针刺治疗中风后尿失禁疗效观察

Observation of curative effect of acupuncture therapy on urinary incontinence after stroke

目的观察醒脑开窍针刺法配合芒针治疗中风后尿失禁的临床疗效。方法将2012年12月至2014年1月天津中医药大学第一附属医院针灸科住院77例中风后尿失禁患者,按照随机数字表法分为治疗组39例和对照组38例。治疗组中,男29例,女10例,平均年龄(55.32±11.73)岁,平均病程(34.61±10.24)d,其中脑梗死31例,脑出血8例。对照组中,男27例,女11例,平均年龄(56.04±9.29)岁,平均病程(36.04±11.29)d,其中脑梗死28例,脑出血10例。治疗组采用醒脑开窍针刺法配合芒针治疗,对照组仅采用醒脑开窍针刺法治疗。治疗2个疗程后,按照中医病症诊断疗效标准进行疗效评价。采用SPSS13.0统计学软件进行数据分析,两组疗效比较采用秩和检验,以P<0.05为差异有统计学意义。结果治疗组治愈24例,好转12例,无效3例,总有效率为92.31%(36/39);对照组治愈12例,好转18例,无效8例,总有效率为78.95%(30/38)。经秩和检验,两组患者疗效比较,差异有统计学意义(W=1239.00,Z=-2.708,P<0.05)。结论针刺治疗中风后尿失禁疗效确切。

Objective To observe the therapeutic effect of acupuncture method for consciousness- restoring resuscitation combined with elongated needle on urinary incontinence after stroke. Methods Seventy- seven patients of urinary incontinence after stroke, who were hospitalized in the Departments of First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine （TCM） during December 2012 to January 2014, were randomly divided into two groups according to random number table. There were thirty-nine patients in treatment group including twenty-nine males and ten females with mean age （55.32 ± 11.73） years old, and the average course of disease was （34.61 ±10.24） days. There were thirty-one cases of cerebral infarction and 8 cases of cerebral hemorrhage in treatment group. For control group there were twenty-seven males and eleven females with mean age （56.04± 9.29） years old, and the average course of disease was （36.04 ±11.29） days. There were 28 cases of cerebral infarction and 10 cases of cerebral hemorrhage in control group. Treatment group （n=39） was treated by elongated needle combined with consciousness-restoring resuscitation method. Control group （n=38） was treated with acupuncture method for consciousness-restoring resuscitation. After two courses of treatment, the curative effect was evaluated according to the TCM diagnostic and therapeutic criteria. Data were analyzed by SPSS13.0 statistical software. The curative effect of the two groups was compared by the Wilcoxon rank- sum test with the P-value set at 0.05. Results There were 24 cured, 12 improved and 3 no effect, with the total effective rate 92.31%（36/39）, in treatment group. There werel2 cured, 18 improved and 8 no effect, with the total effective rate 78.95% （30/38）, in control group. Rank sum test showed that there were significant differences in the curative effect between treatment and control groups （W=1239.00, Z=-2.708,P〈0.05）.Conclusion Acupuncture method for consciousness-restoring resuscitation combined with elongated needle is of obvious curative effect in treating urinary incontinence after stroke.