温针灸联合低频电刺激治疗急性卒中后尿失禁的疗效观察及对尿动力学的影响  

Therapeutic observation of needle-warming moxibustion plus low-frequency electrical stimulation for urinary incontinence after acute stroke and the effect on urodynamics

作　　者：蔡芳 乔红梅 朱艳[1] 潘旭东 金杰[2] CAI Fang;QIAO Hongmei;ZHU Yan;PAN Xudong;JIN Jie(Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450099,China)

机构地区：[1]安徽中医药大学第二附属医院,合肥230061 [2]河南中医药大学第一附属医院,郑州450099

出　　处：《上海针灸杂志》2024年第6期634-638,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金项目(81473268);河南省中医药科学研究专项课题(2019JDZX2080)。

摘　　要：目的观察温针灸联合穴位低频电刺激治疗急性卒中后尿失禁的临床疗效及对患者尿动力学的影响。方法将收治的108例急性卒中后尿失禁患者按随机数字表法分为对照组和观察组,每组54例。对照组采用常规留置、间歇清洁、导尿、膀胱训练、药物及穴位低频电刺激治疗,观察组在对照组治疗基础上联合温针灸治疗。比较两组临床疗效和72 h排尿情况,观察治疗前和治疗后两组国际尿失禁咨询委员会问卷简表(International Consultation on Incontinence questionnaire-short form,ICIQ-SF)、生存质量(quality of life,QOL)和国际下尿路综合征症状(lower urinary tract symptoms,LUTS)的评分变化以及尿动力学指标水平的变化。结果观察组总有效率为98.1%,高于对照组的85.2%(P<0.05)。治疗后,两组72 h排尿情况、尿动力学指标、ICIQ-SF评分、QOL评分和LUTS评分均优于同组治疗前(P<0.05),且观察组上述观察指标结果均优于对照组(P<0.05)。结论在常规治疗基础上,温针灸联合穴位低频电刺激治疗急性卒中后尿失禁可提高临床疗效,改善患者尿动力学指标和尿失禁的情况。Objective To observe the clinical efficacy of needle-warming moxibustion plus low-frequency electrical point stimulation in treating urinary incontinence after acute stroke and its effect on the patient’s urodynamics.Method The recruited 108 patients with urinary incontinence after acute stroke were divided into a control group and an observation group using the random number table method,with 54 cases in each group.The control group received conventional indwelling,intermittent cleansing,catheterization,bladder training,pharmaceutical treatment,and low-frequency electrical point stimulation,based on which the observation group received additional needle-warming moxibustion treatment.The clinical efficacy and 72 h urination were compared.The International Consultation on Incontinence questionnaire-short form(ICIQ-SF),quality of life(QOL),and lower urinary tract symptoms(LUTS)scores and urodynamic parameters were observed before and after the treatment.Result The total effective rate was 98.1%in the observation group,higher than 85.2%in the control group(P<0.05).After treatment,both groups had improvements in the 72 h urination,urodynamic parameters,ICIQ-SF score,QOL score,and LUTS score(P<0.05),and the observation group surpassed the control group in comparing these measures(P<0.05).Conclusion Based on the conventional treatment,needle-warming moxibustion plus low-frequency electrical point stimulation can enhance the clinical efficacy in treating urinary incontinence after acute stroke,improving the patient’s urodynamic parameters and incontinence symptoms.

关 键 词：温针疗法 针药并用 低频电刺激 脑梗死 中风后遗症 尿失禁 尿动力学 

分 类 号：R246.6[医药卫生—针灸推拿学]