综合治疗与针刺治疗对小儿遗尿的疗效评价.docVIP

精品论文 参考文献 综合治疗与针刺治疗对小儿遗尿的疗效评价 刘华（四川省巴中市中心医院康复科 四川巴中 636000） 【中图分类号】R726.9【文献标识码】A【文章编号】1672-5085（2012）6-0057-02 【摘要】目的 探讨针刺、穴位注射、行为干预综合治疗小儿遗尿症与单纯针刺穴位治疗小儿遗尿的效果。方法 将134例患者随机分组，治疗组68例，采用针刺、穴位注射、行为干预综合治疗，对照组66例则单用针刺治疗。结果 两组治疗10次后统计，治疗组治愈62例，治愈率91.2%，总有效率为98.5%；对照组治疗10次后统计，治愈49例，治愈率74.2%，总有效率86.4%。两组治疗结果有显著性差异（u=2.81,P﹤0.05）,并且在治愈的两组病例中，平均治疗次数差异非常显著（t=2.71,Plt;0.01），治疗组治愈施治次数（4.58plusmn;2.3次）明显少于对照组（6.82plusmn;1.88）。结论 综合治疗小儿遗尿有较好疗效，值得临床推广应用。 【关键词】小儿遗尿 针刺 穴位注射 行为干预 Analysis of therapeutic effect of combined treatment and acupuncture on children uroclepsia 【Abstract】 Objective To discuss the therapeutic effect of acupuncture，acupoint injection,behaviour intervention and the effect of le acupuncture on children uroclepsia. Method One hundred and thirty-four patients were randomly divided into treatment group(68 patients) and control group(66 patients).The treatment group was treated with acupuncture,acupoint injection and behavior intervention，while the control group only with acunpuncture.All the data of treatment of these two group were collected. Result After 10times acupuncture treatment,62 patients in treatment group were cured，the cure rate was 91.2%,the effect rate was 98.5%,was significant higher than that of control grouprsquo;s 49,74.2% and 86.4% respectively. The average cure treatment times of two groups were4.58plusmn;2.3 times and 6.82plusmn;1.88times respectively，which had significant difference statistically. Conclusion Treatment of children uroclepsia with acupuncture，acupoint injection and behaviour intervention had better effective results than that of treatment only with acupuncture. 【Key words】Children uroclepsia Acupuncture Acupoint injection Behaviour intervention 小儿遗尿又称“尿床”、“夜尿症”。是指年满5周岁具有正常排尿功能的儿童，在睡眠时不能自行控制而排尿，醒后方知是一种病症，轻者数夜一次，重者每夜一次或者一夜几次，不仅影响了小儿的身心健康和生长发育，同时也增加了家长的精神和生活负担。2010年9月至2011年12月，笔者受国家派遣参加医疗援助西非国家几内亚比绍的工作，在此工作期间，在卡松果医院的针灸科门诊，单纯针灸治疗66例，采用针刺穴位注射加行为干预的方法治疗小儿遗尿症68例，两组治疗效果均较满意，但综合治疗组疗效更显著，现报道如下： 1 临床资料 1.