摘要
目的:观察长时灸"百会"对脑卒中后认知功能障碍性尿失禁的影响。方法:选取脑卒中后伴认知功能障碍的尿失禁患者80例,按随机数字表法分为对照组、观察组,每组40例。对照组给予认知功能训练、运动疗法、物理因子治疗、常规针刺、推拿、内科药物等常规治疗,整个研究过程要求所有患者饮水量保持2000~3000 mL/24 h;观察组在对照组基础上用纯艾条在百会穴行长时灸,每次灸2 h以上,如果患者能耐受,可不限时间,1次/d,每周7次,共治疗8周。在治疗前、治疗8周后或治疗终点采用简易智力状态检查量表(MMSE)进行认知功能障碍评分,通过24 h排尿情况、膀胱安全容量、残余尿量评价膀胱功能,采用改良Barthel指数量表(MBI)评价患者日常生活能力。结果:治疗8周后,对照组MMSE、MBI评分、单次尿量、膀胱安全容量分别为(21.86±2.41)分、(57.30±7.33)分、(124.41±24.35)mL/次、(215.11±17.86)mL,观察组分别为(23.08±2.62)分、(60.53±6.37)分、(179.29±18.23)mL/次、(264.21±20.05)mL。与治疗前比较,2组治疗8周后MMSE、MBI评分、单次尿量、膀胱安全容量均明显提高,观察组改善程度优于对照组,差异有统计学意义(P<0.05);治疗8周后,对照组排尿次数、漏尿次数、残余尿量分别为(11.84±2.28)次/d、(6.59±1.94)次/d、(124.16±31.74)mL,观察组分别为(8.95±2.34)次/d、(5.13±1.86)次/d、(95.82±35.24)mL。与治疗前比较,2组排尿次数、漏尿次数、残余尿量均明显减少,观察组降低程度优于对照组,差异有统计学意义(P<0.05)。结论:长时灸"百会"可以改善脑卒中后伴认知功能障碍尿失禁患者认知功能,增加膀胱安全容量,减少尿失禁,提高患者日常生活能力。
Objective:To observe the effect of long-term moxibustion at Baihui(GV20)acupoint on urinary incontinence patients with cognitive dysfunction after stroke.Methods:A total of 80 cases of urinary incontinence patients with cognitive dysfunction after stroke were randomly divided to the control group and observation group,with 40 cases in each group.The control group received routine rehabilitation training,including cognitive function training,acupuncture,physiotherapy and massage,all patients were required to maintain 2000-3000 mL/24 h of drinking water during the whole study.The observation group received long-term moxibustion with pure moxa stick at Baihui acupoint on the basis of the control group,more than two hours per time,for as long as possible,and once per day,seven times per week,continuous treatment for eight weeks or till the end of treatment(disappearance of incontinence symptoms).At both the before treatment,and after treatment for eight weeks,the cognitive dysfunction score was evaluated by Mini-mental state examination(MMSE),the bladder urination function was evaluated by 24 hours of urination,bladder safety capacity,residual urine volume,the ability of daily living was evaluated by the modified Barthel index(MBI).Results:After treatment for eight weeks,the MMSE,MBI scores,single urine output,bladder safety capacity of the control group were(21.86±2.41)scores,(57.30±7.33)scores,(124.41±24.35)mL a time,(215.11±17.86)mL,and the observation group were(23.08±2.62)scores,(60.53±6.37)scores,(179.29±18.23)mL a time,(264.21±20.05)mL.Compared with before treatment,the MMSE,MBI scores,single urine output,bladder safety capacity of both groups after treatment for eight weeks were higher,and the improvement in the observation group was significantly higher than that of the control group(P<0.05).After treatment for eight weeks,the urine frequency,frequency of urinary incontinence,residual urine volume in the control group were(11.84±2.28)times a day,(6.59±1.94)times a day,(124.16±31.74)mL,and the obse
作者
冷军
魏方月
郭文
刘会敏
冷笑雪
LENG Jun;WEI Fangyue;GUO Wen;LIU Huimin;LENG Xiaoxue(The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250001,China;Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250014,China;Shandong Special Education College,Jinan,Shandong 250001,China)
出处
《康复学报》
CSCD
2020年第2期103-107,共5页
Rehabilitation Medicine
基金
山东省中医药科技发展计划项目(2019-0247)。
关键词
脑卒中
认知障碍
尿失禁
长时灸
百会穴
stroke
cognitive dysfunction
urinary incontinence
long-term moxibustion
Baihui acupoint
GV20
