针刺配合太乙神针关元穴对卒中后尿失禁患者排尿情况及盆底肌群肌电的影响  

Impacts of Acupuncture Combined with Miraculous Moxa Roll at RN4 on Urination Status and Pelvic Floor Muscle EMG in Patients with PSUI

作　　者：孙海东[1] 邓敏[1] 张京兰[1] 金海涛[1] 马剑然 陈慧敏[1] SUN Haidong;DENG Min;ZHANG Jinglan;JIN Haitao;MA Jianran;CHEN Huimin(Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430014,China)

机构地区：[1]武汉市中医医院,湖北武汉430014

出　　处：《针灸临床杂志》2025年第1期22-26,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：武汉市中医药科研项目,编号:WZ22C67。

摘　　要：目的:探究针刺配合太乙神针关元穴对卒中后尿失禁(PSUI)患者排尿情况及盆底肌群肌电的影响。方法:选取2022年6月至2023年6月在本院收治的PSUI患者64例作为观察对象,按随机数字表法分为对照组、观察组各32例,对照组使用针刺治疗,观察组在对照组的基础上使用太乙神针关元穴治疗。比较两组患者的疗效,治疗前后排尿情况、膀胱功能、盆底肌群肌电和生活质量的变化情况。结果:观察组患者治疗后总有效率93.75%(30/32),显著高于对照组的75.00%(24/32)(P<0.05);治疗后观察组和对照组24 h尿失禁次数、24 h排尿次数和残余尿量显著降低,且观察组低于对照组(P<0.05),两组膀胱容量、最大尿量、盆底肌群肌电(Glazer)总分及尿失禁生活质量问卷(I-QOL)评分显著升高,且观察组高于对照组(P<0.05)。结论:针刺配合太乙神针关元穴治疗PSUI患者的疗效显著,可以改善患者的排尿功能、膀胱功能和盆底肌群肌电,提高生活质量。Objective:To explore the impacts of acupuncture combined with Taiyi miraculous moxa roll at Guanyuan(RN4)acupoint on the urination status and pelvic floor muscle electromyography(EMG)in patients with post-stroke urinary incontinence(PSUI).Methods:64 PSUI patients were randomly divided into the control group(n=32)and the observation group(n=32).The control group was treated with acupuncture;on which basis,the observation group was also treated with Taiyi miraculous moxa roll at RN4.The therapeutic effect was compared between the two groups.The changes in urinary status,bladder function,pelvic floor muscle EMG,and quality of life were compared between before and after the treatment in the two groups.Results:The total effective rate of the observation group was 93.75%(30/32),which was significantly higher than 75.00%(24/32)of the control group(P<0.05).The times of 24-hour urinary incontinence,24-hour urination,and residual urine volume were obviously reduced in the two groups,and the reductions were more significant in the observation group than those in the control group(P<0.05).The bladder capacity,maximum urine output,total score of pelvic floor muscle group EMG,and score of urinary incontinence quality of life questionnaire(I-QOL)were obviously increased in both groups(P<0.001),and the increases were more significant in the observation group than those in the control group(P<0.05).Conclusion:Acupuncture combined with Taiyi miraculous moxa roll at RN4 has an obvious therapeutic effect on PSUI patients,which can improve their urination function,bladder function,pelvic floor muscle EMG,and quality of life.

关 键 词：卒中 尿失禁 针刺 太乙神针 关元穴 排尿情况 盆底肌群肌电 

分 类 号：R246.6[医药卫生—针灸推拿学]