调神针法对女性膀胱过度活动症及伴随情绪异常的调节效应临床观察

Observation on regulating effect of spirit-regulating acupuncture on female overactive bladder and accompanying emotional abnormality

目的观察调神针法对女性膀胱过度活动症(OAB)及伴随情绪异常的调节效应。方法将72例女性OAB患者随机分为调神针刺组及常规针刺组,每组36例。常规针刺组给予常规调节膀胱针刺疗法治疗,调神针刺组给予常规调节膀胱针刺疗法联合调神针法治疗。两组均于骶部穴位(次髎、会阳)得气后接通电针治疗,疗程为4周。治疗第2周、第4周观察两组OAB症状评分(OABSS)、汉密尔顿焦虑量表(HAMD)评分、汉密尔顿抑郁量表(HAMA)评分变化情况。结果①试验期间,两组所有病例均完成研究。②组内治疗前与治疗第2周、第4周比较,两组OABSS均明显降低(P<0.05);组间治疗第4周比较,调神针刺组OABSS低于常规针刺组(P<0.05)。③组内治疗前与治疗第2周、第4周比较,两组HAMD、HAMA评分均明显降低(P<0.05);组间治疗第2周、第4周比较,调神针刺组HAMD、HAMA评分均低于常规针刺组(P<0.05)。结论调神针法治疗女性OAB在改善患者排尿状况、焦虑及抑郁情绪方面均优于常规调节膀胱针刺疗法;治疗过程中,排尿状况与焦虑、抑郁情绪的改善相关。

Objective To observe the regulating effect of spirit-regulating acupuncture on female overactive bladder(OAB)and accompanying emotional abnormality.Methods A total of 72 OAB women patients were randomly divided into the spirit-regulating acupuncture group and the routine acupuncture group,with 36 cases in each group.The routine acupuncture group was treated with the bladder-regulating acupuncture,while the spirit-regulating acupuncture group was treated additionally with the spirit-regulating acupuncture besides the bladder-regulating acupuncture.Electroacupuncture therapy was applied to the sacral acupoints(Ciliao and Huiyang)in both groups after the arrival of qi.The treatment course of both grorps was 4 weeks.The score changes of the overactive bladder symptom score(OABSS),Hamilton anxiety scale(HAMD)and Hamilton depression scale(HAMA)were compared between the two groups in the 2nd and 4th week of treatment.Results①During the trial,all patients in both groups completed the study.②After the treatment,the OABSS decreased in both groups in the 2nd and 4th week of treatment(P<0.05);the OABSS in the spirit-regulating acupuncture group was lower than that in the routine acupuncture group in the 4th week of treatment(P<0.05).③After treatment,the scores of HAMD and HAMA decreased in both groups in the 2nd and 4th week of treatment(P<0.05);the scores of HAMD and HAMA in the spirit-regulating acupuncture group were lower than those in the routine acupuncture group in the 2nd and 4th week of treatment(P<0.05).Conclusions The spirit-regulating acupuncture is superior to the routine bladder-regulating acupuncture in improving micturition symptoms,anxiety and depression of female OAB patients.The micturition symptoms are correlated with the improvement of anxiety and depression during the acupuncture treatment.