任脉灸在脑卒中后尿失禁患者护理中的应用效果

Application effect of Ren vessel moxibustion in nursing of patients with urinary incontinence after stroke

目的探讨任脉灸在脑卒中后尿失禁患者护理中的应用效果。方法选取2017年11月至2020年8月本院收治的90例尿失禁住院患者作为研究对象,按照随机数字表法分为任脉组、悬灸组与对照组,各30例。3组均给予日常尿失禁基础护理,任脉组给予任脉灸治疗,悬灸组给予悬灸治疗,对照组不做其他处理。比较3组护理前后排尿情况、中医症状评分及尿失禁患者生命质量评分(I-QOL)。结果护理前,3组白天、夜间排尿次数比较差异无统计学意义;护理后,3组白天、夜间排尿次数均少于护理前,且任脉组排尿次数少于悬灸组、对照组,悬灸组少于对照组,差异有统计学意义(P<0.05)。护理前,3组单次尿量比较差异无统计学意义,两两比较差异无统计学意义;护理后,3组单次尿量均多于护理前,且任脉组多于悬灸组、对照组,悬灸组多于对照组,差异有统计学意义(P<0.05)。护理前,3组中医肾阳虚症状评分比较差异无统计学意义,两两比较差异无统计学意义;护理后,3组中医肾阳虚症状评分均低于护理前,且任脉组低于悬灸组、对照组,悬灸组低于对照组,差异有统计学意义(P<0.05)。护理前,3组I-QOL评分比较差异无有统计学意义,两两比较差异无统计学意义;护理后,3组I-QOL评分均高于护理前,且任脉组高于悬灸组、对照组,悬灸组高于对照组,差异有统计学意义(P<0.05)。结论中医艾灸护理脑卒中后尿失禁患者效果良好,有利于调理患者体质,改善患者生命质量,且任脉灸更适合脑卒中尿失禁患者特殊体位及病情。

Objective To investigate the effect of Ren vessel moxibustion in nursing of patients with urinary incontinence after stroke.Methods 90 inpatients with urinary incontinence admitted to our hospital from November 2017 to August 2020 were selected as the study subjects,and theywere divided into the Ren vessel group,the suspension moxibustion group and the control group according to random number table method,with 30 cases each.All the 3 groups were given daily urinary incontinence basic care,the Renmai group was given the Renmai moxibustion treatment,the suspension moxibustion group was given the suspension moxibustion treatment,and the control group was not treated with other treatments.Urinary status,Traditional Chinese Medicine symptom score and quality of life score(I-QOL)of patients with urinary incontinence were compared before and after care.Results Before nursing,there was no statistically significant difference between the three groups in daytime and night urination;after nursing,the frequency of urination during the day and at night of the 3 groups was less than before nursing,and the frequency of urination in Ren vessel group was less than that in suspension moxibustion group and control group,and the frequency of urination in suspension moxibustion group was less than that in control group,the differences were statistically significant(P<0.05).Before nursing,there was no statistical significance in single urine volume comparison among the three groups;after nursing,the single urine volume of 3 groups was higher than before nursing,and the Ren vessel group was higher than the suspension moxibustion group and the control group,and the suspension moxibustion group was higher than the control group,the differences were statistically significant(P<0.05).Before nursing,there was no statistically significant difference in symptom score of kidney Yang deficiency among the 3 groups,and there was no statistically significant difference in pairwise comparison;after nursing,the symptom scores of kidney Yang deficiency of the 3 groups were lower than before nursing,and Ren vessel group was lower than suspension moxibustion group and control group,and suspension moxibustion group was lower than control group,the differences were statistically significant(P<0.05).Before nursing,there was no statistically significant difference in I-QOL scores among the 3 groups,and there was no statistically significant difference in pairwise comparison;after nursing,the I-QOL score of the 3 groups was higher than that before nursing,and the Ren vessel group was higher than the suspension moxibustion group and the control group,and the suspension moxibustion group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion Traditional Chinese moxibustion has a good effect in nursing patients with urinary incontinence after stroke,which is conducive to regulating the physique of patients and improving the quality of life of patients,and the free pulse moxibustion is more suitable for the special position and condition of patients with urinary incontinence after stroke.