| 引用本文: |
魏嘉,刘慧林,孙敬青.灸法治疗中风后急迫性尿失禁的临床观察[J].湖南中医药大学学报,2018,38(3):307-310[点击复制] |
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| 灸法治疗中风后急迫性尿失禁的临床观察 |
| 魏嘉,刘慧林,孙敬青 |
| (北京中医医院, 北京 100010) |
| 摘要: |
| 目的 评价隔姜隔盐艾炷灸及隔姜隔盐艾盒灸治疗中风后急迫性尿失禁的临床疗效。方法 将115例中风后急迫性尿失禁患者随机分为对照组及艾盒灸组（每组40例）、艾炷灸组（35例）。对照组予西医常规治疗，艾炷灸组与艾盒灸组分别予隔姜隔盐艾炷灸及隔姜隔盐艾盒灸，每日1次，均治疗4周。观察治疗前、治疗4周后各组患者的尿量改善情况、白天排尿次数、夜间护理员被叫醒次数、Barthel指数评分及尿失禁生活质量问卷评分。结果 治疗4周后，艾炷灸组及艾盒灸组患者平均每次尿量增加明显优于对照组（P<0.001）；艾炷灸组及艾盒灸组患者白天排尿次数及夜间护理员被叫醒次数明显减少，较对照组差异性显著（P<0.05）；三组患者Barthel指数评分无明显差异，但两治疗组生活质量评分明显优于对照组（P<0.05）。结论 隔姜隔盐艾盒灸及艾柱灸对中风后急迫性尿失禁患者有较好的治疗作用，但艾盒灸较艾炷灸更容易操作、更安全，适合临床推广应用。 |
| 关键词: 中风 急迫性尿失禁 隔姜灸 隔盐灸 艾炷灸 艾盒灸 神阙 |
| DOI：10.3969/j.issn.1674-070X.2018.03.018 |
| 投稿时间：2017-07-12 |
| 基金项目:国家中医临床研究基地业务建设科研专项（JDZX2012152）。 |
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| Clinical Study of Moxibustion Therapy on Emergency Incontinence after Stroke |
| WEI Jia,LIU Huilin,SUN Jingqing |
| (Beijing Hospital of Traditional Chinese Medicine, Beijing 100010, China) |
| Abstract: |
| Objective To evaluate the clinical effect of moxibustion on ginger and salt on emergency urinary incontinence after stroke. Methods The 115 cases of emergency urinary incontinence after stroke were randomly divided into the control group (40 cases), the moxibustion with moxa box (Aihe Jiu) group (40 cases), and moxibustion with moxa cone (Aizhu Jiu) group (35 cases). The control group was given the traditional treatment of western medicine, the Aihe Jiu group and Aizhu Jiu group were treated with moxibustion on ginger and salt by moxa cone and box, respectively, for 4 weeks, once daily. The improvement of urine volume, the daily urination times, the woken up times of nursing assistants, the Barthel index score and incontinence quality of life questionnaire scores were observed before treatment and after treatment for 4 weeks. Results After treatment for 4 weeks, the average of urine volume in Aizhu Jiu group and Aihe Jiu group was significantly better than the control group (P<0.01). The daily urination times and waken up times of caregivers in Aizhu Jiu group and Aihe Jiu group significantly decreased comparing with the control group, and the differences were significant (P<0.05). The Barthel index score between the three groups was not statistically significant, and the quality of life in treatment groups was significantly better than the control group (P<0.05). Conclusion The moxibustion with moxa box and moxa cone (Aihe Jiu and Aizhu Jiu) on salt and ginger shows good effect in patients with post-stroke urge incontinence, it is suitable for clinical application, but Aihe Jiu is more easy to operate and more safe than Aizhu Jiu. |
| Key words: stroke urgent urinary incontinence moxibustion on ginger moxibustion on salt moxibustion with moxa cone moxibustion with moxa box Shenque acupoint |
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