隔药饼灸配合针刺治疗中风后尿失禁的临床研究

Clinical Study on Herbal Cake Moxibustion plus Acupuncture for Treatment of Post-stroke Urinary Incontinence

目的观察隔药饼灸配合针刺治疗中风后尿失禁的临床疗效。方法将50例中风后尿失禁患者随机分为治疗组26例和对照组24例。治疗组采用隔药饼灸配合针刺治疗,对照组采用单纯针刺治疗。观察两组治疗前后24 h排尿次数、尿失禁程度及临床症状评分的变化情况。结果两组治疗后24 h排尿次数及临床症状评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗前后24 h排尿次数差值及临床症状评分差值与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗后尿失禁程度与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后尿失禁程度与对照组比较,差异具有统计学意义(P<0.05)。结论隔药饼灸配合针刺是一种治疗中风后尿失禁的有效方法。

Objective To investigate the clinical efficacy of herbal cake moxibustion plus acupuncture in treating post-stroke urinary incontinence. Methods Fifty patients with post-stroke urinary incontinence were randomized to a treatment group （26 cases） and a control groups （24 cases）. The treatment group received herbal cake moxibustion plus acupuncture and the control group, acupuncture alone. Twenty-four-hour urine void number, incontinence severity and the clinical symptom score were recorded in the two groups before and after treatment. Results There were statistically significant pre-/post-treatment differences in twenty-four-hour urine void number and the clinical symptom score in the two groups （P〈0.05）. There were statistically significant differences in pre-/post-treatment twenty-four- hour urine void number difference value and clinical symptom score difference value between the treatment and control groups （P〈0.05）. There was a statistically significant pre-/post-treatment difference in incontinence severity in the two groups （P〈0.05）. There was a statistically significant post-treatment difference in incontinence severity between the treatment and control groups （P〈0.05）. Conclusion Herbal cake moxibustion plus acupuncture is an effective way to treat post-stroke urinary incontinence.