针灸治疗膀胱过度活动症诊疗特点的文献分析

Literature Analysis on Characteristic of Diagnozing and Treating Overactive Bladder By Acupuncture and Moxibustion

目的:拟探讨针灸治疗OAB的诊疗特点。方法:通过电子检索中英文数据库中近10年针灸治疗膀胱过度活动症的相关文献,分析总结针灸治疗膀胱过度活动症的治疗方法、辨病辨证特点、选穴、频率、疗程、疗效评价及疗效。结果:共纳入15篇文献,通过统计分析可知针灸治疗本病:(1)治疗方法以电针为主(8/15,53.33%);(2)以辨病取穴多见(13/15,86.67%),主要选用腰骶部及小腹部腧穴,选用频次较多的穴位为:中极(9/15,60%),次髎(8/15,53.33%),关元、三阴交(7/15,46.67%),肾俞、气海(6/15,40%),会阳、膀胱俞(5/15,33.33%);(3)频率以每日1次常用(9/15,60%),疗程以12次多见(3/15,20%);(4)观察指标较主观,尚缺少对治疗方法的副反应进行观察,疗效判定标准存在较大差异;(5)近期疗效较好,多数患者在治疗4周后,症状即可得到明显改善,但随访率不高,中远期疗效有待于进一步评估。结论:针灸治疗膀胱过度活动症近期疗效较好,能有效的改善患者尿急、尿频、夜尿等症状,但中远期疗效有待于进一步研究。

Objective：To investigate the clinical characteristics of diagnozing and treating OAB with acu- puncture treatment. Methods： Searched the literature on treating OAB with acupuncture and moxibustion at Chinese and English database, and summarized the characteristics of syndrome differentiation, acupoints selec- ting, frequency, duration of treatment, efficacy and evaluation. Results： 15 papers were included. Through sta- tistical analysis, it was known that while treating the disease by acupuncture and moxibustion ： （ 1 ） electroacu- puncture was the mainly used treating method （8/15, 53.33%） ; （2） acupoints in accordance with syndromes were taken more, accounting for （ 13/15, 86.67%）. Lumbosacral and small abdominal acupoints were main se- lection. The acupoints used more frequency were CV-3 （9/15, 60%）, BL-32（8/15, 53.33%）, CV-4, SP- 6 （7/15,46.67%）, BL-23, CV-6 （6/15, 40%）, BL-35, and BL-28 （5/15, 33.33%） （3） The ~equen- cy was one time a day （9/15, 60%） , and the treatment course was usually 12 times （3/15, 20%） ; （4） the observation indexes were more subjective, and lack of observation on side effects of treatment methods. There was great difference in the criterion of curative effect. （5） The short-term effect was satisfactory. Most patients＇ symptoms could be significantly improved after 4 weeks＇ treatment. But the follow-up rate was insufficient, and the long-term efficacy needed further evaluation. Conclusion： Acupuncture and moxibustion has good short- term effect in treating overactive bladder. It can effectively improve the symptoms such as urgency, urination, and nocturia. However, the evidence level is not high, and the long-term effect is to be further studied.