上海针灸杂志2024，Vol.43Issue(6)：634-638,5.DOI:10.13460/j.issn.1005-0957.2024.06.0634
温针灸联合低频电刺激治疗急性卒中后尿失禁的疗效观察及对尿动力学的影响
Therapeutic observation of needle-warming moxibustion plus low-frequency electrical stimulation for urinary incontinence after acute stroke and the effect on urodynamics
摘要
Abstract
Objective To observe the clinical efficacy of needle-warming moxibustion plus low-frequency electrical point stimulation in treating urinary incontinence after acute stroke and its effect on the patient's urodynamics.Method The recruited 108 patients with urinary incontinence after acute stroke were divided into a control group and an observation group using the random number table method,with 54 cases in each group.The control group received conventional indwelling,intermittent cleansing,catheterization,bladder training,pharmaceutical treatment,and low-frequency electrical point stimulation,based on which the observation group received additional needle-warming moxibustion treatment.The clinical efficacy and 72 h urination were compared.The International Consultation on Incontinence questionnaire-short form(ICIQ-SF),quality of life(QOL),and lower urinary tract symptoms(LUTS)scores and urodynamic parameters were observed before and after the treatment.Result The total effective rate was 98.1%in the observation group,higher than 85.2%in the control group(P＜0.05).After treatment,both groups had improvements in the 72 h urination,urodynamic parameters,ICIQ-SF score,QOL score,and LUTS score(P＜0.05),and the observation group surpassed the control group in comparing these measures(P＜0.05).Conclusion Based on the conventional treatment,needle-warming moxibustion plus low-frequency electrical point stimulation can enhance the clinical efficacy in treating urinary incontinence after acute stroke,improving the patient's urodynamic parameters and incontinence symptoms.关键词
温针疗法/针药并用/低频电刺激/脑梗死/中风后遗症/尿失禁/尿动力学Key words
Needle-warming moxibustion therapy/Acupuncture medication combined/Low-frequency electrical stimulation/Cerebral infarction/Post-stroke sequelae/Urinary incontinence/Urodynamics分类
中医学引用本文复制引用
蔡芳,乔红梅,朱艳,潘旭东,金杰..温针灸联合低频电刺激治疗急性卒中后尿失禁的疗效观察及对尿动力学的影响[J].上海针灸杂志,2024,43(6):634-638,5.基金项目
国家自然科学基金项目(81473268) （81473268）
河南省中医药科学研究专项课题(2019JDZX2080) （2019JDZX2080）
