上海针灸杂志2018，Vol.37Issue(3)：253-256,4.DOI:10.13460/j.issn.1005-0957.2018.13.0253
腹三针结合醒脑开窍针刺法治疗脑梗死后尿失禁的临床观察
Clinical Observation of Fu San Zhen plus Xing Nao Kai Qiao Needling for Urinary Incontinence After Cerebral Infarction
摘要
Abstract
Objective To observe the clinical efficacy of Fu San Zhen (acupuncture at three abdominal acupoints) plus Xing Nao Kai Qiao (brain-awakening and orifice-opening) needling in treating urinary incontinence after cerebral infarction. Method Sixty patients with urinary incontinence after cerebral infarction were randomized into an experimental group of 20 cases and a control group of 20 cases. The experimental group was intervened by Fu San Zhen [Qihai (CV6) and bilateral Shuidao (ST28)] plus Xing Nao Kai Qiao needling by selecting Shuigou (GV26), Neiguan (PC6) and Sanyinjiao (SP6). The control group was intervened by ordinary acupuncture [Zhongji (CV3), Qihai (CV6), Shenshu (BL23) and Pangguangshu (BL28)] plus Xing Nao Kai Qiao needling method by selecting Shuigou (GV26), Neiguan (PC6) and Sanyinjiao (SP6). The maximum bladder capacity, residual urine volume and the score of International Consultation on Incontinence Questionnaire Short-form (ICIQ-SF) of the two groups were observed before and after the intervention, and the clinical efficacies were also compared. Result After the intervention, the maximum bladder capacity, residual urine volume and the score of ICIQ-SF were significantly changed in both groups (P<0.01). There were significantly statistical differences in comparing the maximum bladder capacity, residual urine volume and the score of ICIQ-SF between the two groups after the treatment (P<0.01). The total effective rate was 95.0％ in the experimental group versus 75.0％ in the control group, and the difference was statistically significant (P<0.01). Conclusion Fu San Zhen plus Xing Nao Kai Qiao needling can produce a more significant efficacy in treating urinary incontinence compared to ordinary acupuncture plus Xing Nao Kai Qiao needling.关键词
针刺疗法/透针/穴位,胸腹部/醒脑开窍/脑梗死/尿失禁/中风后遗症Key words
Acupuncture therapy/Point-through-point method/Points,chest & abdomrn/Xing Nao Kai Qiao/Cerebral infarction/Urinary incontinence/Post-stroke syndrome分类
医药卫生引用本文复制引用
熊嘉玮,李浩,倪娜..腹三针结合醒脑开窍针刺法治疗脑梗死后尿失禁的临床观察[J].上海针灸杂志,2018,37(3):253-256,4.基金项目
江苏省中医药局科技项目(YB2015057) （YB2015057）
