础治疗,并坚持原有下尿路症状治疗。治疗组在对照组基础上予每日艾灸关元穴1次,每次30 min,共15 d,观察两组夜尿次数的变化。结果:两组患者治疗后夜尿次数均显著减少,其中对照组入院时4.55±0.44,治疗后,每晚(3.07±0.45)次(P <0.05);治疗组分别为每晚(4.57±0.53)次和每晚(1.87±0.38)次(P <0.01),与对照组治疗后比较次数明显减少(P <0.05)。生活质量评分对照组入院时(4.81±0.55)分,治疗后,(3.17±0.33)分(P <0.05);治疗组分别为(4.79±0.58)分和(1.98±0.21)分(P<0.01),与对照组相比生活质量显著提高(P <0.05)。结论:本研究采用物理疗法,通过艾灸关元穴起到温补肾阳、固本缩尿的作用,治疗老年轻型脑梗死伴LUTS、中医辨证属精癃病肾阳亏虚证者,可以显著减少患者夜尿次数而改善患者生活质量。Objective: To observe the effect of moxibustion at Guanyuan acupoint on the improvement of urinary tract symptoms in elderly patients with mild cerebral infarction. Methods: 84 elderly male patients with mild cerebral infarction were randomly divided into the treatment group and the control group. The mean age of the treatment group was(67.83±7.21) years old. Mean prostate volume was(39.12±4.01) cm^3, and NIHSS score was(4.54±0.44).The mean age of the control group was 68.12 ±0.68 years old, average prostate volume was(38.97±0.39) cm^3, and NIHSS score was(4.58±0.41). In the treatment group, 31 patients were treated with finasteride, 12 with tamarosin and 10 with both drugs. A control group of 30 were treated with finasteride, 13 with tamarosin and 11 with both. Forty-two people in the treatment group had hypertension and 17 people had diabetes. The control group had 42 patients with hypertension and 16 with diabetes. There was no significant difference in general data between the two groups(P > 0.05), showing comparability. The control group received the basic treatment of cerebral infarction and maintained the treatment of the original lower urinary tract symptoms. On the basis of the control group, the treatment group was given moxibustion at Guanyuan point once a day for 30 minutes, for a total of 15 days, the changes in the number of nocturnal urination in the two groups were observed. Results: The number of nocturnal urine was significantly reduced after treatment in both groups, with(4.55±0.44) on admission in the control group and(3.07±0.45) times/night after treatment(P < 0.05). The treatment group was(4.57±0.53) times/night and(1.87±0.38) times/night(P < 0.01), respectively, and the number of comparisons after treatment was significantly reduced(P < 0.05). The quality of life score control group was(4.81±0.55) on admission, and(3.17±0.33) after treatment(P < 0.05).That of the treatment group was(4.79±0.58) and(1.98±0.21)(P < 0.01), respectively, and the quality of life of the treatment gro

关 键 词：老年轻型脑梗死 下尿路症状 艾灸疗法 关元穴 临床观察 

分 类 号：R245[医药卫生—针灸推拿学]