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江西省萍乡市人民医院中医针灸科
Published:2020
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DENG Yu-ling, LI Jiao. Therapeutic effects of “kidney three-needle” therapy plus fire needling therapy in treatment of post-stroke urinary incontinence[J]. Acupuncture research, 2020, 45(11): 924-928.
DENG Yu-ling, LI Jiao. Therapeutic effects of “kidney three-needle” therapy plus fire needling therapy in treatment of post-stroke urinary incontinence[J]. Acupuncture research, 2020, 45(11): 924-928. DOI: 10.13702/j.1000-0607.200395.
目的:观察肾三针联合火针点刺对中风后尿失禁患者排尿频率、膀胱最大容量的影响
并分析其临床疗效。方法:将60例中风后尿失禁患者随机分为观察组30例和对照组30例。在常规药物治疗加康复治疗的基础上
两组均按常规取穴治疗中风患者肢体、言语障碍
观察组加用肾三针联合火针点刺治疗尿失禁
对照组给予普通针刺疗法治疗尿失禁
两组患者每次留针30 min
1次/d
每周治疗5 d
2周为1个疗程
连续治疗3个疗程。比较两组患者治疗前后日排尿频率等级
用B超测定膀胱最大容量
比较两组临床总有效率。结果:两组患者治疗后的日排尿频率等级均较治疗前明显降低(P<0.01)
且观察组明显低于对照组(P<0.05)。两组患者治疗后膀胱最大容量均较本组治疗前明显增加(P<0.01)
且观察组明显高于对照组(P<0.01)。观察组总有效率为93.3%(28/30)
对照组总有效率为66.7%(20/30)
观察组明显高于对照组(P<0.05)。结论:肾三针联合火针点刺治疗中风后尿失禁可明显降低患者日排尿频率等级
增加膀胱最大容量
疗效优于普通针刺。
Objective To observe the efficacy of "kidney three-needle" therapy[Qugu(CV2) and 1 cun to the left and right of CV2] and the pricking technique of fire needing therapy on urinary frequency and maximal bladder volume in potients with post-stroke urinary incontinence. Methods A total of 60 patients with post-stroke urinary incontinence were collected according to the inclusion and exclusion criteria and were randomized into an observation group(30 cases) and a control group(30 cases). On the base of the routine medication and rehabilitation treatment
acupuncture was applied to the general acupoints for motor impairment and speech disorder in the two groups. Additionally
the combination of "kidney three-needle" therapy and the pricking technique of fire needling therapy was used for urinary incontinence in the observation group and the common acupuncture was applied in the control group. Needles were retained for 30 min and acupuncture was provided once daily
5 days a weeks
2 weeks of treatment as one course. Both groups were treated for 3 courses. Before and after treatment
the rank of daytime urinary frequency was compared in the patients of the two groups. Ultrasound B was adopted to determine the maximal bladder volume. The total effective rate was compared between the two groups. Results After treatment
the rank of daytime urinary frequency all reduced significantly as compared with that before treatment in the patients of the two groups(P<0.01)
and the observation group was lower than the control group(P<0.05). After the treatment
the maximal bladder volume increased significantly as compared with that before treatment in the self-comparison of each group(P<0.01) and the volume in the observation group was significantly higher than that in the control group(P<0.01). The total effective rate was 93.3%(28/30) in the observation group and was 66.7%(20/30) in the control group. The total effective rate in the observation group was higher obviously than that in the control group(P<0.05). Conclusion The combination of "kidney three-needle" therapy and the pricking technique of fire needling therapy significantly reduces the rank of daytime urinary frequency and increases maximal bladder volume in the patients with post-stroke urinary incontinence. The therapeutic effect of such combined acupuncture treatment is better than the common acupuncture therapy.
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