长针深刺中髎、会阳结合电针治疗膀胱过度活动症临床观察

Efficacy observation of long-needle puncturing at Zhongliao(BL 33)and Huiyang(BL 35)deeply and electroacupuncture on overactive bladder syndrome

目的:观察长针深刺中髎、会阳结合电针治疗膀胱过度活动综合征的临床疗效。方法:将60例膀胱过度活动综合征患者随机分为两组各30例,治疗组予长针深刺双侧中髎、会阳后结合电针治疗;对照组予索利那新口服,两组均治疗8周。分别在治疗前后对两组患者的膀胱过度活动症评分(OABSS)、国际尿失禁问卷(ICIQ SF)、膀胱过度活动症问卷简表(OAB-q SF)、白天排尿次数、夜尿次数、急迫性尿失禁次数、尿急次数和尿流动力学指标进行评价。结果:治疗后,两组患者OABSS评分、ICIQ SF评分、OAB-q SF评分、白天排尿次数、夜尿次数、急迫性尿失禁次数、尿急次数均较治疗前下降(P<0.05);治疗组在改善OABSS评分、OAB-q SF评分、白天排尿次数、急迫性尿失禁次数、尿急次数等方面均优于对照组(P<0.05);两组尿流动力学指标中最大膀胱测压容量、最大尿流率和残余尿量均较治疗前有所改善(P<0.05);治疗组在改善残余尿量和最大尿流率方面优于对照组(P<0.05)。结论:长针深刺中髎、会阳可有效改善膀胱过度活动症患者的临床症状,提高患者的生活质量。

Objective:To observe the clinical efficacy of long-needle puncturing BL33 and BL35 deeply and electroacupuncture on overactive bladder syndrome.Methods:60 cases of patients with overactive bladder syndrome were randomly divided into two groups,30 cases in each group.The treatment group was treated by electroacupuncture after long-needle puncturing bilateral Zhongliao(BL 33)and Huiyang(BL 35)deedly,while the control group was treated with oral Solifenacin.Both groups were treated for 8 weeks.Overactive bladder syndrome score(OABSS),International Consultation on Incontinence Questionnaire-short Form(ICIQ SF),Overactive Bladder Questionnaire-short Form(OAB-q SF),number of urination during the day,number of nocturia,number of urge urinary incontinence,number of urgent urination and urodynamic indexes of patients were evaluated in two groups before and after treatment respectively.Results:After treatment,OABSS score,ICIQ SF score,OAB-q SF score,number of urination during the day,number of nocturia,number of urge urinary incontinence and number of urgent urination were decreased compared with before treatment(P<0.05);the treatment group was better than control group in the improvement of OABSS score,OAB-q SF score,umber of urination during the day,number of urge urinary incontinence and number of urgent urination,and the difference between two groups was statistically significant(P<0.05).After treatment,maximal bladder manometric capacity,aximal urinary flow rate and residual urine volume in urodynamic indexes were improved in two groups compared with before treatment,and the difference in the group was statistically significant(P<0.05);the treatment group was better than control group in the improvement of residual urine volume and maximum urine flow rate(P<0.05).Conclusion:Long-needle puncturing BL33 and BL35 deeply can effectively improve the clinical symptoms of patients with overactive bladder syndrome,and enhance the quality of life of patients.