腹三针联合补中益气汤治疗脑卒中后尿失禁临床研究
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R246

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金华市中医药科学技术研究计划项目(2022KY40)


Clinical Study on Abdominal Three-Needle Acupuncture Combined with Buzhong Yiqi Decoction for Urinary Incontinence After Stroke
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    摘要:

    目的:观察腹三针联合补中益气汤治疗脑卒中后尿失禁脾肾气虚证的临床疗效。方法:选取62例 脑卒中后尿失禁脾肾气虚证患者,按随机数字表法分为对照组和观察组各31例。2组各剔除1例,最终纳入研 究各30例。对照组给予常规药物治疗,并开展康复训练。观察组在对照组基础上给予腹三针联合补中益气汤 治疗。2组均治疗3个月。对比2组临床疗效、国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF) 评分、排尿 日记指标(日排尿次数、日漏尿次数、日平均单次尿量)、残余尿量及尿失禁生活质量问卷(I-QOL) 评分, 记录不良反应发生情况。结果:治疗3个月后,观察组总有效率93.33%,高于对照组70.00%,差异有统计学 意义(P<0.05)。治疗3个月后,2组ICIQ-SF评分均较治疗前降低,日排尿次数、日漏尿次数及残余尿量均较 治疗前减少,日平均单次尿量均较治疗前增加,I-QOL 评分均较治疗前升高,差异均有统计学意义(P< 0.05);观察组ICIQ-SF评分低于对照组,日排尿次数、日漏尿次数及残余尿量均少于对照组,日平均单次尿量 多于对照组,I-QOL评分高于对照组,差异均有统计学意义(P<0.05)。治疗期间,2组均未出现明显不良反 应。结论:腹三针联合补中益气汤治疗脑卒中后尿失禁脾肾气虚证疗效甚佳,可有效改善尿失禁症状及膀胱功 能,进而提高患者的生活质量,安全性高。

    Abstract:

    Abstract:Objective:To observe the clinical effect of abdominal three-needle acupuncture combined with Buzhong Yiqi Decoction for urinary incontinence after stroke with spleen-kidney qi deficiency syndrome. Methods: A total of 62 cases of patients with urinary incontinence after stroke with spleenkidney qi deficiency syndrome were selected and divided into the control group and the observation group according to the random number table method,with 31 cases in each group. One case was excluded from each of the two groups,and 30 cases were included in each group ultimately. The control group was given conventional drug treatment and rehabilitation training. The observation group was treated with abdominal three-needle acupuncture combined with Buzhong Yiqi Decoction on the basis of the treatment of the control group. Both groups were treated for three months. Compared the clinical efficacy, International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) scores, daily urinary indicators (daily urination frequency, daily leakage frequency, and daily average single urine volume),residual urine volume,and Incontinence Quality of Life Scale (I-QOL) scores in the two groups, and recorded the occurrence of adverse reactions. Results: After three months of treatment, the total effective rate was 93.33% in the observation group,which was higher than that of 70.00% in the control group, the difference being significant (P<0.05). After three months of treatment, the ICIQ-SF scores, daily urination frequency, daily leakage frequency, and residual urine volume were decreased when compared with those before treatment, and the daily average single urine volume and I-QOL scores were increased when compared with those before treatment,differences being significant (P<0.05);the ICIQ-SF score in the observation group was lower than that in the control group, the daily urination frequency, daily leakage frequency, and residual urine volume in the observation group were fewer than those in the control group,the daily average single urine volume in the observation group was more than that in the control group,and the I-QOL score in the observation group was higher than that in the control group,differences being significant (P<0.05). During the treatment period,neither group experienced any significant adverse reactions. Conclusion: Abdominal three-needle acupuncture combined with Buzhong Yiqi Decoction has a good therapeutic effect on urinary incontinence after stroke with spleen-kidney qi deficiency syndrome. It can effectively improve the symptoms of urinary incontinence and bladder function, thereby improving the quality of life of patients,with high safety.

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徐霄燕,祝雪莉,徐文通,黄金波.腹三针联合补中益气汤治疗脑卒中后尿失禁临床研究[J].新中医,2024,56(18):143-147

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  • 在线发布日期: 2024-09-27
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