热敏灸治疗脑卒中后尿失禁的临床研究

Clinical Study on Heat-sensitive Moxibustion in Treating Post-stroke Urinary Incontinence

目的观察热敏灸治疗脑卒中后尿失禁的临床疗效。方法将90例脑卒中后尿失禁患者随机分为治疗组和对照组,每组45例。治疗组采用热敏灸灸气海、关元、三阴交治疗,对照组采用灸盒艾灸治疗。治疗4星期后,比较两组治疗前后尿失禁治疗分级和日常生活活动能力量表(ADL)评分。结果两组治疗后尿失禁治疗分级和ADL评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后尿失禁治疗分级和ADL评分与对照组比较,差异均具有统计学意义(P<0.05)。结论热敏灸能降低脑卒中患者尿失禁治疗分级,改善日常生活活动能力。

Objective To observe the clinical efficacy of heat-sensitive moxibustion in treating post-stroke urinary incontinence. Method Ninety patients with post-stroke urinary incontinence were randomized into a treatment group and a control group, 45 cases in each group. The treatment group was intervened by heat-sensitive moxibustion at Qihai（CV 6）, Guanyuan（CV 4）, and Sanyinjiao（SP 6）, while the control group was by moxa-box moxibustion. After 4-week treatment, the two groups were compared with each in the incontinence grading and Activities of Daily Living（ADL）. Result After treatment, the incontinence grading and ADL scores were significantly changed in both groups（P〈0.05）. The incontinence grading and ADL scores of the treatment group were significantly different from that of the control group after treatment（P〈0.05）. Conclusion Heat-sensitive moxibustion can improve the post-stroke urinary incontinence and ADL.