电针治疗脑卒中后尿失禁的随机对照研究

目的:观察电针治疗脑卒中后尿失禁的临床疗效。方法:将111例脑卒中后尿失禁患者随机分为电针组56例和对照组55例。两组病人均采用西医常规药物及改善肢体功能的针刺治疗,电针组在此基础上加用电针肾俞、会阳穴。对两组在治疗前和治疗4周后尿失禁治疗分级及尿失禁临床症状评分进行比较。结果:治疗4周后各组尿失禁治疗分级及尿失禁临床症状评分均低于疗前(P<0.01),电针组低于对照组(P<0.01)。结论:加用电针能更有效地降低脑卒中患者尿失禁治疗分级,减少尿失禁临床症状评分,改善尿失禁症状。

Randomized Controlled Clinical Trials for Electroacupuncture Treatment of Urinary Incontinence in Stroke Patients

Objective To observe clinical efficacy of electroacupuncture(EA) for post-stroke urinary incontinence in patients.Methods A total of 111 stroke inpatients with urinary incontinence were randomly divided into EA group(n=56) and control group(n=55).Patients of the control group were treated by administration of calcium ion antagon,angiotensin-converting enzyme inhibitor,angiotensin Ⅱ receptor antagonist,compound thromb-clearing agent(i.v.),etc.,and acupuncture of Jianyu(LI 15),Xuehai(SP10),etc.Patients of the EA group were treated by EA of bilateral Shenshu(BL23),Huiyang(BL35),etc.,combined with the treatment as the control group.The treatment was conducted once daily for 4 weeks.Crooks(1995) Scores of the clinical symptoms and clinical efficacy assessment were given before and after the treatment.Results After the treatment,the severity of urinary incontinence and symptom scores in both control and EA groups were decreased significantly in comparison with pre-treatment(P<0.01).Following the treatment,of the 55 and 56 stroke patients in the control and EA groups,0 and 4(7.1%) were cured in the symptoms of frequent micturition,urgency of micturition and incontinence of urine,20(36.4%) and 35(62.5%) were effective,35(63.6%) and 17(30.4%) were invalid,with the effective rates being 36.4% and 69.6%,respectively.The therapeutic effect of EA group was apparently superior to that of the control group(P<0.01).In addition,the infection rate of the EA group was strikingly lower than that of the control group(P<0.05).Conclusion EA can lower the severity of urinary incontinence and improve clinical symptoms of micturition in stroke patients.