经皮穴位电刺激结合耳穴贴压治疗原发性遗尿症

Transcutaneous electrical acupoint stimulation combined with auricular acupoint sticking for treatment of primary nocturnal enuresis

目的:验证经皮穴位电刺激结合耳穴贴压治疗原发性遗尿症(PNE)的疗效。方法:将250例PNE患儿随机分为观察组和对照组,每组125例。两组在一般心理行为治疗的基础上,观察组给予中极、气海、三阴交等经皮穴位电刺激和心、肾、交感等耳穴贴压治疗,每天1次,15天为一疗程,2个疗程间隔5天,连续治疗3个疗程后统计疗效。对照组给予药物醋酸去氨加压素、氯酯醒口服治疗,连续治疗2个月后统计疗效。结果:观察组总有效率为96.8%(121/125),优于对照组的90.4%(113/125)(P<0.05),观察组在减少PNE患儿夜尿次数、遗尿次数、起效时间和疗效的持续时间方面均优于对照组(均P<0.01)。结论:经皮穴位电刺激结合耳穴贴压能减少PNE患儿夜尿次数和遗尿次数,治疗效果显著,起效快,维持疗效时间长。

Objective To observe the therapeutic effect of transcutaneous electrical acupoint stimulation （TEAS） combined with auricular acupoint sticking （AAS） for treatment of primary nocturnal enuresis （PNE）. Methods Two hundred and fifty cases of PNE patients were randomly divided into an observation group and a con- trol group, 125 cases in each group. Two groups were treated on basis of the routine treatment, the observation group was treated with TEAS at Zhongji （CV 3）, Qihai （CV 6） and Sanyinjiao （SP 6） etc. combined with AAS at Xin（heart）, Shen（kidney）, and Jiaogan （sympathytic） etc. , once each day, 15 days constituting one course, an interval of 5 days between two courses, the therapeutic effect was evaluated after 3 courses of continuous treatment. The control group was treated with oral administration of Desmopressin Acetate （DA） and Meelofenoxate, the therapeutic effect was evaluated after 2 months of continuous treatment. Results The total effective rate of 96.8% （ 121 / 125 ） in observation group was superior to that of 90. 4 % （ 113/125） in control group （P〈 0. 05）, the observation group was superior to control group in reducing the times of noeturia and enuresis, onset time and duration of effect （all P〈0.05）. Conclusion TEAS combined with AAS can reduce the times of nocturia and enuresis of PNE children, with significant therapeutic effect, taking quick effect and keeping long effect duration.