针灸治疗急迫性尿失禁诊疗特点文献分析

目的：探讨针灸治疗急迫性尿失禁的诊疗特点。方法：电子检索中国知网（ CNKI，1979～2013年）、维普医学资源数据（ VIP，1979～2013年）、中国生物医学文献数据库（ CBM，1979～2013年）， PubMed（1966～2013年）中针灸治疗急迫性尿失禁的文献，分析总结针灸对其治疗时的辨证特点、选穴、配穴、针刺频次、疗程、疗效。结果：纳入19篇文献中，针灸治疗急迫性尿失禁取穴采用腰骶部膀胱经取穴为主：会阳（12/17，70．6％）、次髎（9/17，52．9％）、肾俞（7/17，41．2％）、中髎（5/17，29．4％）、三阴交（6/17，35．3％）；针灸方法以电针为主12/17，占70．6％；频次每日1次常用，疗程是以20次左右为主。结论：目前针灸治疗该病最常用辨病为主的诊疗方法，取穴采用腰骶部膀胱经为主，常用腧穴为会阳、次髎、肾俞、中髎、三阴交，针灸方法以电针为主，频次每日1次为主，电针疗效优于酒石酸托特罗定片（舍尼亭）和盆底肌训练法，远期疗效较好。

Literature Analysis on Diagnosis and Treatment of Acupuncture and Moxibustion for Urgent Inconinence

Objective：To explore the diagnosis and treatment of acupuncture and moxibustion for urgent in-coninence .Methods：We searched the literatures related to urgent inconinence treated by acupuncture and moxi -bustion in CNKI（1979～2011）,VIP（1989～2011）,CBM（1979～2011）,PUBMED（1966～2011）,then sum-marized the clinical characteristics of syndrome differentiation , acupuncture points selection method , acupunc-ture frequency , course of treatment and treatment effect on chronic noninfectious diarrhea by acupuncture and moxibustion .Results：The main acupuncture points chosen in the 19 articles in the frequency order were Huiy-ang （ BL-35 .12/17 ,70 .6%） , Ciliao （ BL-32 .9/17 ,52 .9%） , Shenshu （ BL-23 .7/17 ,41 .2%） , Zhongliao （BL-33.5/17,29.4%） and Sanyinjiao （ sp -6.6/17,35.3%）.The percentage of electroacupuncture was 70.6%（12/17）;treating frequency was once a day and 20 times was a therapy course .Conclusion：In treating urgent inconinence by acupuncture and moxibustion , acupuncture points selection by disease differentiation was the common method.The main acupuncture points applied in urgent inconinence were Huiyang （BL-35）,Cil-iao（BL-32）,Shenshu（BL-23）,Zhongliao（BL-33）and Sanyinjiao（sp-6）.In Clinical practice for treating urgent inconinence by acupuncture and moxibustion , once a day .Acupuncture and moxibustion had a good long-term effect and were better than tolterodine tartrate tablets and pelvic floor muscle training .