针刺足运感区结合局部电针围刺治疗中风后尿失禁的临床观察

Clinical observation on treatment of urinary incontinence after stroke with acupuncturing foot motor sensory area combined with local electroacupuncture

关键词:  中风后尿失禁  足运感区  膀胱体表相应投影区域  电针围刺

Key words:  urinary incontinence after stroke  foot motor sensory area  bladder surface corresponding projection area of the bladder surface  surrounding electroacupuncture

摘要:

[目的] 观察针刺足运感区结合局部电针围刺与常规针刺、常规针刺联合足运感区治疗中风后尿失禁的临床疗效差异。[方法] 将90例患者随机分为治疗组、对照1组和对照2组，每组30例，治疗组予针刺足运感区结合膀胱体表相应投影区域电针围刺；对照1组参照全国高等中医药院校“十三五”规划教材《针灸治疗学》中有关“尿失禁”的治疗选穴；对照2组在对照1组的基础上联合足运感区针刺，每日上午行神经内科常规治疗，每日下午行中风后尿失禁的临床治疗，每次30 min，每周连续治疗6次，6次为1个疗程，疗程间休息1 d，共2个疗程。观察3组治疗前后尿失禁程度、尿失禁临床症状评分及日常生活活动能力量表（ADL）评分，并比较3组患者的临床疗效。[结果] 3组患者治疗后尿失禁程度、尿失禁临床症状评分及ADL评分均较前改善（均P<0.05），治疗组对尿失禁程度及尿失禁临床症状评分的改善较其他两组更明显（P<0.05），且治疗组和对照2组的ADL评分明显优于对照1组（P<0.05）。治疗组总有效率为93.3%（30/28），优于对照1组76.7%（30/23）和对照2组83.3%（30/25，P<0.05）。[结论] 针刺足运感区结合局部电针围刺治疗中风后尿失禁疗效显著。

Abstract:

[Objective] To observe the clinical effect of acupuncturing foot motor sensory area combined with local surrounding electroacupuncture and conventional acupuncture,conventional acupuncture combined with foot motor sensory area in the treatment of post-stroke urinary incontinence.[Methods] The 90 patients were randomly divided into treatment group,control group 1 and control group 2,with 30 cases in each group. The treatment group was given acupuncturing foot motor sensory area combined with the corresponding projection area of the bladder surface;the control group 1 refers to the treatment of "urinary incontinence" in the "13th Five-Year" planning textbooks Acupuncture Therapy of the National Higher Education Institute of Chinese Medicine;the control group 2 combined with acupuncturing foot motor sensory area on the basis of the control group 1. Daily morning neurology routine treatment,daily afternoon clinical treatment of urinary incontinence after stroke,each time was 30 min,6 consecutive treatments per week,6 times for 1 course of treatment,1 day rest between courses,a total of 2 courses. The levels of urinary incontinence,urinary incontinence clinical symptom score and activity of daily living ability (ADL) were observed before and after treatment in 3 groups.[Results] The levels of urinary incontinence,urinary incontinence clinical symptom score and activity of daily living ability (ADL) were all improved after treatment in the three groups (P<0.05). In the treatment group,the improvement of the degree of urinary incontinence and the clinical symptoms of urinary incontinence was more obvious than the other two groups (P<0.05). The scores of activities of daily living (ADL) in the treatment group and the control group 2 were significantly better than those in the control group 1 (P<0.05). The total effective rate was 93.3% (30/28) in the treatment group,which was superior to the treatment group 1 of 76.7% (30/23) and the treatment group 2 of 83.3% (30/25,P<0.05).[Conclusion] The effect of acupuncturing foot motor sensory area combined with local surrounding electroacupuncture on urinary incontinence after stroke is significant.