针刺结合膀胱区神经肌肉电刺激治疗卒中后尿失禁的临床疗效  

Clinical Effect of Acupuncture Combined with Bladder Area Neuromuscular Electrical Stimulation on Urinary Incontinence after Stroke

作　　者：段艳利 刘晓敏 许海生 王俊莹 DUAN Yan-li;LIU Xiao-min;XU Hai-sheng;WANG Jun-ying(Luoyang Yiluo Hospital,Henan Luoyang 417000)

机构地区：[1]洛阳伊洛医院,河南洛阳471000

出　　处：《深圳中西医结合杂志》2023年第12期42-44,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨针刺结合膀胱区神经肌肉电刺激治疗卒中后尿失禁的临床效果。方法:选取洛阳伊洛医院2021年3月至2022年12月收治的74例卒中后尿失禁患者,随机分为对照组和观察组,各37例。对照组患者接受膀胱区神经肌肉电刺激治疗,观察组患者接受针刺结合膀胱区神经肌肉电刺激治疗,比较两组患者临床疗效、治疗前后盆底肌收缩幅度、尿失禁严重程度及生活质量。结果:观察组患者总有效率为97.30%,高于对照组的78.38%,差异具有统计学意义(P<0.05);治疗后,观察组患者慢肌纤维、综合纤维幅度均高于对照组,差异具有统计学意义(P<0.05);治疗后,观察组患者国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分低于对照组,尿失禁生活质量问卷(I-QOL)评分高于对照组,差异具有统计学意义(P<0.05)。结论:卒中后尿失禁患者应用针刺结合膀胱区神经肌肉电刺激治疗,可明显提升盆底肌肌力、耐力及肌群间协调性,改善患者尿失禁程度,提高日常生活质量。Objective To explore the clinical effect of acupuncture combined with neuromuscular electrical stimulation of bladder in the treatment of urinary incontinence after stroke.Methods 74 patients with urinary incontinence after stroke admitted to Luoyang Yiluo Hospital from March 2021 to December 2022 were randomly divided into a control group and an observation group,37 cases in each group.The control group received neuromuscular electrical stimulation of the bladder area,and the observation group received acupuncture combined with neuromuscular electrical stimulation of the bladder area.The clinical efficacy,pelvic floor muscle contraction amplitude,urinary incontinence severity and quality of life of the two groups were compared before and after treatment.Results The total effective rate of the observation group was 97.30%,higher than 78.38% of the control group,the difference was statistically significant(P<0.05).After treatment,the amplitudes of slow muscle fiber and comprehensive fiber in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After treatment,the score of the international urinary incontinence advisory committee urinary incontinence questionnaire(ICI-Q-SF)in the observation group was lower than that in the control group,and the score of the urinary incontinence life quality questionnaire(I-QOL)was higher than that in the control group,with statistical significance(P<0.05).Conclusion Acupuncture combined with bladder neuromuscular electrical stimulation can significantly improve the strength,endurance and coordination of pelvic floor muscles,improve the degree of urinary incontinence and improve the quality of daily life in patients with urinary incontinence after stroke.

关 键 词：卒中 尿失禁 针刺 神经肌肉电刺激 

分 类 号：R722.151[医药卫生—儿科]