压灸足运感区联合温元固脬针法加盆底肌肉训练治疗中风后尿失禁疗效观察  

Efficacy of Pressure Moxibustion at the Foot Motor Sensory Area Combined with Wenyuan Gupao Acupuncture Plus Pelvic Floor Muscle Training on Urinary Incontinence after Stroke

作　　者：王友刚[1] 高大红[1] 柳刚[1] 程红亮[1] 汤敬一 吴雪利 马斌[1] 朱玲玲[1] WANG Yougang;GAO Dahong;LIU Gang;CHENG Hongliang;TANG Jingyi;WU Xueli;MA Bin;ZHU Lingling(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,Anhui,China;Anhui University of Chinese Medicine,Hefei 230061,Anhui,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061 [2]安徽中医药大学,安徽合肥230061

出　　处：《辽宁中医药大学学报》2023年第8期82-85,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家重大疾病治疗专科项目(622WCS2022);安徽省卫生健康委科研重点项目(AHWJ2021a020);安徽省自然基金项目(608085MH184);安徽中医药大学科研基金项目(2021efylc32)。

摘　　要：目的观察压灸足运感区联合温元固脬针法加盆底肌肉训练治疗中风后尿失禁的疗效。方法选取2019年1月—2022年11月间收治的中风后尿失禁患者60例,采用随机密封信封法均分为30例对照组(压灸足运感区+盆底肌肉训练)和30例观察组(温元固脬针法联合压灸足运感区+加盆底肌肉训练),比较两组疗效,尿失禁严重程度,尿流动力学指标,膀胱功能,日常生活活动能力及不良反应差异。结果观察组总有效率(93.33%)显著高于对照组(73.33%)(P<0.05);治疗后,两组尿失禁严重程度[尿失禁问卷表简表(ICI-Q-SF)和尿失禁症状严重程度评分量表(UISS)]评分均较治疗前降低(P<0.05),且观察组治疗后尿失禁严重程度评分显著低于对照组(P<0.05);治疗后,两组尿流动力学指标[最大尿流率(MFR)、相对排尿阻力(RVR)和尿量]均较治疗前升高(P<0.05),且观察组尿流动力学指标治疗后均显著高于对照组(P<0.05);治疗后,两组最大排尿量和膀胱容量均较治疗前升高(P<0.05),24 h内排尿次数及残余尿量均较治疗前降低(P<0.05),且观察组治疗后上述膀胱功能指标均优于对照组,差异有统计学意义(P<0.05);治疗后,两组日常生活活动能力(ADL)评分均较治疗前升高(P<0.05),且观察组治疗后ADL评分显著高于对照组(P<0.05);不良反应发生率对比差异无统计学意义(P>0.05)。结论压灸足运感区联合温元固脬针法加盆底肌肉训练治疗中风后尿失禁患者疗效显著,能够有效改善患者尿动力学和膀胱功能,提高患者日常生活活动能力。Objective To observe the efficacy of pressure moxibustion at the foot motor sensory area combined with Wenyuan Gupao acupuncture plus pelvic floor muscle training in the treatment of urinary incontinence after stroke.Methods 60 patients with urinary incontinence after stroke who were treated in the hospital from January 2019 to November 2022 were selected and divided into 30 cases in control group(pressure moxibustion at the foot motor sensory area+pelvic floor muscle training)and 30 cases in observation group(Wenyuan Gupao acupuncture combined with pressure moxibustion at the foot motor sensory area+pelvic floor muscle training)by the random sealed envelope method.The differences in efficacy,severity of urinary incontinence,urodynamic indicators,bladder function,activities of daily living and adverse reactions were compared between the two groups.Results The total effective rate in observation group(93.33%)was significantly higher than that in control group(73.33%)(P<0.05).After treatment,the scores of urinary incontinence severity[International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF),Urinary Incontinence Symptom Severity Scale(UISS)]in both groups were reduced compared with those before treatment(P<0.05),and the above two scores in observation group were significantly lower compared with those in control group after treatment(P<0.05).The urodynamic indicators[maximum flow rate(MFR),relative voiding resistance(RVR),urine volume]were increased in both groups after treatment compared with those before treatment(P<0.05),and the above urodynamic indicators in observation group after treatment were significantly higher than those in control group(P<0.05).After treatment,the maximum urination volume and bladder volume in the two groups were enhanced compared to before treatment(P<0.05)while the number of urination within 24 h and residual urine volume were reduced compared to before treatment(P<0.05),and the above bladder function indicators were significantly higher in observation group than t

关 键 词：压灸足运感区 温元固脬针法 盆底肌肉训练 中风 尿失禁 

分 类 号：R245[医药卫生—针灸推拿学]