重灸八髎穴治疗卒中后尿失禁临床研究  

Clinical study of heavy moxibustion at Baliao point for treating urinary incontinence after stroke

作　　者：刘亚[1] 张春宇[1] 韩笑瑜 祝海波[1] LIU Ya;ZHANG Chunyu;HAN Xiaoyu;ZHU Haibo(Nursing Teaching and Research Section,Heilongjiang University of Chinese Medicine,Heilongjiang,Harbin 150040;不详)

机构地区：[1]黑龙江中医药大学护理教研室,黑龙江哈尔滨150040

出　　处：《河北中医》2021年第2期312-315,320,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：黑龙江中医药大学教育教学研究项目(编号:SJGY20190622)。

摘　　要：目的观察重灸八髎穴治疗卒中后尿失禁的临床疗效。方法将60例卒中后尿失禁患者按照随机数字表法分为2组,均予常规针刺治疗。对照组30例予留置导尿管法治疗,治疗组30例在对照组治疗基础上加重灸八髎穴治疗。2组均治疗1个月。比较2组临床疗效,比较2组治疗前后尿失禁程度变化,比较2组治疗前后国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)评分变化,比较2组治疗期间尿路感染发生率。结果治疗组总有效率90.00%(27/30),对照组总有效率76.67%(23/30),治疗组临床疗效优于对照组(P<0.05)。2组治疗后尿失禁程度均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05)。2组治疗后漏尿频率、漏尿量、漏尿对日常生活的影响评分及总评分均较本组治疗前降低(P<0.05),且治疗后降低更明显(P<0.05)。治疗组治疗期间尿路感染发生率13.33%(4/30),对照组治疗期间尿路感染发生率40.00%(12/30),治疗组治疗期间尿路感染发生率低于对照组(P<0.05)。结论重灸八髎穴治疗卒中后尿失禁,能明显改善患者尿失禁程度、尿失禁评分,降低尿路感染发生率,疗效优于常规留置导尿管法治疗。Objective To observe the clinical efficacy of heavy moxibustion at Baliao point for treating urinary incontinence after stroke.Methods Sixty patients with urinary incontinence after stroke were randomly divided into treatment group and control group,with 30 cases in each group,both groups were treated with conventional acupuncture.The control group was given indwelling catheterization treatment,and the treatment group was additionally treated with heavy moxibustion at Baliao point on the basis of the control group,both groups were treated for one month.The clinical efficacy,the degree of urinary incontinence,the changes of urinary incontinence score,and the incidence of urinary tract infections were compared between the two groups before and after treatment.Results The total effective rate in the treatment group was better than that in the control group[90.00%(27/30)vs 76.67%(23/30),(P<0.05),respectively].After treatment,the degree of urinary incontinence and the score of urinary incontinence in the both groups were significantly decreased than those in this group before treatment(all P<0.05),and which in the treatment group decreased more significantly(all P<0.05);the incidence of urinary tract infections in the treatment group was lower than that in the control group(P<0.05).Conclusion Heavy moxibustion at Baliao point for treatmenting urinary incontinence after stroke can significantly improve the degree of urinary incontinence,urinary incontinence score,and reduce the incidence of urinary tract infections.The curative effect is better than the routine indwelling catheterization.

关 键 词：脑血管意外 尿失禁重灸 灸法 八髎 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R245.8[医药卫生—临床医学]