温肾止遗方联合热敏灸对膀胱虚寒型小儿遗尿患者的临床疗效观察

Clinical Effect of Warm Kidney Stop Prescription Combined with Heat-sensitive Moxibustion in Children with Bbladder Deficiency and Cold Enuresis

目的研究温肾止遗方+热敏灸运用于膀胱虚寒型小儿遗尿中的价值。方法选择我院2020年3月-2021年4月纳入的膀胱虚寒型小儿遗尿患儿78例,以随机数字表法划分成两组,分别39例,研究组采取温肾止遗方+热敏灸,对照组使用常规治疗,干预前后对比两组症状积分、生活质量(SF-36)、功能性膀胱容量、尿流率、膀胱残余尿量、遗尿次数,评价两组干预后的总有效率,统计两组不良反应(腹痛、面色潮红、浮肿)情况,比较两组治疗结果。结果干预前两组症状积分无差异(P>0.05),干预后研究组夜尿频、全身乏力、畏寒肢冷、腰膝酸软积分低于对照组(P<0.05)。研究组总有效率89.74%高出对照组66.67%(P<0.05)。干预前两组膀胱功能及遗尿次数无差异(P>0.05),干预后研究组功能性膀胱容量、尿流率高出对照组,但膀胱残余尿量、遗尿次数低于对照组(P<0.05)。研究组不良反应7.69%低于对照组28.21%(P<0.05)。干预前两组SF-36无差异(P>0.05),干预后研究组健康状况、生理机能、精神健康、生理职能、精力评分均高出对照组(P<0.05)。结论温肾止遗方+热敏灸的效果更好,能够促进症状消失,减少遗尿次数,同时改善膀胱功能,不良反应少,安全性高,提升生活质量。

Objective To study the value of warm kidney stop prescription+thermal moxibustion in children with bladder deficiency and cold enuresis.Methods Select our hospital in March 2020-April 2021 in bladder deficiency cold children with 78 cases,by random number method divided into two groups,39 cases respectively,the study group take warm kidney prescription+thermal moxibustion,control group using conventional treatment,comparing the two groups of symptoms,quality of life(SF-36),functional bladder capacity,urine flow,bladder residual urine volume,enuresis,evaluate the total effective rate of two groups after intervention,statistical two groups of adverse reactions(abdominal pain,flushing,edema),compare the results of the two groups.Results There was no difference in the symptom points before the intervention(P>0.05),and the frequency,general fatigue,cold limbs,waist and knee were lower than the control group(P<0.05).The total response rate of the study group was 89.74% higher by 66.67% than that of the control group(P<0.05).There was no difference in bladder function and number of enuresis between the two groups(P>0.05).After intervention,functional bladder capacity and urine flow rate were higher than that of the control group,but bladder residual urine volume and enuresis were lower than that of the control group(P<0.05).7.69% of adverse reactions in the study group were lower than 28.21% in the control group(P<0.05).There was no difference in SF-36 between the two groups before the intervention(P>0.05),and the health status,physiology,mental health,physiological function and energy score were higher than that of the control group(P<0.05).Conclusion The effect of warm kidney antistatic prescription+heat sensitive moxibustion is better,which can promote the disappearance of symptoms,reduce the number of enuresis,improve bladder function,few adverse reactions,high safety,and improve the quality of life.