《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (04): 475-478.

• 临床研究 • 上一篇    下一篇

隔盐隔姜灸神阙穴治疗脑卒中后急迫性尿失禁的效果观察

刘兰群，李惠兰，陈之罡，徐基民，卢虎英，陈洪雷
   

  1. 1.中国康复研究中心北京博爱医院，北京市 100068；2.首都医科大学康复医学院，北京市 100068。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-04-25 发布日期:2015-04-25

Effect of Ginger-salt-partitioned Moxibustion at Shenque (CV8) on Urge Incontinence after Stroke

LIU Lan-qun, LI Hui-lan, CHEN Zhi-gang, XU Ji-min, LU Hu-ying, CHEN Hong-lei
   

  1. 1.Department of TCM, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; 2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-04-25 Online:2015-04-25

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摘要： 目的 探讨隔盐隔姜灸神阙穴治疗脑卒中后急迫性尿失禁的临床效果。方法 对脑卒中后出现急迫性尿失禁的 40例患者按区组随机法分为观察组(n=20)与对照组(n=20)。对照组行常规治疗，观察组行隔盐隔姜灸神阙穴治疗和常规治疗。4周疗程结束后观察疗效。结果 36例完成治疗，其中对照组17例，观察组19例。治疗后，两组72 h总排尿次数、急迫性尿失禁次数、夜尿次数显著减少(P<0.001)，平均每次尿量显著增加(P<0.001)，膀胱残余尿量减少(P<0.05)，且观察组明显优于对照组(P<0.01)。同时，两组MBI评分明显增加(P<0.01)，但两组比较无显著性差异(P>0.05)。结论 隔盐隔姜灸神阙穴治疗脑卒中后排尿障碍效果明显。

关键词: 脑卒中, 针灸, 急迫性尿失禁, 隔姜灸, 隔盐灸, 神阙穴, 尿流动力学

Abstract: Objective To probe the therapeutic effect of ginger-salt-partitioned moxibustion on urge incontinence after stroke. Methods 40 stroke patients following urge incontinence were randomly divided into control group (n=20) and experimental group (n=20). 2 groups all received the same treatment, routine acupuncture and rehabilitation. Additionally, the experimental group received ginger-salt-partitioned moxibustion at Shenque (CV8). The curative effect was compared after treatment (4 weeks). Results 36 cases finished the treatment, 17 in the control group and 19 in the experimental group. Total number of urination, urinary incontinence and nocturia reduced, and the average volume of each urine increased (P<0.05), and volume of bladder residual urine reduced in 2 groups after treatment (P<0.001), while the experimental group was better than the control group (P<0.05). The scores of modified Barthel Index increased in 2 groups after treatment, but there was no significant difference between 2 groups (P>0.05). Conclusion The effect of ginger-salt-partitioned moxibustion at Shenque on poststroke following urination disorders is remarkable.

Key words: stroke, acupuncture, urge incontinence, ginger-partitioned moxibustion, salt-partitioned moxibustion, Shenque point, urodynamic