固本理气针刺法联合盆底生物反馈电刺激治疗缺血性中风后尿失禁的临床研究  

Clinical Study of Guben Liqi Acupuncture Combined with Pelvic Floor Biofeedback Electrical Stimulation in Treatment of Urinary Incontinence after Ischemic Stroke

作　　者：王思凡 杨琪 李艳红 贾静 樊雨楠 李妍 WANG Sifan;YANG Qi;LI Yanhong;JIA Jing;FAN Yunan;LI Yan(The First Affiliated Hospital of Hebei University of Chinese Medicine,Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050000,China)

机构地区：[1]河北中医学院第一附属医院、河北省中医院,河北石家庄050000

出　　处：《针灸临床杂志》2024年第1期39-43,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：河北省中医药管理局项目,编号:2022036。

摘　　要：目的:探讨固本理气针刺法联合盆底生物反馈电刺激治疗缺血性中风后尿失禁的疗效。方法:选取2020年3月—2022年3月来本院治疗的缺血性中风后尿失禁患者43例,采用区组随机法分为对照组22例和观察组21例,对照组给予盆底生物反馈电刺激,观察组在此基础联合固本理气针刺法,对比两组治疗后临床疗效、治疗前后ICI-Q-SF评分、膀胱残余尿量和急迫性尿失禁临床症状评分、中医症候积分、SF-36量表评分及尿失禁程度变化。结果:治疗后两组ICI-Q-SF评分、膀胱残余尿量和急迫性尿失禁临床症状评分均明显降低(P<0.05),且观察组降低更显著(P<0.01);观察组疗效较对照组明显较高(P<0.05);治疗后两组中医主症、次症和总积分均明显降低(P<0.05),且观察组降低更显著(P<0.01);治疗后两组患者SF-36量表各条目评分显著升高(P<0.05),且观察组升高更明显(P<0.05);治疗后观察组尿失禁程度分级明显改善(P<0.05)。结论:采用固本理气针刺法联合盆底生物反馈电刺激治疗缺血性中风后尿失禁具有较好的疗效。Objective:To investigate the effect of Guben Liqi acupuncture combined with pelvic floor biofeedback electrical stimulation in treatment of urinary incontinence after ischemic stroke.Methods:43 patients with urinary incontinence after ischemic stroke were randomly divided into the control group(n=22)and the observation group(n=21)by block randomized method.The control group was given pelvic floor biofeedback electrical stimulation;on which basis the observation group was also treated with Guben Liqi acupuncture.Clinical efficacy was compared between the two groups.ICI-Q-SF score,clinical symptoms score of bladder residual urine volume and urge incontinence,TCM symptoms score,SF-36 scale score and urinary incontinence degree were compared between before the treatment and after the treatment in the two groups.Results:ICI-Q-SF score,clinical symptoms scores of bladder residual urine volume and urge incontinence were significantly decreased in the two groups after the treatment(P<0.05),and the decreases were more significant in the observation group(P<0.01).The curative effect of the observation group was significantly higher than that of the control group(P<0.05).The main symptoms score,the secondary symptoms score and the total scores of TCM symptoms were significantly decreased after the treatment in the two groups(P<0.05),and the decreases were more significant in the observation group(P<0.01).The scores of SF-36 scales were significantly increased in both groups(P<0.05),and the increases were more obvious in the observation group(P<0.05).The degree of urinary incontinence was significantly improved in the observation group after the treatment(P<0.05).Conclusion:Guben Liqi acupuncture combined with pelvic floor biofeedback electrical stimulation has a good effect on urinary incontinence after ischemic stroke.

关 键 词：固本理气针刺法 盆底生物反馈电刺激 缺血性中风 尿失禁 

分 类 号：R246.6[医药卫生—针灸推拿学]