腹三针结合醒脑开窍针刺法治疗脑梗死后尿失禁的临床观察

Clinical Observation of Fu San Zhen plus Xing Nao Kai Qiao Needling for Urinary Incontinence After Cerebral Infarction

目的观察腹三针结合醒脑开窍针刺法治疗脑梗死后尿失禁的临床疗效。方法 60例脑梗死后尿失禁患者,随机分为试验组20例和对照组20例。试验组采用腹三针[气海、水道(双)]结合醒脑开窍法(水沟、内关、三阴交),对照组采用常规针刺法(中极、气海、肾俞、膀胱俞)结合醒脑开窍法(水沟、内关、三阴交)。观察两组治疗前后膀胱最大容积、残尿量、ICIQ-SF评分变化,并比较临床疗效。结果两组患者治疗后膀胱最大容积、残尿量、ICIQ-SF评分与同组治疗前比较,差异有统计学意义(P<0.01);两组患者治疗后膀胱最大容积、残尿量、ICIQ-SF评分比较,差异有统计学意义(P<0.01)。试验组总有效率为95.0%,对照组为75.0%,两组比较差异有统计学意义(P<0.01)。结论腹三针结合醒脑开窍针刺法治疗脑梗死后尿失禁疗效明显优于常规针刺结合醒脑开窍法。

Objective To observe the clinical efficacy of Fu San Zhen(acupuncture at three abdominal acupoints)plus Xing Nao Kai Qiao(brain-awakening and orifice-opening)needling in treating urinary incontinence after cerebral infarction.Method Sixty patients with urinary incontinence after cerebral infarction were randomized into an experimental group of20cases and a control group of20cases.The experimental group was intervened by Fu San Zhen[Qihai(CV6)and bilateral Shuidao(ST28)]plus Xing Nao Kai Qiao needling by selecting Shuigou(GV26),Neiguan(PC6)and Sanyinjiao(SP6).The control group was intervened by ordinary acupuncture[Zhongji(CV3),Qihai(CV6),Shenshu(BL23)and Pangguangshu(BL28)]plus Xing Nao Kai Qiao needling method by selecting Shuigou(GV26),Neiguan(PC6)and Sanyinjiao(SP6).The maximum bladder capacity,residual urine volume and the score of International Consultation on Incontinence Questionnaire Short-form(ICIQ-SF)of the two groups were observed before and after the intervention,and the clinical efficacies were also compared.Result After the intervention,the maximum bladder capacity,residual urine volume and the score of ICIQ-SF were significantly changed in both groups(P<0.01).There were significantly statistical differences in comparing the maximum bladder capacity,residual urine volume and the score of ICIQ-SF between the two groups after the treatment(P<0.01).The total effective rate was95.0%in the experimental group versus75.0%in the control group,and the difference was statistically significant(P<0.01).Conclusion Fu San Zhen plus Xing Nao Kai Qiao needling can produce a more significant efficacy in treating urinary incontinence compared to ordinary acupuncture plus Xing Nao Kai Qiao needling.