芒针“秩边透水道”针法配合隔盐灸神阙对卒中后尿失禁患者尿失禁程度及运动功能和认知功能的影响

Clinical observation on the acutherapy of"Zhibian(BL54)through Shuidao(ST28)"with elongated needle combined with separated-salt moxibustion at Shenque(CV8)for post-stroke urinary incontinence

目的观察芒针“秩边透水道”针法配合隔盐灸神阙对卒中后尿失禁患者尿失禁程度及运动功能和认知功能的影响。方法将90例卒中后尿失禁患者按照随机数字表法分为2组,均予基础治疗,对照组45例予常规针刺治疗,治疗组45例在对照组治疗基础上加用芒针“秩边透水道”针法配合隔盐灸神阙治疗。2组均每日1次,10次为1个疗程,治疗2个疗程。比较2组治疗前后国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)评分、功能独立性量表(FIM)评分及排尿日记。结果2组治疗后ICI-Q-SF漏尿频率、漏尿量程度、漏尿对日常生活的影响评分及总评分均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05)。2组治疗后FIM运动亚量表、认知亚量表评分及总评分均较本组治疗前升高(P<0.05),2组治疗后比较差异无统计学意义(P>0.05)。2组治疗后排尿次数、尿失禁次数、夜尿次数均较本组治疗前减少(P<0.05),且治疗组减少更明显(P<0.05)。结论芒针“秩边透水道”针法配合隔盐灸神阙治疗卒中后尿失禁,能减少患者排尿次数、尿失禁次数、夜尿次数,且对躯体运动功能及认知功能有积极影响,对尿失禁的改善程度优于常规针刺治疗。

Objective To observe the clinical effect of the acutherapy of"Zhibian(BL54)through Shuidao(ST28)"with elongated needle combined with separated-salt moxibustion at Shenque(CV8)for post-stroke urinary incontinence(PSUI).Methods Totally 90 patients with PSUI were randomly divided into equal group,apart from basal treatment,control group received routine acutherapy,and treatment group received acutherapy of"Zhibian(BL54)through Shuidao(ST28)"with elongated needle combined with separated-salt moxibustion at Shenque(CV8)based on control group.The treatment continued for 2 courses(once a day,10 times for a course),International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF)scores,function independent measure(FIM)scores and urination were included as comparators.Results After treatment,the ICI-Q-SF(frequency of urinary leakage episodes,leakage volume,influence of urine leakage on daily life)scores in groups were decreased(P<0.05),which in treatment group were significantly decreased(P<0.05);FIM cognitive(C-FIM)and motor(M-FIM)subtests in groups were increased(P<0.05),the number of urination,incontinence,nocturia in groups were decreased(P<0.05),which in treatment group were significantly decreased(P<0.05).Conclusion Compared with routine acutherapy,"Zhibian(BL54)through Shuidao(ST28)"with elongated needle combined with separated-salt moxibustion at Shenque(CV8)can reduce the number of urination,incontinence,nocturia for patients with PSUI,and actively improve their physical motor function and cognitive function,thus with better efficacy in urinary incontinence.