隔药饼灸配合针刺治疗中风后尿失禁的临床研究
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摘要
目的观察隔药饼灸配合针刺治疗中风后尿失禁的临床疗效。方法将50例中风后尿失禁患者随机分为治疗组26例和对照组24例。治疗组采用隔药饼灸配合针刺治疗,对照组采用单纯针刺治疗。观察两组治疗前后24 h排尿次数、尿失禁程度及临床症状评分的变化情况。结果两组治疗后24 h排尿次数及临床症状评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗前后24 h排尿次数差值及临床症状评分差值与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗后尿失禁程度与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后尿失禁程度与对照组比较,差异具有统计学意义(P<0.05)。结论隔药饼灸配合针刺是一种治疗中风后尿失禁的有效方法。
Objective To investigate the clinical efficacy of herbal cake moxibustion plus acupuncture in treating post-stroke urinary incontinence. Methods Fifty patients with post-stroke urinary incontinence were randomized to a treatment group(26 cases) and a control groups(24 cases). The treatment group received herbal cake moxibustion plus acupuncture and the control group, acupuncture alone. Twenty-four-hour urine void number, incontinence severity and the clinical symptom score were recorded in the two groups before and after treatment. Results There were statistically significant pre-/post-treatment differences in twenty-four-hour urine void number and the clinical symptom score in the two groups(P<0.05). There were statistically significant differences in pre-/post-treatment twenty-fourhour urine void number difference value and clinical symptom score difference value between the treatment and control groups(P<0.05). There was a statistically significant pre-/post-treatment difference in incontinence severity in the two groups(P<0.05). There was a statistically significant post-treatment difference in incontinence severity between the treatment and control groups(P<0.05). Conclusion Herbal cake moxibustion plus acupuncture is an effective way to treat post-stroke urinary incontinence.
Objective To investigate the clinical efficacy of herbal cake moxibustion plus acupuncture in treating post-stroke urinary incontinence. Methods Fifty patients with post-stroke urinary incontinence were randomized to a treatment group(26 cases) and a control groups(24 cases). The treatment group received herbal cake moxibustion plus acupuncture and the control group, acupuncture alone. Twenty-four-hour urine void number, incontinence severity and the clinical symptom score were recorded in the two groups before and after treatment. Results There were statistically significant pre-/post-treatment differences in twenty-four-hour urine void number and the clinical symptom score in the two groups(P<0.05). There were statistically significant differences in pre-/post-treatment twenty-fourhour urine void number difference value and clinical symptom score difference value between the treatment and control groups(P<0.05). There was a statistically significant pre-/post-treatment difference in incontinence severity in the two groups(P<0.05). There was a statistically significant post-treatment difference in incontinence severity between the treatment and control groups(P<0.05). Conclusion Herbal cake moxibustion plus acupuncture is an effective way to treat post-stroke urinary incontinence.
引文
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[10]刘未艾,何亚敏,刘密,等.隔药饼灸对功能性胃肠病肝郁脾虚模型大鼠MTL、GAS、VIP的影响[J].实用中医内科杂志,2013,27(1):83-85.
[11]章海凤,刘未艾,常小荣,等.隔药饼灸对功能性胃肠病肝郁脾虚模型大鼠结肠5-HT含量及中枢c-fos的影响[J].中华中医药杂志,2014,29(9):2915-2919.
[12]雷海燕.辨证分型隔药饼灸治疗原发性痛经临床观察[J].上海针灸杂志,2014,33(2):140-142.
[13]藏郁文.中国针灸临床治疗学[M].山东:青岛出版社,2003:375.
[14]赵粹英,洪娴,张英英,等.隔药饼灸对老年人垂体-甲状腺、性腺功能的影响[J].上海针灸杂志,2000,19(S1):9-11,78.
[15]邵国萍,钬丕文.隔药饼灸治疗周围性面瘫疗效观察[J].光明中医,2011,26(7):1418-1419.
[2]庞灵,李桂杰,宗敏茹,等.神经源性膀胱患者康复期尿路感染危险因素分析[J].中华医院感染学杂志,2013,23(18):4404-4408.
[3]中华中医药学会.中医内科常见病诊疗指南·中医病证部分[M].北京:中国中医药出版社,2008:56.
[4]王启才.针灸治疗学[M].北京:中国中医药出版社,2012:132.
[5]中华中医药学会.临床诊疗指南·神经病学分册[M].北京:人民卫生出版社,2009:6-16.
[6]吴阶平.吴阶平泌尿外科学[M].山东:山东科学技术出版社,2004:1347.
[7]郭应禄,杨勇.尿失禁[M].山东:山东科学技术出版社,2003:269.
[8]Valerie CC,Joseph PO.Use of the minimum data set to rate incontinence severity[J].JAGS,1995,43:1363-1369.
[9]覃肯,罗薇絮,王萍,等.隔药饼灸对子宫内膜异位症大鼠新血管生成的影响[J].世界中医药,2017,12(7):1620-1622.
[10]刘未艾,何亚敏,刘密,等.隔药饼灸对功能性胃肠病肝郁脾虚模型大鼠MTL、GAS、VIP的影响[J].实用中医内科杂志,2013,27(1):83-85.
[11]章海凤,刘未艾,常小荣,等.隔药饼灸对功能性胃肠病肝郁脾虚模型大鼠结肠5-HT含量及中枢c-fos的影响[J].中华中医药杂志,2014,29(9):2915-2919.
[12]雷海燕.辨证分型隔药饼灸治疗原发性痛经临床观察[J].上海针灸杂志,2014,33(2):140-142.
[13]藏郁文.中国针灸临床治疗学[M].山东:青岛出版社,2003:375.
[14]赵粹英,洪娴,张英英,等.隔药饼灸对老年人垂体-甲状腺、性腺功能的影响[J].上海针灸杂志,2000,19(S1):9-11,78.
[15]邵国萍,钬丕文.隔药饼灸治疗周围性面瘫疗效观察[J].光明中医,2011,26(7):1418-1419.