中医综合康复疗法治疗中风后尿失禁的临床研究
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摘要
目的研究中医综合康复疗法治疗中风后尿失禁的临床有效性。方法治疗组采用中药加针刺+艾灸联合西医盆底肌训练及排尿功能训练康复手法,对照组采取西医盆底肌训练及排尿功能训练康复手法治疗。疗程4周,分别与入组当天和治疗4周通过尿失禁临床评价和尿失禁程度比较对2组进行疗效比较。结果治疗组治疗后临床疗效及尿失禁程度明显优于对照组。结论中医综合康复治疗方法在针对中风后小便失禁方面具备明显优势。
Objective To observe the clinical efficacy of comprehensive rehabilitation therapy in the treatment of urinary incontinence after apoplexy. Methods The treatment group was treated with Chinese medicine, acupuncture,moxibustion and pelvic floor muscle training and rehabilitation training. The control group received pelvic floor muscle training and rehabilitation training. The course of treatment was 4 weeks. The clinical evaluation and the degree of urinary incontinence were compared between the two groups on the same day and 4 weeks after treatment.Results The clinical efficacy and urinary incontinence of the treatment group were significantly better than those of the control group after treatment. Conclusion The comprehensive rehabilitation therapy has obvious advantages in treating urinary incontinence after stroke.
Objective To observe the clinical efficacy of comprehensive rehabilitation therapy in the treatment of urinary incontinence after apoplexy. Methods The treatment group was treated with Chinese medicine, acupuncture,moxibustion and pelvic floor muscle training and rehabilitation training. The control group received pelvic floor muscle training and rehabilitation training. The course of treatment was 4 weeks. The clinical evaluation and the degree of urinary incontinence were compared between the two groups on the same day and 4 weeks after treatment.Results The clinical efficacy and urinary incontinence of the treatment group were significantly better than those of the control group after treatment. Conclusion The comprehensive rehabilitation therapy has obvious advantages in treating urinary incontinence after stroke.
引文
[1]华婷婷,孙志.孙志教授泻胃补脾针法治疗2型糖尿病的经验[J].浙江中医药大学学报,2017,41(10):834-836.
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[6]杨冬梅,赖登红,曾素娥.益气固肾汤联合盆底肌训练治疗压力性尿失禁40例[J].江西中医药,2012,43(5):42-43.
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[8]杨敏.强肾灸加中药治疗女性压力性尿失禁30例临床观察[J].黑龙江医药科学,2008,31(5):54.
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[10]张群英.固肾培元益气汤治疗女性尿失禁46例观察[J].实用中医药杂志,2005(6):342-343.
[11]曹翠纳.寒热平调法治疗反流性食管炎的临床疗效及对患者心理状态的干预研究[D].广州:广州中医药大学,2016.
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[13]曾子孟.经络保健按摩养生精华图典[M].江西科学技术出版社,2009,978-7-5390-3462-1.
[14]马惠敏,白晓东,王淑友,等.电针和艾灸对局部组织温度及血流影响的联合观察[J].北京中医药大学学报,2013,36(8):558-562,579.
[2]蒋颖,戴文君,姜劲峰.腹部常用穴穴区微循环血流灌注量的差异及不同温度艾灸的影响[J].南京中医药大学学报,2017,33(4):339-343.
[3]缪隼.浅谈脑卒中康复及其影响因素[J].上海预防医学杂志,2009,21(7):327-329.
[4]张缨,岳寿伟.脑卒中后排泄障碍[J].中国临床康复,2003(5):721-723.
[5]李晓艳,刘尔林.四神聪联合肾俞会阳电针治疗中风后尿失禁62例临床观察[J].中国伤残医学,2014,22(9):156-157.
[6]杨冬梅,赖登红,曾素娥.益气固肾汤联合盆底肌训练治疗压力性尿失禁40例[J].江西中医药,2012,43(5):42-43.
[7]侯文光,邢曼,哈力甫,等.电针对肾虚型急迫性尿失禁患者尿动力学的影响[J].上海中医药大学学报,2011,25(6):50-52.
[8]杨敏.强肾灸加中药治疗女性压力性尿失禁30例临床观察[J].黑龙江医药科学,2008,31(5):54.
[9]李红.固肾通淋汤治疗中老年妇女压力性尿失禁[J].工企医刊,2008(4):36-37.
[10]张群英.固肾培元益气汤治疗女性尿失禁46例观察[J].实用中医药杂志,2005(6):342-343.
[11]曹翠纳.寒热平调法治疗反流性食管炎的临床疗效及对患者心理状态的干预研究[D].广州:广州中医药大学,2016.
[12]侯春林,曾炳芳.骨科疑难病症手术病例精编[M].山东科技出版社,2002,7-5331-3029-4.
[13]曾子孟.经络保健按摩养生精华图典[M].江西科学技术出版社,2009,978-7-5390-3462-1.
[14]马惠敏,白晓东,王淑友,等.电针和艾灸对局部组织温度及血流影响的联合观察[J].北京中医药大学学报,2013,36(8):558-562,579.