热敏灸治疗女性膀胱过度活动症临床观察

Clinical Observations on Heat-sensitive Point Moxibustion Treatment for Overactive Bladder in Women

目的运用热敏灸治疗膀胱过度活动症(OAB),探讨其有效性及安全性。方法临床选择符合纳入标准女性OAB患者86例,随机分为治疗组43例、对照组43例。治疗组进行热敏灸治疗;对照组给予酒石酸托特罗定片。30 d观察效果。结果 86例患者均完成研究,治疗过程中未发现不良反应,耐受性较好。治疗组总有效率为86.0%,对照组总有效率为69.8%,两者比较差异有统计学意义(P<0.05);两组间治疗前24 h排尿次数及尿急次数无显著差异(P>0.05),治疗后两组间差异有统计学意义(P<0.05)。结论穴位热敏灸治疗OAB可显著改善患者的尿频、尿急等临床症状,其效果确切,安全可靠。

Objective To use heat-sensitive point moxibustion to treat overactive bladder（OAB） and explore its effectiveness and safety. Method Eighty-six female OAB patients meeting the inclusion criteria were clinically enrolled and randomly allocated to a treatment group of 43 cases and a control group of 43 cases. The treatment group received heat-sensitive point moxibustion and the control group, oral administration of tolterodine tartrate tablets 2 mg twice daily. The therapeutic effects were evaluated 30 days later. Result Eighty-six patients completed the study. Adverse reactions were not found and tolerance was higher during the treatment. The total efficacy rate was 86.0% in the treatment group and 69.8% in the control group; there was a statistically significant difference between the two groups（P0.05）. There were no statistically significant differences in the number of voids and the number of urgencies during 24 hours before treatment between the two groups and there were statistically significant post-treatment differences between them（P0.05）. Conclusion Heat-sensitive point moxibustion can more markedly improve clinical symptoms such as urinary frequency and urgency in OAB patients. It has a definite effect and is safe and reliable.