深刺八髎穴治疗中风后尿失禁临床观察

Clinical Observation on Deep Acupuncture Baliao Point in the Treatment of Urinary Incontinence after Stroke

目的比较深刺八髎穴与常规穴位针刺治疗中风后尿失禁的临床疗效差异。方法选取沈阳市第七人民医院神经内科中风后尿失禁患者60例,分为深刺八髎穴组30例及常规穴位组30例。八髎穴组予深刺(刺入3~4寸)八髎穴法。常规组采用常规穴位针刺,每周治疗6次,2周为1疗程,2个疗程后采用美国泌尿协会临床症状评分量表、尿失禁程度分级作为观察指标,以尿失禁症状结合疗效指数来评价疗效。结果八髎穴组患者治疗后临床症状评分、痊愈、显效例数及有效率明显优于常规组(P<0.05)。结论深刺八髎穴治疗中风后尿失禁疗效显著,可明显改善尿失禁患者症状及体征,疗效优于常规针刺组,值得临床推广。

Objective To compare the clinical curative effect of deep acupuncture baliao point in the treatment of urinary incontinence after stroke. Methods 60 patients with urinary incontinence after stroke in Shenyang Seventh People ＇s Hospital were divided into deep acupuncture baliao point group of 30 cases and routine acupuncture group of 30 cases. The baliao point group was given deep acupuncture baliao point（pierce 3-4 inches）. The routine acupuncture group was given routine acupuncture. Six times within a week, 2 weeks was one treatment course. After 2 courses, clinical symptoms rating scale, urinary incontinence, the American urological association classification as observing indexes, urinary incontinence symptom curative effect index was used to evaluate the curative effect. Results After treatment, clinical symptom scores, heal and cases of the deep acupuncture baliao point group were significantly better than those of the routine acupuncture group（ P〈0.05）. Conclusion The deep acupuncture baliao point in the treatment of urinary incontinence after stroke has significantly curative effect, can significantly improve symptoms and signs in patients with urinary incontinence, the curative effect is better than that of routine acupuncture group, and is worthy of clinical extending.