针刺肾关、足三里合灸关元治疗中风后小便频数的临床疗效

CLINICAL OBSERVATION OF ACUPUNCTURE ON SHENGUAN AND ZUSANLI COMBINED WITH MOXIBUSTION ON GUANYUAN IN THE TREATMENT OF URINARY FREQUENCY AFTER APOPLEXY

目的观察针刺肾关、足三里合灸关元治疗中风后小便频数的临床疗效。方法选取2020年1月至2023年12月就诊于赤峰市中医蒙医医院脑病科的中风后小便频数患者60例为研究对象,按照随机数表法分为对照组和治疗组,各30例,分别于治疗(5±1)d、(10±1)d、(15±1)d后观察患者治疗前后中医临床症候评分、膀胱过度活动症评分(OABSS)的变化。结果治疗后,两组中医临床症候评分、膀胱过度活动症评分均较治疗前降低,治疗组较对照组下降更明显,两组比较差异具有统计学意义(P<0.05),治疗后对照组总有效率为80.00%,试验组的总有效率为98.33%,两组比较差异具有统计学意义(P<0.05)。治疗组的总有效率率高于对照组,两组比较差异具有统计学意义(P<0.05)。结论针刺肾关、足三里合灸关元治疗中风后小便频数,能明显减轻患者小便频数症状,临床疗效满意。

Objective To observe the clinical efficacy of acupuncture of kidney guan and Zusanli moxibustion Guan Yuan in the treatment of urination frequency after stroke.Methods A total of 60 patients with post-stroke urination frequency who visited the Department of Encephalopathy of Chifeng Hospital of Traditional Chinese Medicine and Mongolian Medicine from January 2020 to December 2023 were selected as the study subjects,and were divided into control group and experimental group,with 30 cases in each group,and the changes of TCM clinical syndrome score and overactive bladder score(OABSS)before and after treatment(5±1)day,(10±1)day and(15±1)days were observed.Results After treatment,the clinical syndrome score and overactive bladder score of the two groups were lower than those before treatment,and the treatment group decreased more significantly than the control group,and the difference between the two groups was statistically significant(P<0.05),the total effective rate of the control group was 80.00%after treatment,and the total effective rate of the experimental group was 98.33%,and the difference between the two groups was statistically significant(P<0.05).The total effective rate of the experimental group was higher than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusions Acupuncture of Kidney Guan and Zusanli Moxibustion Guan Yuan in the treatment of urination frequency after stroke can significantly reduce the symptoms of urine frequency in patients,and the clinical effect is satisfactory.