调补督任法治疗中风后功能性尿失禁的疗效观察  

Observation of the Therapeutic Effects of Regulating and Supplementing the Governor and Conception Vessels Method in Treating Post-Stroke Functional Urinary Incontinence

作　　者：孙洁静 王栋[1] 邵伟波 SUN Jiejing;WANG Dong;SHAO Weibo(The Second Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210017,China)

机构地区：[1]南京中医药大学第二附属医院,江苏南京210017

出　　处：《中医药学报》2024年第10期57-61,共5页Acta Chinese Medicine and Pharmacology

基　　金：江苏省高层次卫生人才“六个一工程”拔尖人才项目(LGY2020030)。

摘　　要：目的:评估调补督任法治疗中风后功能性尿失禁的疗效。方法:选取2023年3月—2023年12月在南京中医药大学第二附属医院老年医学与康复科收治的120例中风后功能性尿失禁患者,采用随机数字表法分为观察组和对照组,每组60例。观察组接受调补督任法治疗,对照组接受常规西药治疗。评估两组治疗效果、国际尿失禁咨询委员会问卷简表(ICIQ-SF)得分、膀胱过度活动症症状评分(OABSS)、尿动力学参数[最大尿流率时逼尿肌压力(PQmax)、膀胱顺应性(BC)、Valsalva漏尿点压力(PVLP)]、盆底肌力水平、最大膀胱容量、残余尿量、最大尿流速率、排尿日记指标变化等。结果:观察组治疗效果、ICIQ-SF得分、OABSS得分、盆底肌力水平均优于对照组(P<0.05,P<0.01),尿动力学参数相应改善,同时最大膀胱容量、残余尿量、最大尿流速率、排尿日记指标变化优于对照组(P<0.01)。结论:调补督任法治疗中风后功能性尿失禁效果显著,能有效提升患者的生活质量,具有较好的临床推广应用前景。Objective:To evaluate the efficacy of the method of regulating and supplementing the governor and conception vessels in treating post-stroke functional urinary incontinence.Methods:A total of 120 patients with post-stroke functional urinary incontinence treated at the Department of Geriatrics and Rehabilitation,The Second Affiliated Hospital of Nanjing University of Chinese Medicine from March to December 2023 were included in this study.They were randomly divided into an observation group and a control group,with 60 patients each.The observation group received treatment using the method of regulating and supplementing the governor and conception vessels,while the control group received conventional pharmacological treatment.Treatment outcomes,scores from the International Consultation on Incontinence Questionnaire-Short Form(ICIQ-SF),Overactive Bladder Symptom Score(OABSS),urodynamic parameters(pressure at maximum urinary flow rate(PQmax),bladder compliance(BC),Valsalva leak point pressure(PVLP)),pelvic floor muscle strength,maximum bladder capacity,residual urine volume,maximum urinary flow rate,and changes in voiding diary indicators were assessed and compared between the two groups.Results:The treatment effectiveness,ICIQ-SF scores,OABSS scores,and pelvic floor muscle strength in the observation group were significantly better than those in the control group(P<0.05,P<0.01).Urodynamic parameters showed corresponding improvements,and maximum bladder capacity,residual urine volume,maximum urinary flow rate,and changes in voiding diary indicators were also significantly better in the observation group(P<0.01).Conclusion:The method of regulating and supplementing the governor and conception vessels effectively treats post-stroke functional urinary incontinence,significantly improving the quality of life of patients.This method has good prospects for clinical application and dissemination.

关 键 词：调补督任法 针刺 中风 功能性尿失禁 

分 类 号：R245.31[医药卫生—针灸推拿学]