耳穴揿针联合艾灸俞募配穴治疗中风后尿失禁疗效观察.docVIP

耳穴揿针联合艾灸俞募配穴治疗中风后尿失禁疗效观察 　　[摘要] 目的 ?^察耳穴揿针联合艾灸俞募配穴治疗中风后尿失禁的临床疗效。 方法 将2016年3月～2017年6月我院住院治疗的中风后尿失禁患者70例作为研究对象，按照病例对照原则分为实验组35例和对照组35例。对照组予中风后尿失禁的常规康复治疗，如盆底肌锻炼、排尿意识训练、饮水计划及情志护理等；实验组在此基础上采用方便揿针耳穴埋针，同时用多功能艾灸仪艾灸俞募配穴。观察记录两组患者膀胱功能各项指标的变化情况，以及自主排尿次数、残余尿量、尿急症状缓解情况的差异。 结果 实验组患者治疗后的总有效率97.1%，显著高于对照组（P0.05）。实验组患者治疗后的逼尿肌压力、膀胱容量、残余尿量较对照组明显改善，差异有统计学意义（P0.05）。实验组患者治疗后自主排尿出现时间、24 h漏尿次数、尿急活动时间较对照组明显改善，差异有统计学意义（P0.05）。 结论 通过耳穴揿针联合艾灸俞募配穴对中风后尿失禁的治疗干预，能有效改善患者的临床症状，缩短住院时间，减少医疗费用，减轻患者家庭及社会的负担，提高患者的生活质量。 　　[关键词] 耳穴揿针；艾灸俞募配穴；中风尿失禁；膀胱功能 　　[中图分类号] R246 [文献标识码] B [文章编号] 1673-9701（2018）03-0124-04 　　Clinical observation on the efficacy of auricular point thumbtack needle combined with moxibustion and Shu-Mu point allocation method in the treatment of post-stroke urinary incontinence 　　ZHU Xiaoyan1 HU Juying2 CHEN Qiuwan3 ZHAO Ying3 　　1.Department of Comprehensive Medicine， Jinhua Hospital of TCM in Zhejiang Province， Jinhua 321000， China； 2.Department of Nursing， Jinhua Hospital of TCM in Zhejiang Province， Jinhua 321000， China； 3.Department of Rehabilitation Medicine， Jinhua Hospital of TCM， Jinhua 321000， China 　　[Abstract] Objective To observe the clinical efficacy of auricular point thumbtack needle combined with moxibustion and shu-mu point allocation method in the treatment of post-stroke urinary incontinence. Methods 70 patients with post-stroke urinary incontinence who were hospitalized in our hospital from March 2016 to June 2017 were selected as study subjects. They were assigned to the experiment group of 35 cases and the control group of 35 cases according to the case control principle. The control group was given routine rehabilitation treatment of urinary incontinence after stroke， such as pelvic floor muscle exercise， urinary awareness training， drinking water plan and emotional nursing； on the basis of the control group， the experiment group was also given convenient thumbtack needle and auricular points imbedding needle. At the same time， multi-function moxibustion device