电针联合低频电疗治疗脑卒中后尿失禁的疗效及尿动力学参数变化分析  

Analysis of Efficacy and Changes in Urodynamic Parameters of PSUI after Interventions of EA Combined with Low Frequency Electro-Therapy

作　　者：曲淑婕 王海民 王殷 常永霞[1] 王正田 戈蕾[1] 崔玉环[1] QU Shujie;WANG Haimin;WANG Yin;CHANG Yongxia;WANG Zhengtian;GE Lei;CUI Yuhuan(The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院,河北张家口075000

出　　处：《针灸临床杂志》2024年第9期26-30,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：河北省医学科学研究课题,编号:20200560;张家口市科技计划自筹经费项目,编号:2121122D。

摘　　要：目的:分析电针联合低频电疗治疗脑卒中后尿失禁(PSUI)的临床疗效及尿动力学参数变化。方法:将102例PSUI患者随机分为两组,各51例。常规组给予间歇性导尿、盆底肌功能训练,研究组于常规组治疗基础上给予电针联合低频电疗治疗,比较两组临床疗效、尿失禁程度、尿动力学参数、24 h排尿次数、尿失禁次数、美国国立卫生院神经功能缺损量表(NIHSS)评分和日常生活活动能力量表(ADL)评分。结果:研究组临床总有效率为96.08%(49/51),较常规组的74.51%(38/51)更高,差异具有统计学意义(P<0.05)。研究组治疗后尿失禁程度较常规组更轻,差异具有统计学意义(P<0.05)。研究组治疗后尿道最大闭合压(MCP)、漏尿点压(PVLP)、最大膀胱压测定容量(MCC)及正常尿意膀胱压测定容量(NDCC)均较常规组更高,差异具有统计学意义(P<0.05)。研究组治疗后24 h排尿次数、尿失禁次数均较常规组更低,差异具有统计学意义(P<0.05)。研究组治疗后NIHSS评分较常规组更低,差异具有统计学意义(P<0.05)。研究组治疗后ADL评分较常规组更高,差异具有统计学意义(P<0.05)。结论:电针联合低频电疗可有效改善PSUI患者尿频、尿急症状,减轻尿失禁程度及神经功能受损程度,提高患者生活能力,疗效显著。Objective:To analyze the clinical efficacy and changes in urodynamic parameters of post-stroke urinary incontinence(PSUI)after the intervention of electro-acupuncture(EA)combined with low frequency electro-therapy.Methods:A total of 102 patients with PSUI were divided into the conventional group(n=51)and the study group(n=51).The conventional group was given intermittent urinary catheterization and pelvic floor muscle function training;on which basis,the study group was also treated with EA combined with low frequency electro-therapy.Clinical efficacy,incontinence degree,urodynamic parameters,24h frequency of urination,times of incontinence,NIHSS score and ADL score were compared between the two groups after the treatment.Results:The total effective rate was 96.08%(49/51)in the study group,which was higher than 74.51%(38/51)in the conventional group(P<0.05).Urinary incontinence was less severe in the study group than that in the conventional group after the treatment(P<0.05).The maximum closed urethral pressure(MCP),leaky point pressure(PVLP),maximum cystometric capacity(MCC)and desired normal cystometric capacity(NDCC)were higher in the study group than those in the conventional group after the treatment(P<0.05).The frequency of urination and incontinence 24h after treatment in the study group were lower than those in the conventional group(P<0.05).The NIHSS score of the study group was lower than that of the conventional group after the treatment(P<0.05),and the ADL score of the study group was higher than that of the conventional group after the treatment(P<0.05).Conclusion:Electro-acupuncture combined with low frequency electro-therapy can effectively improve the symptoms of frequency and urgency of urination in the PSUI patients,it can reduce the degree of urinary incontinence and nerve function impairment,and improve the life ability of the patients,with a significant efficacy.

关 键 词：脑卒中 尿失禁 电针 低频电疗 尿动力学 

分 类 号：R246.6[医药卫生—针灸推拿学]