温阳补肾贴穴位贴敷治疗对老年性夜尿频症患者最大尿流率、中医症候积分及睡眠质量的影响

Effects of Wenyang Bushen Tie Acupoint Sticking treatment on the maximum urinary flow rate,TCM syndrome score and sleep quality in senile nocturia patients

目的:分析温阳补肾贴穴位贴敷治疗对老年性夜尿频症患者最大尿流率(The Maximum urine flow rate, Qmax)、中医症候积分及睡眠质量的影响。方法:选取2021年3月~2023年3月本院收治的131例老年性夜尿频症患者为研究对象,按照治疗方式的不同分为64例对照组(常规治疗)和67例观察组(温阳补肾贴穴位贴敷治疗),疗程为4周。对比两组临床疗效、治疗前后膀胱残余尿量、最大尿流率(Qmax)、夜间排尿次数、中医症候积分、匹兹堡睡眠质量指数评定量表(Pittsburgh Sleep Quality Index, PSQI)、生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOLI-74)及不良反应。结果:对照组临床总疗效率为75.00%,观察组临床总疗效率为94.02%,观察组总疗效率高于对照组(P<0.05)。观察组治疗后膀胱残余尿量、夜间排尿次数均少于对照组,且Qmax高于对照组(P<0.05)。两组治疗后中医症候积分均降低,且观察组治疗后中医症候积分低于对照组(P<0.05)。两组治疗后睡眠障碍、睡眠时间、日间功能障碍、睡眠效率、睡眠质量、入睡时间及催眠药物评分均降低,且观察组治疗后PSQI评分低于对照组(P<0.05)。治疗后两组心理功能、社会功能、生活态度、躯体功能四维度评分均升高,且对照组GQOL-74量表评分低于观察组(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论:温阳补肾贴穴位贴敷治疗应用于老年性夜尿频症患者中,可有效改善其临床症状,提高夜间最大尿流率,进而改善其睡眠质量,安全性高。

Objective:To analyze the effects of Wenyang Bushen Tie acupoint application on the maximum urine flow rate(Qmax),TCM syndrome score and sleep quality in senile patients with nocturia.Methods:A total of 131senile nocturia patients admitted to our hospital from March 2021to March 2023were selected as the study objects,and according to different treatment methods,they were divided into 64cases in the control group(conventional treatment)and 67cases in the observation group(warming yang tonifying paste acupoint sticking treatment),and the course of treatment was 4weeks.The clinical curative effect,bladder residual urine volume,maximum urinary flow rate,nocturnal urination frequency,TCM symptom score,Pittsburgh Sleep Quality Index(PSQI),and the Generic Quality of Life Inventory-74(GQOLI-74)before and after treatment were compared between the two groups and adverse reactions.Results:The total curative effect rate of the control group was 75.00%,and the total curative effect rate of the observation group was 94.02%,the total curative effect rate of the observation group was higher than that of the control group(P<0.05).After treatment,the bladder residual urine volume and nocturnal urination frequency in the observation group were lower than those in the control group,and the Qmax in the observation group was higher than that in the control group(P<0.05).After treatment,the TCM syndrome scores of the two groups were all reduced,and the TCM syndrome scores of the observation group were lower than those of the control group after treatment(P<0.05).After treatment,the scores of sleep disturbance,sleep time,daytime dysfunction,sleep efficiency,sleep quality,time to fall asleep,and hypnotic drugs in the two groups were all reduced,and the PSQI score of the observation group was lower than that of the control group after treatment(P<0.05).After treatment,the four-dimensional scores of psychological function,social function,life attitude,and physical function in the two groups all increased,and the GQOL-74scale score in the control group was lower than that in the observation group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:Wenyang Bushen Tie acupoint application in elderly patients with nocturia can effectively improve their clinical symptoms,increase the maximum urinary flow rate at night,and then improve their sleep quality,high security.