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电针治疗老年急迫性尿失禁临床研究
引用本文:刘志顺,刘保延,杨涛,叶永铭,赵宏,张维,刘军,刘元石,郭玉峰,李以松,黄漫,杨志强,龙书平,黄石玺.电针治疗老年急迫性尿失禁临床研究[J].中国针灸,2001,1(10):1-9.
作者姓名:刘志顺  刘保延  杨涛  叶永铭  赵宏  张维  刘军  刘元石  郭玉峰  李以松  黄漫  杨志强  龙书平  黄石玺
作者单位:中国中医研究院广安门医院,
基金项目:国家中医药管理局青年基金资助项目
摘    要:目的对电针治疗老年急迫性尿失禁进行系统临床和尿流动力学评价.结果电针组近期治愈率35.0%,有效率45.0%,远期治愈率36.4%,有效率40.9%,疗效与病程长短无关;对照组分别为2.5%和35.0%,远期总有效率仅33.3%;两组差异有非常显著性意义(P<0.001,P<0.05).尿流动力学评价也显示出类似结果(P<0.05).结论电针可显著增加膀胱最大容量、提高膀胱充盈初始感觉阈、降低膀胱最大收缩压、抑制逼尿肌的无抑制性收缩,从而治疗尿失禁.

关 键 词:尿失禁  针灸疗法  尿动力学  针灸效应  电针疗法  老年人
文章编号:0255-2930(2001)10-0579-04
修稿时间:2001年2月27日

Clinical Study on Electroacupuncture Treatment of Senile Imperative Urinary Incontinence
Liu Zhishun,Liu Baoyan,Yang Tao,et al.Clinical Study on Electroacupuncture Treatment of Senile Imperative Urinary Incontinence[J].Chinese Acupuncture & Moxibustion,2001,1(10):1-9.
Authors:Liu Zhishun  Liu Baoyan  Yang Tao  
Abstract:Clinical therapeutic effect and urodynamics were evaluated in electroacupuncture treatment of senile urinary incontinence.Results indicated that the short-term cured rate and effective rate were 35.0% and 45.0%,and the long-term cured rate and effective rate were 36.3% and 40.9% respectively in the electroacupuncture group,and the therapeutic effect was not related with the course of disease;the short-term therapeutic effect and effective rate were and 35.0% respectively,and the total long-term therapeutic effect was 33.3% in the control group,with very significant differences betwen the two groups (P<0.001 and 0.05).Evaluation of urodynamics showed the similar result (P<0.05).Electroacupuncture increased markedly the maximum volume of urinary bladder and initial sensory threshold of bladder filling,reduced the maximum contraction pressure and inhibited non-inhibitory contraction of pubovesical muscle,so as to cure urinary incontinence.
Keywords:Urinary Incontinence/acup ther  Urodynamics/acup eff  Electroacupuncture
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