Effect of Auricular Piont Pressing Combined with Thunder-Fire Moxibustion on Abdominal Distension and Constipation After Thoracic Compression Fracture

Objective:To explore the effect of auricular point pressing combined with thunder-fire moxibustion in the treatment of abdominal distension and constipation after thoracic compression fracture.Methods:Totally 100 patients were randomly divided into 4 groups,the observation group 1(n=25)which were treated with conventional nursing combined with auricular piont pressing,observation group 2(n=25)treated with conventional nursing combined with thunder-fire moxibustion,observation group 3(n=25)treated with conventional nursing combined with auricular point pressing and thunder-fire moxibustion,and the control group(n=25)which adopted conventional nursing.First exhaust and defecation time after fracture in 4 groups were observed and compared.Results:The effect of observation group 3 was better than that of observation group 2,observation group 1 and control group(P<0.05).Conclusion:It is obvious that auricular point pressing combined with thunder-fire moxibustion has better result in treating abdominal distension and constipation after thoracic compression fracture.

Evaluating the clinical efficacy of Thunder-Fire moxibustion combined with ovulation monitoring in the treatment of adenomyosis combined with infertility

This study evaluated the clinical efficacy of Thunder-Fire moxibustion combined with ovulation monitoring for the treatment of adenomyosis-associated infertility.A series of 120 patients diagnosed with uterine adenomyosis and infertility and cold coagulation blood stasis syndrome in traditional Chinese medicine(with the clinical manifestations of premenstrual or menstrual lower abdomen cold pain,pain reduction with heat application,and cold extremities)were randomized equally to treatment group with Thunder-Fire moxibustion and ovulation monitoring as well as control group with ovulation monitoring only.Treatment continued for six menstrual cycles.The pregnancy rate of the treatment group was significantly increased with the control group(50.0%vs.23.3%,P=0.021).Dysmenorrhea and the traditional Chinese medicine syndrome in the treatment group improved significantly compared with the control group(3.87±2.03 vs.5.70±1.01,P=0.002 and 7.33±4.11 vs.10.52±2.33,P=0.006,respectively),and there was also significant between-group differences in serum cancer antigen 125(55.45±14.65 vs.63.34±11.41,P=0.031).However,the average uterus diameters in the treatment and control groups were not significantly different(67.13±7.59 vs.69.89±5.30,P=0.137).Thunder-Fire moxibustion with ovulation monitoring improved the pregnancy rate of patients diagnosed with adenomyosis-associated infertility.

Progress of improvement of pain and joint function of knee osteoarthritis treated with thunder-fire moxibustion in the last five years

Objective:To summarize the clinical research of improvement of pain and joint function of knee osteoarthritis treated with thunder-fire moxibustion in the last five years,in order to provide more objective and scientific theoretical basis for the clinical use of thunderfire moxibustion in the treatment of knee osteoarthritis.Methods:By using"thunder-fire moxibustion"and"knee osteoarthritis"as keywords,the clinical literature on the treatment of knee osteoarthritis mainly by thunder-fire moxibustion in the past 5 years in PubMed,CNKI,WF and VIP were analyzed.Results:Thunderfire moxibustion and its compound therapy,including internal use of traditional Chinese medicine,external use of traditional Chinese medicine,drug injection,physical therapy,acupuncture,heat sensitive moxibustion,pricking collaterals,acupoint application and ozone,could relieve pain,improve joint function,improve joint activity,improve patients daily life ability and have less adverse reactions.Conclusion:Thunder-fire moxibustion was a safe,non-invasive and effective treatment for knee osteoarthritis.However,further research is necessary due to the non-rigidity of the current clinical trial design.

STUDY ON ACUPUNCTURE AND MOXIBUSTION THERAPY FOR FEMALE URETHRAL SYNDROME

Among 180 patients with female urethral syndrome, 128 were treated by acupuncture and moxibustion and 52 by western medicine as controls. The short-term effective rate in the acupuncture and moxibustion group was 90.6% and the long-term effective rate, 80.4%; whereas the short-term effective rate of the control group was 26.9% (P 0.05). Sixty-nine cases from the acupuncture and moxibustion group and 39 from the control group were subjected before and after treatment to determinations of the maximal bladder pressure, maximal abdominal pressure, bladder-neck pressure, and maximal urethral closure pressure during urination. All these indexes were decreased remarkably in the acupuncture and moxibustion group, while no changes were observed in the control group.

Twenty cases of globus hystericus treated by bloodletting combined with thunder-fire moxibustion

Objective To observe the clinical effect in treatment of globus hystericus with acupoint bloodletting and thunder-fire moxibust-ion therapy. Methods Twenty patients were subject to bloodletting at Ganshu （肝俞 BL 18） in both sides and to thunder-fire moxibustion at Danzhong （膻中 CV 17） and Zhongwan （中脘 CV 12）. Once a day, twenty treatments were given. Results Sixteen cases were cured and 4 cases effective; cured rate was 80% and effective rate 100%. Conclusion Bloodletting comb for globus hystericus is better ined with thunder-fire moxibustion therapy n clinical efficacy, significantly improving the patients＇ clinical symptoms.

十字灸联合西药治疗绝经后压力性尿失禁临床研究

目的:观察十字灸联合西药治疗绝经后压力性尿失禁的临床效果。方法:采用随机数字表法将102例绝经后压力性尿失禁患者分为对照组、试验组各51例。对照组予常规西药治疗,试验组在对照组基础上给予十字灸治疗,2组均治疗4周。比较2组治疗前后中医证候积分、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分、尿动力学指标[最大逼尿肌压力(MDP)、腹压漏尿点压力(ALPP)及最大尿道闭合压(MUCP)]、1 h尿垫试验漏尿量,评估2组临床疗效及治疗安全性。结果:治疗过程,2组均剔除2例,对照组、试验组各完成研究49例。试验组总有效率93.88%,高于对照组79.59%(P<0.05)。治疗4周后,ICI-Q-SF评分、1 h尿垫试验漏尿量、中医证候积分低于治疗前(P<0.05),MDP、ALPP、MUCP高于治疗前(P<0.05);且试验组中医证候积分、1 h尿垫试验漏尿量、ICI-Q-SF评分低于对照组(P<0.05),尿动力学指标高于对照组(P<0.05)。试验组、对照组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:十字灸联合西药治疗绝经后压力性尿失禁疗效确切,能够改善尿动力学指标,减轻临床症状,安全性较高。

温针灸联合低频电刺激治疗急性卒中后尿失禁的疗效观察及对尿动力学的影响

目的观察温针灸联合穴位低频电刺激治疗急性卒中后尿失禁的临床疗效及对患者尿动力学的影响。方法将收治的108例急性卒中后尿失禁患者按随机数字表法分为对照组和观察组,每组54例。对照组采用常规留置、间歇清洁、导尿、膀胱训练、药物及穴位低频电刺激治疗,观察组在对照组治疗基础上联合温针灸治疗。比较两组临床疗效和72 h排尿情况,观察治疗前和治疗后两组国际尿失禁咨询委员会问卷简表(International Consultation on Incontinence questionnaire-short form,ICIQ-SF)、生存质量(quality of life,QOL)和国际下尿路综合征症状(lower urinary tract symptoms,LUTS)的评分变化以及尿动力学指标水平的变化。结果观察组总有效率为98.1%,高于对照组的85.2%(P<0.05)。治疗后,两组72 h排尿情况、尿动力学指标、ICIQ-SF评分、QOL评分和LUTS评分均优于同组治疗前(P<0.05),且观察组上述观察指标结果均优于对照组(P<0.05)。结论在常规治疗基础上,温针灸联合穴位低频电刺激治疗急性卒中后尿失禁可提高临床疗效,改善患者尿动力学指标和尿失禁的情况。

雷火灸辅助治疗产后压力性尿失禁的价值

目的:探讨雷火灸辅助治疗产后压力性尿失禁的价值。方法:选取2021年2月—2023年2月于都县妇幼保健院收治的78例产后压力性尿失禁患者作为研究对象,通过病历号数字表抽签法将患者分为观察组(n=39)和对照组(n=39)。对照组患者给予盆底康复干预,研究组则在对照组的基础上联合雷火灸辅助治疗。对比两组干预前、干预2个月后国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分、漏尿情况(24 h平均漏尿次数和1 h尿量)、盆底肌功能[子宫颈外口位置(CMP)、膀胱颈位置(BNP)、尿道斜倾角(UTA)和膀胱尿道后角(PUA)]、尿动力学[最大尿道闭合压力(MUCP)、Valsalva漏尿点压(VLPP)、最大逼尿肌压力(MDP)]。结果:干预2个月后,相较于对照组,观察组ICI-Q-SF评分更低,差异有统计学意义(P<0.05);干预2个月后,相较于对照组,观察组24 h平均漏尿次数和1 h尿量均更少,差异均有统计学意义(P<0.05);干预2个月后,相较于对照组,观察组CMP、BNP均更低,UTA和PUA均更小,差异均有统计学意义(P<0.05);干预2个月后,相较于对照组,观察组MUCP、VLPP、MDP均更高,差异均有统计学意义(P<0.05)。结论:雷火灸辅助治疗能够明显改善产后压力性尿失禁患者的漏尿症状、盆底功能和尿动力学。

热敏灸联合盆底肌训练治疗剖宫产后尿潴留临床疗效分析

目的研究剖宫产后尿潴留患者联合开展热敏灸和盆底肌训练治疗的效果。方法选取2021年4月至2023年1月宜春市人民医院收治的40例剖宫产后尿潴留患者作为研究对象,按照随机数字表法分为对照组(20例)和观察组(20例),对照组采用传统艾灸和盆底肌训练治疗,观察组应用热敏灸联合盆底肌训练治疗。比较两组的首次自主排尿时间、首次自主排尿量、膀胱残余尿量,分析两组尿动力学指标水平变化情况。结果观察组首次自主排尿时间短于对照组,自主排尿量多于对照组,膀胱残余尿量少于对照组,差异有统计学意义(P<0.05);观察组治疗后的膀胱顺应性、逼尿肌收缩力以及尿道闭合压均高于对照组,差异有统计学意义(P<0.05)。结论剖宫产后尿潴留患者接受热敏灸治疗的同时开展盆底肌训练治疗可获理想效果,具有进一步推广应用的价值。

艾灸联合电刺激治疗神经源性膀胱的疗效观察

目的观察艾灸联合电刺激治疗神经源性膀胱的临床疗效。方法将90例神经源性膀胱且留置导尿患者随机分为对照组和观察组,每组45例。两组均接受常规基础治疗,对照组予以电刺激治疗,观察组在对照组基础上采用艾灸治疗。观察两组治疗前后残余尿量、膀胱功能评分、日常生活活动能力(activity of daily living,ADL)评分和肛门括约肌舒缩波幅的变化,并比较两组临床疗效。结果观察组总有效率为88.9%,对照组为71.1%,两组比较差异有统计学意义(P<0.05)。治疗后,两组残余尿量均下降(P<0.05),且观察组低于对照组(P<0.05)。治疗后,两组肛门括约肌扩张波幅、收缩波幅均上升(P<0.05),且观察组高于对照组(P<0.05)。治疗后,两组膀胱功能评分下降(P<0.05),ADL评分上升(P<0.05),且观察组优于对照组(P<0.05)。结论在常规基础治疗的基础上,艾灸联合电刺激可提高神经源性膀胱患者治疗效果,改善其残余尿量、肛门括约肌舒缩波幅和膀胱功能评分,提高生活质量。

Observation on therapeutic efficacy of thunder-fire moxibustion for hypomenorrhea after induced abortion

Objective:To observe the clinical efficacy of thunder-fire moxibustion for hypomenorrhea after induced abortion.Methods:A total of 74 patients with hypomenorrhea after induced abortion were randomized into two groups,with 37 cases in each group.The control group was treated with conventional hormone sequential therapy,and the observation group was treated with thunder-fire moxibustion.The course of treatment was 3 menstrual cycles.The traditional Chinese medicine(TCM)symptom scores,menstrual volume,endometrial thickness and the sex hormone levels were observed before and after treatment.The clinical efficacy was compared after treatment.Results:The total effective rate in the observation group and the control group was 91.4%and 73.5%,respectively,and the difference between the two groups was statistically significant(P<0.05).After treatment,the TCM symptom scores in both groups decreased significantly(all P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).The menstrual volume,endometrial thickness and each sex hormone level of the patients in both groups were significantly improved after treatment(all P<0.05),and the improvements in the observation group were more significant than those in the control group(all P<0.05).Conclusion:Thunder-fire moxibustion can significantly improve the clinical symptoms of patients with hypomenorrhea after induced abortion;it can increase menstrual volume and endometrial thickness,and regulate the sex hormone levels,producing a better curative effect than the conventional hormone sequential therapy.

Effect of acupuncture plus thunder-fire moxibustion on MMP-3, TIMP-1 and TGF-β1 in rats with knee osteoarthritis

Objective： To observe the effect of acupuncture plus thunder-fire moxibustion on the expressions of matrix metalloproteinase-3 （MMP-3）, tissue inhibitor of metalloproteinase-1 （TIMP-1） and transforming growth factor-β1 （TGF-β1） in cartilage of knee osteoarthritis （KOA） rats, and to explore the mechanism of acupuncture plus thunder-fire moxibustion in the treatment of KOA. Methods： Thirty Sprague-Dawley （SD） rats were randomly divided into a blank control group, a model group and an acupuncture-moxibustion group by random digits table, 10 rats in each group. Rats in the model group and the acupuncture-moxibustion group were injected with papain in the right posterior knee joint to prepare the models. The levels of MMP-3 and TIMP-1 in rat synovium of each group were measured by enzyme-linked immunosorbent assay （ELBA） after 2 weeks of treatment. The level of TGF-β1 was determined by Motic B5 Micro-camera system. Results： The levels of MMP-3 and TIMP-1 in the cartilage of the model group were significantly higher than those in the blank control group （all P〈0.01）; the levels of MMP-3 and TIMP-1 in the acupuncture-moxibustion group were lower than those in the model group, and the between-group differences were statistically significant （all P〈0.05）. The levels of MMP-3 and TIMP-1 in the acupuncture-moxibustion group were higher than those in the blank control group, and the differences were statistically significant （all P〈0.05）. The level of TGF-β1 in cartilage tissues of the model group was significantly lower than that in the blank control group （P〈0.01）; the level of TGF-β1 in the acupuncture-moxibustion group was higher than that in the model group （P〈0.05）, but it was lower than that in the blank control group, and the between-group difference was statistically significant （P〈0.05）. Conclusion： Acupuncture plus thunder-fire moxibustion can effectively recover the abnormal expressions of MMP-3 and TIMP-1 in KOA model rats and somewhat up-regulate TGF-β1, which may be one of its mechanisms of acupuncture plus thunder-fire for KOA.

Electroacupuncture combined with thunder-fire moxibustion for knee osteoarthritis of cold-damp type:A randomized controlled trial

Objective:To observe the clinical effect differences of knee osteoarthritis(KOA)with cold-damp type between electroacupuncture(EA)combined with thunder-fire moxibustion and medication.Methods:A total of 72 cases of KOA patients with cold-damp type were randomly divided into a combined treatment group of EA and thunder-fire moxibustion(combined treatment group)and a medication group,36 cases in each group.In the combined treatment group,the acupoints for EA were Dubi(犊鼻ST35),Neixiyan(内膝眼EX-LE4),Zusanli(足三里ST36),Yanglingquan(阳陵泉GB34),Yinlingquan(阴陵泉SP9),Xuehai(血海SP10),Liangqiu(梁丘ST34)and Heding(鹤顶EX-LE2).During the period of EA,the suspending thunder-fire moxibustion was applied to Shenque CV8)and Guanyuan(关元CV4).In the medication group,diclofenac sodium double release intestine-sol capsule and Fugui gutong capsules were prescribed for oral administration.The treatment for 14 days was taken as one course and the consecutive 2 courses of treatment were required in each group.Before and after treatment,as well as in the follow-up visit,the pain score(visual analogue scale,VAS),the knee function score(Western Ontario and McMaster University,WOMAC,the expressions of interleukin 6(IL-6)and transforming growth factorβ1(TGF-β1)in the joint fluid as well as the difference in the clinical therapeutic effect were observed in the two groups separately.Results:(1)The pain score:compared with those before treatment,the VAS scores were all reduced after treatment and in the follow-up in the two groups(all P<0.05).After treatment and in the follow-up,VAS scores in the combined treatment group were lower than those in the medication group(both P<0.05).(2)The knee function score:WOMAC score of each item,i.e.pain,stiffness and function,as well as the total score after treatment and the follow-up were all lower than those before treatment in the patients of the two groups(all P<0.05).The score of each item,i.e.pain and function,as well as the total score in the combined treatment group were all lower than those in the medication group after treatment and the follow-up respectively(all P<0.05).(3)The expressions of IL-6 and TGF-β1:the level of IL-6 in the joint fluid was reduced after treatment as compared with that before treatment in either group and the level of TGF-β1 was increased,indicating the statistical differences(all P<0.05).After treatment,the level of IL-6 in the combined treatment group was lower than that in the medication group and the level of TGF-β1 was higher than that of the medicating group,indicating the statistical significance(both P<0.05).(4)The total effective rate in the combined treatment group was 97.1%,higher than 78.8%in the medication group,indicating the statistical significance(P<0.05).Conclusion:The clinical effect of the combined treatment of electroacupuncture and the thunder-fire moxibustion is remarkable on knee osteoarthritis of cold-damp type.The combined treatment presents a more advantageous at the sustainability of the therapeutic effect as compared with medication.

Acupotomy combined with thunder-fire wonder moxibustion for 165 cases of calcaneodynia

Objective： To observe the clinical efficacy of acupotomy combined with thunder-fire wonder moxibustion for calcaneodynia. Methods： Acupotomy combined with thunder-fire wonder moxibustion was applied in 165 cases of calcaneodynia on single foot. Acupotomy was used to the releasing and stripping at the local tender point of the affected heel. Thunder-fire wonder moxibustion was carried out around the incision after the acupotomy. After treatment for once, the patients were asked to visit to hospital again after 1 week to observe the curative effect. If the symptom disappeared, the treatment can be terminated. If not, the treatment for another time was conducted. Treatment should not be performed for more than 3 times. Results： A total of 25 patients were cured after treatment for once, accounting for 15.2%（25/165） of the whole. A total of 105 patients were cured after treatment for 2 times, accounting for 63.6%（105/165） of the whole. A total of 20 patients were cured after treatment for 3 times, accounting for 12.1%（20/165） of the whole. A total of 15 patients were ineffective after treatment for 3 times, accounting for 9.1%（15/165） of the whole. The total cure rate was 90.9%. Conclusion： Acupotomy combined with thunder-fire wonder moxibustion for calcaneodynia has definite effect, which is worthy of clinical popularization and application.

Efficacy observation on degenerative gonitis treated with triple needling combined with thunder-fire moxibustion

Objective To evaluate the clinical efficacy of degenerative gonitis treated with triple needling combined with thunder-fire moxibustion for better promotion and clinical application. Methods Ninety-eight patients with degenerative gonitis were randomly divided into a thunder-fire moxibustion group （group A） and an acupuncture group （group B） according to randon number table, with forty-nine cases in each group. In group A, Neixiyan （内膝眼 EX-LE 4）, Dubi （犊鼻 ST 35）, Yanglingquan （阳陵泉 GB 34）, Xuehai （血海 SP 10）, Liangqiu （梁丘 ST 34）, Zusanli （足三里 ST 36）, Yinlingquan （阳陵泉 SP 9） and Xiyangguan （膝阳关 GB 33） were selected to accept triple and needling thunder-fire moxibustion for 20 min after the needles were retained for 40 min. The patients in group B were only treated with acupuncture. Thunder-fire moxibustion was not applied in the group B. The treatment was given once a day for four weeks. Knee function score and knee stiffness score in both groups were recorded before and after treatment, and the therapeutic effect was assessed. Results After four weeks＇ treatment, the total effective rate of group A was 93.9% （46/49）, which was superior to 71.4% （35/49） in group B （P〈0.05）. Improvement in knee stiffness in group A was superior to that in group B （P〈0.01）. Conclusion Triple needling combined with thunder-fire moxibustion had clinical efficacy on degenerative gonitis, which is a better treatment option with the total efficacy significantly superior to that of acupuncture only.

压灸足运感区联合盆底肌肉训练对中风后尿失禁患者临床症状、膀胱残余尿量及生活质量的影响

目的:观察压灸足运感区联合盆底肌肉训练对中风后尿失禁患者临床症状、膀胱残余尿量及生活质量的影响。方法:将90例中风后尿失禁患者采用奇偶数分组法分为对照组(n=42)和观察组(n=48)。对照组给予盆底肌肉训练,观察组在盆底肌肉训练基础上给予压灸足运感区。比较两组排尿情况、临床症状评分、尿流动力学指标、尿失禁生活质量量表(I-QOL)评分、日常生活活动能力量表(ADL)评分的差异,并记录两组疗效。结果:两组治疗前排尿情况、尿流动力学比较,差异无统计学意义(P>0.05)。与治疗前比较,两组白天和夜间排尿次数、膀胱残余尿量治疗后降低,且观察组更低(P<0.05);两组最大尿流量(MFR)、尿量(TV)、平均单次尿量、相对排尿阻力(RVR)治疗后升高,且观察组更高(P<0.05)。两组治疗前I-QOL评分、临床症状评分、ADL评分比较,差异无统计学意义(P>0.05)。与治疗前比较,两组ADL评分、I-QOL总分及其3个维度评分治疗后升高,且观察组更高(P<0.05)。两组临床症状评分治疗后降低,且观察组更低(P<0.05)。观察组总有效率为91.67%(44/48),高于对照组的76.19%(32/42),差异有统计学意义(P<0.05)。结论:压灸足运感区联合盆底肌肉训练可减轻中风后尿失禁临床症状,改善尿流动力学,促进膀胱功能恢复,提高患者生活质量。

温阳通利灸联合膀胱功能训练治疗脊髓损伤后神经源性膀胱尿潴留临床研究

目的观察温阳通利灸联合膀胱功能训练治疗脊髓损伤后神经源性膀胱尿潴留临床疗效。方法选择2021年1月—2022年3月在医院诊治的脊髓损伤后神经源性膀胱尿潴留患者130例,按照随机对照研究的基本原则分为对照组(65例)和治疗组(65例)。对照组在常规药物治疗基础上联合膀胱功能训练,治疗组在对照组治疗的基础上联合温阳通利灸治疗。治疗4周后,比较两组临床疗效、治疗前后中医证候积分、排尿情况、尿流动力学指标及生活质量变化情况。结果治疗组和对照组总有效率分别为90.8%和72.3%,差异有统计学意义(P<0.05);两组治疗后小腹胀满、小便排出不畅甚或闭塞、每日小便量少、无排尿感、膀胱区叩诊闻及浊音积分均降低,且治疗组均低于对照组(P<0.05);两组治疗后日排尿次数均减少(P<0.05),且治疗组日排尿次数少于对照组(P<0.05);两组日均单次排尿量、日单次最大尿量均增加(P<0.05),且治疗组日均单次排尿量、日单次最大尿量均多于对照组(P<0.05);两组治疗后最大尿流速、充盈期逼尿肌压力均升高(P<0.05),且治疗组最大尿流速、充盈期逼尿肌压力均高于对照组(P<0.05);两组最大膀胱容量及膀胱残余尿量均降低(P<0.05),且治疗组最大膀胱容量及膀胱残余尿量均低于对照组(P<0.05);两组治疗后社会功能、躯体功能、心理功能、物质生活评分均升高(P<0.05),且治疗组各评分均高于对照组(P<0.05)。结论温阳通利灸联合膀胱功能训练能够缓解脊髓损伤后神经源性膀胱患者尿潴留症状,改善尿流动力学指标和排尿情况,提高患者生活质量,值得向临床推广。

雷火灸联合康复训练治疗卒中后神经源性膀胱患者的疗效观察

目的观察雷火灸联合康复训练对卒中后神经源性膀胱(PSNB)患者的影响。方法采用随机数字表法将80例PSNB患者分为观察组与对照组各40例。对照组采用常规康复训练,治疗组在对照组的基础上实施雷火灸治疗。对比分析两组临床疗效、排尿日记(自主排尿次数、单次最大尿量、导尿次数)、尿流动力学指标等水平。结果治疗后两组排尿次数、导尿次数与本组治疗前比较均明显减少,单次最大尿量增加(P<0.05),观察组改善比对照组更显著(P<0.05)。治疗后两组与本组治疗前对比最大尿流速率、最大膀胱容量均升高,残余尿量均减少(P<0.05);治疗组改善比对照组更显著(P<0.05)。观察组临床总有效率为92.50%,明显优于对照组的75.00%(P<0.05)。结论雷火灸联合康复训练治疗PSNB,能够改善尿动力学指标,促进膀胱功能的恢复。

隔盐隔姜灸神阙穴治疗脑卒中后急迫性尿失禁的效果观察

目的探讨隔盐隔姜灸神阙穴治疗脑卒中后急迫性尿失禁的临床效果。方法对脑卒中后出现急迫性尿失禁的40例患者按区组随机法分为观察组(n=20)与对照组(n=20)。对照组行常规治疗,观察组行隔盐隔姜灸神阙穴治疗和常规治疗。4周疗程结束后观察疗效。结果 36例完成治疗,其中对照组17例,观察组19例。治疗后,两组72 h总排尿次数、急迫性尿失禁次数、夜尿次数显著减少(P<0.001),平均每次尿量显著增加(P<0.001),膀胱残余尿量减少(P<0.05),且观察组明显优于对照组(P<0.01)。同时,两组MBI评分明显增加(P<0.01),但两组比较无显著性差异(P>0.05)。结论隔盐隔姜灸神阙穴治疗脑卒中后排尿障碍效果明显。

针灸治疗女性尿道综合征的尿动力学研究

女性尿道综合征180例,其中针灸治疗组128例,西药对照组52例。针灸治疗组近期有效率为90.6％,远期疗效为80.4％;西药对照组近期有效率为26.9％(P<0.01)。治疗后针灸治疗组最大尿流率平均升高4.6ml/s(P<0.001),平均尿流率升高3.lml/s(P<0.001),而西药对照组无明显变化(P>0.05)。对针灸治疗组69例和西药对照组39例进行了治疗前后排尿期最大膀胱压、最大腹压及膀胱颈部压力、最大尿道闭合压测定,治疗后针灸治疗组以上指标均明显下降,对照组未见明显变化。