针刺研究2011，Vol.36Issue(6)：428-432,5.
电针治疗脑卒中后尿失禁的随机对照研究
Randomized Controlled Clinical Trials for Electroacupuncture Treatment of Urinary Incontinence in Stroke Patients
摘要
Abstract
Objective To observe clinical efficacy of electroacupuncture (EA) for post-stroke urinary incontinence in patients. Methods A total of 111 stroke inpatients with urinary incontinence were randomly divided into EA group (n = 56) and control group (n = 55). Patients of the control group were treated by administration of calcium ion antagon. Angiotensin-converting enzyme inhibitor, angiotensin I receptor antagonist, compound thromb-clearing agent (I. V.), etc. ,and acupuncture of Jianyu (LI 15), XuehaKSP 10) ,etc. Patients of the EA group were treated by EA of bilateral Shenshu (BL 23), Huiyang (BL 35), etc. .combined with the treatment as the control group. The treatment was conducted once daily for 4 weeks. Crooks (1995) Scores of the clinical symptoms and clinical efficacy assessment were given before and after the treatment. Results After the treatment, the severity of urinary incontinence and symptom scores in both control and EA groups were decreased significantly in comparison with pre-treatment (P<0. 01). Following the treatment, of the 55 and 56 stroke patients in the control and EA groups, 0 and 4 (7.1 %) were cured in the symptoms of frequent micturition, urgency of micturition and incontinence of urine, 20 (36.4%) and 35 (62. 5%) were effective, 35 (63.6%) and 17 (30. 4%) were invalid, with the effective rates being 36. 4% and 69.6%, respectively. The therapeutic effect of EA group was apparently superior to that of the control group (P<0.01). In addition, the infection rate of the EA group was strikingly lower than that of the control group (P<0.05). Conclusion EA can lower the severity of urinary incontinence and improve clinical symptoms of micturition in stroke patients.关键词
电针/脑卒中/尿失禁Key words
Electroacupuncture/ Stroke/ Urinary incontinence分类
医药卫生引用本文复制引用
楚佳梅,包烨华,邹超,赵宏利,龚燕,王翀敏..电针治疗脑卒中后尿失禁的随机对照研究[J].针刺研究,2011,36(6):428-432,5.基金项目
杭州市科技局资助(No.20080333 Q 20) （No.20080333 Q 20）
