盆底磁治疗中风后尿失禁的临床效果  

Clinical effect of pelvic floor magnetic therapy on urinary incontinence after stroke

作　　者：刘际石 胡国强[1] 杨少坤 胡永红[1] 王阔阔 LIU Jishi;HU Guoqiang;YANG Shaokun;HU Yonghong;WANG Kuokuo(Department of Rehabilitation,Shijiazhuang Hospital of Traditional Chinese Medicine,Hebei Province,Shijiazhuang 050051,China;the Second Department of Encephalopathy,East Hospital District,Shijiazhuang Hospital of Traditional Chinese Medicine,Hebei Province,Shijiazhuang 050011,China)

机构地区：[1]石家庄市中医院康复科,河北石家庄050051 [2]石家庄市中医院东院区脑病二科,河北石家庄050011

出　　处：《中国医药导报》2024年第6期138-141,146,共5页China Medical Herald

基　　金：河北省中医药管理局科研计划项目(2023154)。

摘　　要：目的 观察盆底磁治疗中风后尿失禁的临床效果。方法 选取2022年9月至2023年6月就诊于石家庄市中医院康复科80例中风后尿失禁患者为观察对象,按照随机数字表法将其分为观察组(40例)与对照组(40例)。对照组予针刺治疗,观察组在对照组基础上予盆底磁治疗。两组均为每日1次,治疗2周。比较两组治疗前后24 h排尿日记、尿失禁生活质量问卷(I-QOL)评分、尿失禁问卷简表(ICI-Q-SF)评分和尿动力学指标及治疗疗效。结果 观察组脱落2例,对照组脱落1例。治疗后,两组24 h排尿次数、尿失禁次数、ICI-Q-SF评分和残余尿量均较治疗前减少,且观察组低于对照组,差异有统计学意义(P<0.05);两组I-QOL评分和最大膀胱容量均较治疗前增加,且观察组高于对照组,差异有统计学意义(P<0.05);观察组疗效优于对照组,差异有统计学意义(P<0.05)。结论 针刺联合盆底磁治疗中风后尿失禁的效果优于针刺治疗,可明显改善患者膀胱功能,降低尿失禁发生次数,提升生活质量。Objective To observe the clinical effect of pelvic floor magnetic therapy on urinary incontinence after stroke.Methods A total of 80 patients with urinary incontinence after stroke treated in Department of Rehabilitation,Shijiazhuang Hospital of Traditional Chinese Medicine from September 2022 to June 2023 were selected as the observation objects,and they were divided into observation group(40 cases) and control group(40 cases) according to random number table method.The control group was treated with acupuncture and the observation group was treated with pelvic floor magnetic on the basis of the control group.Both groups were treated once a day for two weeks.The 24 h urination diary,urinary incontinence quality of life questionnaire(I-QOL) scores,international consultation on incontinence questionnaire short form(ICI-Q-SF) scores,urodynamic indexes,and therapeutic efficacy were compared between the two groups before and after treatment.Results Two cases fell off in the observation group and one case in the control group.After treatment,24 h urination frequency,urinary incontinence frequency,ICI-Q-SF score,and residual urine volume of both groups were decreased compared with before treatment,and those in the observation group was lower than those in the control group,and the differences were statistically significant(P<0.05).The I-QOL score and maximum bladder volume in both groups were increased compared with before treatment,and those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The curative effect of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with pelvic floor magnetic therapy is better than acupuncture therapy in the treatment of urinary incontinence afterstroke,whichcansignificantly improve the bladder function of patients,reduce the frequency of urinary incontinence,and improve the quality of life.

关 键 词：针刺 盆底磁 中风 尿失禁 

分 类 号：R246.6[医药卫生—针灸推拿学]