电针结合艾灸治疗肾阳不足型中风后尿失禁的临床观察  

Clinical observation on electroacupuncture combined with moxibustion for treatment of urinary incontinence after stroke due to deficiency of kidney-yang

作　　者：姜超 卢莉娜 JIANG Chao;LU Li-na(Taikang Yanyuan Rehibilitation Hospital of Beijing,Beijing 102200,China)

机构地区：[1]北京泰康燕园康复医院,北京102200

出　　处：《针刺研究》2020年第7期578-582,共5页Acupuncture Research

摘　　要：目的:观察电针结合艾灸治疗肾阳不足型中风后尿失禁的临床疗效。方法:将60例肾阳不足型中风后尿失禁患者随机分为对照组和观察组,每组30例。对照组给予口服金匮肾气丸和缩泉胶囊;观察组在对照组治疗的基础上,给予头部足运感区和肾俞、会阳穴电针治疗,配合艾灸关元、气海穴,每日1次,每周治疗6次,共治疗2周。观察治疗前后两组患者日均尿失禁次数、夜均尿失禁次数、膀胱最大容量、膀胱残余尿量、尿失禁程度、尿失禁临床症状评分,并比较两组的临床疗效。结果:与治疗前比较,治疗后两组日均和夜均尿失禁次数均明显降低(P<0.01),膀胱最大容量明显升高(P<0.05),膀胱残余尿量明显降低(P<0.05),尿失禁程度处于Ⅰ度和Ⅱ度的例数增多(P<0.05),尿失禁临床症状评分明显降低(P<0.05)。治疗后,与对照组比较,观察组日均和夜均尿失禁次数降低(P<0.05),膀胱最大容量升高(P<0.05),膀胱残余尿量降低(P<0.05),尿失禁程度处于Ⅰ度和Ⅱ度的例数增多(P<0.05),尿失禁临床症状评分明显降低(P<0.05)。对照组和观察组总有效率分别为73.3%(22/30)和93.3%(28/30),观察组高于对照组(P<0.05)。结论:电针、艾灸与中药相结合治疗肾阳不足型中风后尿失禁疗效确切。Objective To observe the clinical effect of electroacupuncture combined with moxibustion in the treatment of urinary incontinence after stroke due to deficiency of kidney-yang.Methods Sixty patients with urinary incontinence after stroke due to kidney-yang deficiency were randomly divided into a control group and an observation group,with 30 cases in each group.The patients in the control group were given oral administration of Jingui Shenqi pills and Suoquan capsules.On the basis of the treatment in the control group,the patients in the observation group were given electroacupuncture treatment at the Foot Motor sensory Area on the head,Shenshu(BL23)and Huiyang(BL35),together with moxibustion at Guanyuan(CV4)and Qihai(CV6)once daily.The treatment was conducted 6 times per week and for 2 successive weeks.The average number of daily urinary incontinence and night urinary incontinence,maximum bladder volume,residual bladder urine volume,degree of urinary incontinence and clinical symptoms score of the two groups before and after treatment were observed.And the clinical efficacy of the two groups were compared.Results After the treatment,compared with those before the treatment,the average numbers of daily and night urinary incontinence of the two groups were significantly reduced(P<0.01),the maximum bladder volume was significantly increased(P<0.05),and the residual urine volume of the bladder was significantly reduced(P<0.05).The number of cases with urinary incontinence degreeⅠandⅡincreased(P<0.05),and the score of clinical symptoms of urinary incontinence was significantly reduced(P<0.05).After the treatment,compared with the control group,the number of daily and night urinary incontinence in the observation group decreased(P<0.05),the maximum bladder volume increased(P<0.05),the residual bladder urine volume decreased(P<0.05),and the number of cases with urinary incontinence degreeⅠandⅡincreased(P<0.05),the clinical symptom score of urinary incontinence was significantly reduced(P<0.05).The total effecti

关 键 词：中风后尿失禁 肾阳不足 电针 艾灸 

分 类 号：R246[医药卫生—针灸推拿学]