电针中极和关元治疗脑卒中后急迫性尿失禁的效果  

Effects of Electroacupuncture at Zhongji and Guanyuan on Urge Urinary Incontinence after Stroke

作　　者：刘兰群[1,3] 李惠兰[1,3] 陈爽[2,3] 徐基民[1,3] LIU Lan-qun;LI Hui-lan;CHEN Shuang;XU Ji-min(Department of Traditional Chinese Medicine,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Medical Records Room,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China)

机构地区：[1]中国康复研究中心北京博爱医院中医科,北京市100068 [2]中国康复研究中心北京博爱医院病案统计室,北京市100068 [3]首都医科大学康复医学院,北京市100068

出　　处：《中国康复理论与实践》2020年第1期93-97,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中央级公益性科研院所基本科研业务费专项资金项目(No.2015CZ-34)~~

摘　　要：目的观察电针中极和关元治疗脑卒中后急迫性尿失禁的临床效果。方法2015年5月至2018年5月,40例脑卒中后急迫性尿失禁患者随机分为对照组(n=20)和电针组(n=20),两组均行常规治疗,电针组另予电针中极和关元,共4周。治疗前后完成72小时排尿日志,采用尿失禁程度量表进行评分,并行尿流动力学检查。结果对照组17例、电针组18例完成试验。两组治疗后总排尿次数、急迫性尿失禁次数和夜间因排尿护理者被叫起次数显著减少,平均尿量显著增加,尿失禁程度量表评分显著下降(|t|>4.770,P<0.001);电针组均明显优于对照组(|t|>2.962,P<0.01)。两组治疗后,最大膀胱测量容量和膀胱顺应性显著增加,最大膀胱压力和最大逼尿肌压力显著降低(|t|>4.052,P<0.001),电针组优于对照组(|t|>2.716,P<0.05)。结论电针中极和关元可显著改善急迫性尿失禁症状,与减小逼尿肌压力和膀胱压力、增大膀胱容量、改善膀胱顺应性有关。Objective To observe the effects of electroacupuncture on urge urinary incontinence after stroke.Methods From May,2015 to May,2018,40 patients with urge urinary incontinence after stroke were randomly divided into control group(n=20)and electroacupuncture group(n=20).Both groups accepted routine rehabilitation,while the electroacupuncture group accepted electroacupuncture at Zhongji(CV3)and Guanyuan(CV4)in addition,for four weeks.They recorded the urination log(72 hours),and were assessed with Incontinence Scale,and tested with urodynamics before and after treatment.Results There were 17 cases in the control group and 18 in the electroacupuncture group finishing the trial.The total number of urination,the number of urge incontinence and the number of calls for urination carer at night decreased,the average volume of urine increased,and the score of Incontinence Scale decreased(|t|>4.770,P<0.001)in both groups,which were better in the electroacupuncture group than in the control group(|t|>2.962,P<0.01).The maximum cystometric bladder capacity and bladder compliance increased in both groups,while the maximum bladder pressure and maximum detrusor pressure decreased after treatment(|t|>4.052,P<0.001),which were better in the electroacupuncture group than in the control group(|t|>2.716,P<0.05).Conclusion Electroacupuncture at Zhongji and Guanyuan is effective on urge urinary incontinence,which relates with reducing detrusor and bladder pressure,increasing bladder volume,and improving bladder compliance.

关 键 词：脑卒中 急迫性尿失禁 电针 尿流动力学 

分 类 号：R743.3[医药卫生—神经病学与精神病学]