保健医学研究与实践2024，Vol.21Issue(Z1)：202-205,4.DOI:10.11986/j.issn.1673-873X.2024.S1.48
子午流注艾灸配合提肛锻炼对老年脑卒中后尿失禁的干预效果
Intervention effects of midnight-midday ebb flow moxibustion combined with pelvic floor muscle exercises on post-stroke urinary incontinence in elderly patients
摘要
Abstract
Objective To analyze the intervention effects of midnight-midday ebb flow moxibustion combined with pelvic floor muscle exercises on post-stroke urinary incontinence in elderly patients.Methods Ninety-two elderly stroke patients hospi-talized in the Internal Medicine Ward from January 2022 to December 2022 were assigned to an experimental group(n=46)and a control group(n=46)based on the parity of their hospitalization numbers.The control group received routine nursing interventions combined with pelvic floor muscle exercises,while the experimental group received additional midnight-midday ebb flow moxibustion.Quality of life,urinary parameters,and clinical efficacy at the end of the course were assessed before and after the intervention.Results Pre-intervention,no significant differences were observed in Urinary Incontinence Quali-ty of Life Questionnaire(I-QOL)subscale scores between groups(P>0.05).Post-intervention,both groups showed in-creased I-QOL subscale scores compared to baseline,with the experimental group scoring significantly higher than the con-trol group(P<0.05).Pre-intervention,no significant differences were noted in single urine volume,24-hour incontinence episodes,incontinence scores,or 24-hour voiding frequency(P>0.05).Post-intervention,both groups exhibited reduced 24-hour incontinence episodes,incontinence scores,and urine frequency,along with increased single urine volume,with the experimental group demonstrating improvements compared to the control group,all with statistical significance(P<0.05).The experimental group achieved a significantly higher overall response rate than the control group(97.83%[45/46]vs.78.26%[36/46];χ2=8.364,P=0.004).Conclusion The combination of midnight-midday ebb flow moxibustion and pelvic floor muscle exercises significantly improves urinary incontinence symptoms and promotes bladder storage and urina-tion function in elderly patients with post-stroke urinary incontinence.关键词
脑卒中后尿失禁/子午流注艾灸/提肛锻炼/老年患者/护理干预Key words
Post-stroke urinary incontinence/Midnight-midday ebb flow moxibustion/Pelvic floor muscle exercises/Elderly patients/Nursing intervention分类
医药卫生引用本文复制引用
王琳,唐颖..子午流注艾灸配合提肛锻炼对老年脑卒中后尿失禁的干预效果[J].保健医学研究与实践,2024,21(Z1):202-205,4.基金项目
上海市浦东新区卫生健康委员会中医护理学科建设项目(PWZbr-2022-07). （PWZbr-2022-07）
