| 摘要: |
| 目的:观察壮医针治疗脑卒中后尿失禁的临床疗效。方法:选取90例脑卒中后尿失禁患者,随机分为对照组与实验组,每组45例。对照组予温灸盒灸小腹进行治疗,实验组采用壮医针治疗。观察2组治疗前后日常生活活动能力(ADL)评分、尿失禁程度及尿失禁临床症状评分的变化。结果:实验组总有效率95.56%,高于对照组的75.56%,差异有统计学意义(P<0.05)。治疗后,2组ADL评分均较治疗前升高(P<0.05),实验组的ADL评分比对照组升高更明显(P<0.05)。经秩和检验,治疗后2组尿失禁程度均较治疗前好转(P<0.05),实验组尿失禁程度的好转情况优于对照组(P<0.05)。治疗后,2组夜尿间隔时间、夜尿次数等6项尿失禁临床症状评分均较治疗前降低(P<0.05),实验组各项尿失禁临床症状评分均比对照组下降更明显(P<0.05)。结论:采用壮医针治疗脑卒中后尿失禁,可有效改善患者的临床症状,减轻尿失禁程度,提高日常生活能力。 |
| 关键词: 脑卒中 尿失禁 壮医针 温针灸 日常生活活动能力(ADL) |
| DOI： |
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| 基金项目:杭州市卫生科技计划一般（B）类项目（2015ZB098） |
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| Abstract: |
| Objective：To observe the clinical effect of acupuncture of Zhuang medcine for urinary incontinence after stroke.Methods：Divided 90 patients with urinary incontinence after stroke into the experiment group and the control group randomly，45 cases in each group.The control group was treated with warming acupuncture at lower abdomen，while the experiment group was treated with acupuncture of Zhuang medcine.Observed change of activities of daily living(ADL)score and score of clinical symptoms of urinary incontinence.Results：The total effective rate was 95.56%in the experiment group，being higher than the 75.56%of the control group(P＜0.05).After treatment，ADL scores of both groups were higher than those before treatment(P＜0.05)，and the increase of the experiment group was more significant than that of the control group(P＜0.05).After rank-sum test，urinary incontinence of both groups were improved(P＜0.05)，while the improvement of the experiment group was more significant than that of the control group(P＜0.05).After treatment，scores of nocturia interval，times of nocturia and so on six clinical symptoms of urinary incontinence of both groups were all lower than those before treatment，while the decline of every index of the experiment group was more significant than that of the control group(P＜0.05).Conclusion：Applying acupuncture of Zhuang medcine can effectively improve clinical symptoms，alleviate urinary incontinence and improve ADL in treating stroke. |
| Key words: Stroke Urinary incontinence Acupuncture of Zhuang medcine Warming acupuncture Activities of daily living(ADL) |
