背景:尿失禁是中风后常见的并发症。西医没有特效药,手术治疗是高度创伤的,限制了其临床应用。本研究旨在观察电针“骶四穴”结合艾灸“腹三穴”治疗中风后尿失禁的临床疗效。探讨其对尿动力学和生活质量的影响。
方法:纳入2021年1月至2023年12月在我院接受治疗的卒中后尿失禁患者。该研究包括117例患者:电针组57例,联合组60例。测量尿动力学参数,记录之前的尿失禁国际咨询问卷-尿失禁简表(ICIQ-UISF)和尿失禁生活质量问卷(I-QOL)的得分,在第一个和第三个疗程之后。治疗后评价临床疗效及不良反应。
结果:研究发现两组之间的临床特征没有显着差异(p>0.05),提供比较基准。两组治疗1个疗程后漏出量均有明显下降(p<0.05),ICIQ-UISF评分降低(p<0.05),I-QOL评分升高(p<0.05)。经过三个疗程,两组患者的渗漏量均显著减少(p<0.05),ICIQ-UISF评分降低(p<0.05),I-QOL评分增加(p<0.05)。与电针组相比,联合组显示出更低的渗漏量(p<0.05),具有较低的ICIQ-UISF评分(p=0.027)和较高的I-QOL评分(p=0.048)。重要的是,联合组总有效率明显高于对照组(88.33%vs64.91%,p=0.037),证明治疗的安全性和有效性。
结论:电针“骶骨四穴”结合艾灸“腹三穴”可改善中风后尿失禁患者的临床症状,提高生活质量,与单独的电针相比,显示出更好的结果。
BACKGROUND: Urinary incontinence is a common complication following a stroke. No specific drugs are available in Western medicine, and surgical treatment is highly traumatic, limiting its clinical application. This study aimed to observe the clinical efficacy of electroacupuncture at the \"Sacral Four Points\" combined with moxibustion at the \"Abdominal Three Points\" on post-stroke urinary incontinence, exploring its impact on urodynamics and quality of life.
METHODS: Patients with post-stroke urinary incontinence treated at our Hospital from January 2021 to December 2023 were recruited. The study included 117 patients: 57 in the electroacupuncture group and 60 in the combined group. Urodynamic parameters were measured, and scores from the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) and the Incontinence Quality of Life Questionnaire (I-QOL) were recorded before, and after the first and third courses of treatment. Clinical efficacy and adverse reactions were evaluated post-treatment.
RESULTS: The study found no significant differences in clinical characteristics between the groups (p > 0.05), providing a baseline for comparison. Both groups showed substantial decreases in leakage volume after one course of treatment (p < 0.05), with a reduction in the ICIQ-UI SF score (p < 0.05) and an increase in the I-QOL score (p < 0.05). After three courses of treatment, the leakage volume of patients in both groups significantly decreased (p < 0.05), the ICIQ-UI SF score decreased (p < 0.05), and the I-QOL score increased (p < 0.05). The combined group showed a lower leakage volume compared to the electroacupuncture group (p < 0.05), with lower ICIQ-UI SF scores (p = 0.027) and higher I-QOL scores (p = 0.048). Importantly, the total effective rate was significantly higher in the combined group (88.33% vs 64.91%, p = 0.037), demonstrating the safety and efficacy of the treatment.
CONCLUSIONS: Electroacupuncture at the \"Sacral Four Points\" combined with moxibustion at the \"Abdominal Three Points\" improves the clinical symptoms and enhances the quality of life for patients with post-stroke urinary incontinence, showing superior results compared to electroacupuncture alone.