针刺八髎穴加脐灸配合生物反馈电刺激治疗肾气不足型脑卒中后尿失禁临床研究
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R246.6

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浙江省中医药管理局科技计划项目(2023ZL281)


Clinical Study on Acupuncture at Baliao Points and Umbilical Moxibustion Combined with Biofeedback Electric Stimulation for Urinary Incontinence After Cerebral Apo⁃ plexy of Kidney Qi Deficiency Type
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    目的:观察针刺八髎穴加脐灸配合生物反馈电刺激治疗肾气不足型脑卒中后尿失禁的临床疗效。 方法:使用随机数字表法将2024年1—12月杭州市康复医院收治的84例肾气不足型脑卒中后尿失禁患者分为 对照组和试验组各42例。对照组施以生物反馈电刺激治疗,试验组在对照组基础上施以针刺八髎穴加脐灸治 疗。2组均治疗4周。比较2组临床疗效、国际尿失禁咨询委员会尿失禁评估量表(ICI-Q-SF) 评分、尿动力 学指标及不良反应发生率。结果:治疗4周后,试验组总有效率95.24%(40/42),高于对照组80.95%(34/42) (P<0.05)。2组ICI-Q-SF各维度(漏尿量、漏尿频率、生活影响)评分及总分均较治疗前降低(P<0.05),试验组 ICI-Q-SF各维度评分及总分均低于对照组(P<0.05)。2组最大尿道闭合压(MUCP)、最大膀胱容量(MBC)、 腹压漏尿点压力(ALPP) 均较治疗前增大(P<0.05),试验组MUCP、MBC、ALPP均大于对照组(P<0.05)。 不良反应发生率试验组11.90%(5/42),与对照组7.14%(3/42) 比较,差异无统计学意义(P>0.05)。结论:在 生物反馈电刺激基础上加用针刺八髎穴和脐灸治疗肾气不足型脑卒中后尿失禁能提升疗效,有助于病情康复及 尿动力学指标改善,且安全可靠。

    Abstract:

    Abstract: Objective: To observe the clinical effect of acupuncture at Baliao points and umbilical moxibustion combined with biofeedback electric stimulation in the treatment of urinary incontinence after cerebral apoplexy of kidney qi deficiency type. Methods:A total of 84 cases of patients with urinary incontinence after cerebral apoplexy of kidney qi deficiency type who were treated at Hangzhou Rehabilitation Hospital from January to December 2024 were divided into the control group and the trial group according to the random number table method,with 42 cases in each group. The control group received biofeedback electric stimulation therapy,and the trial group received acupuncture at Baliao points and umbilical moxibustion in addition to the biofeedback electric stimulation therapy. Both groups were treated for four weeks. Clinical efficacy,International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF)scores, urodynamic indicators,and incidence of adverse reactions were compared between the two groups. Results:After four weeks of treatment,the total effective rate was 95.24%(40/42)in the trial group,higher than that of 80.95%(34/42) in the control group(P<0.05). ICI-Q-SF scores in all dimensions(leakage amount, leakage frequency, impact on daily living)and total scores in the two groups were significantly decreased when compared with those before treatment (P<0.05), with the trial group showing lower scores than the control group(P<0.05). Maximum urethral closure pressure(MUCP),maximum bladder capacity(MBC),and abdominal leak point pressure(ALPP)in the two groups were increased when compared with those before treatment(P<0.05),with the trial group showing higher values than the control group(P<0.05). The incidence of adverse reactions was 11.90%(5/42)in the trial group and 7.14%(3/42) in the control group, with no significant difference between the two groups(P>0.05). Conclusion: The additional application of acupuncture at Baliao points and umbilical moxibustion based on biofeedback electric stimulation therapy for urinary incontinence after cerebral apoplexy of kidney qi deficiency type can enhance the curative effect,contribute to recovery,and improve urodynamic indicators,with high safety and reliability.

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张新亚,石焱.针刺八髎穴加脐灸配合生物反馈电刺激治疗肾气不足型脑卒中后尿失禁临床研究[J].新中医,2025,57(20):121-126

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  • 在线发布日期: 2025-10-31
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