飛法治療中風后尿失禁療效觀察

鄭淑云

摘要：目的? 觀察飛法治療中風后尿失禁的療效。方法? 將本院中醫科門診64例中風后尿失禁患者隨機分為治療組和對照組，每組32例。治療組和對照組取穴療程相同，均取內關、人中或印堂、三陰交、百會、四神聰、涌泉、曲骨、中極、關元，辯證選取太溪、復溜、腎俞、會陽，留針30 min，30 d為1個療程，共針灸3個療程。對照組采用普通平補平瀉針刺法;治療組曲骨、中極、關元、太溪、復溜、腎俞、會陽采用飛法，其余穴位采用普通平補平瀉針刺法，3個療程后進行臨床療效和臨床癥狀評分。結果? 治療組治療總有效率為90.63%，高于對照組的68.75%，差異具有統計學意義（P<0.05）;治療后，治療組臨床癥狀評分為（2.13±0.92）分，低于對照組的（3.24±1.14）分，差異具有統計學意義（P<0.05）。結論? 飛法治療中風后尿失禁，可顯著改善患者尿意感、控制排尿能力，改善相關癥狀。

關鍵詞：中風;尿失禁;飛法

中圖分類號：R246.6? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻標識碼：A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2019.04.050

文章編號：1006-1959（2019）04-0153-03

Abstract：Objective? To observe the efficacy of Flying therapy? in the treatment of urinary incontinence after stroke. Methods? 64 patients with post-stroke urinary incontinence in our hospital were randomly divided into treatment group and control group， 32 cases in each group. The treatment group and the control group took the same course of treatment，Take Neiguan， Renzhong or Yintang， Sanyinjiao， Baihui， Sishencong， Yongquan， Qugu， Zhongji， Guanyuan， dialectically select Taixi， Fusuo， Shenshu， Huiyang， and keep the needle for 30 min， 30 d is a course of treatment， a total of 3 courses of acupuncture. The control group was treated with ordinary Pingbu Pingxue acupuncture method; the treatment group was treated with curved bone， Zhongji， Guanyuan， Taixi， Fushen， Shenshu and Huiyang， and the other acupuncture points were treated with ordinary flat-filled acupuncture， 3 clinical efficacy and clinical symptom scores were obtained after one course of treatment. Results? The total effective rate of treatment group was 90.63%， which was higher than that of the control group 68.75%，the difference was statistically significant （P<0.05）. After treatment， the clinical symptom score of the treatment group was （2.13±0.92）， which was lower than the control group （3.24±1.14） points， the difference was statistically significant （P<0.05）. Conclusion? ?Flying therapy for urinary incontinence after stroke can significantly improve the patient's urinary sensation， control urination ability and improve related symptoms.

Key words：Stroke;Urinary incontinence;Flying therapy

尿失禁（Urinary incontinence）是中風后常見癥狀，發病率為27%～58%，本病主要由于顱腦內出血或梗死導致兩側大腦半球的旁中央小葉不完全性受損，使排尿中樞對膀胱的反射抑制作用減弱，出現逼尿肌反射亢進而致[1]。各國每年用于腦卒中后尿失禁護理花費都很高，據統計美國每年用于此病的家庭護理花費高達110億美元[2];Green JP等[3]報道，在澳大利亞和新西蘭，用于此病患者的康復費用為185.6美元/d，而無尿失禁患者的費用為156.82美元/d。我國還無此項統計，但中風后尿失禁給患者帶來很大痛苦，嚴重影響了生活質量，給家屬增添很多麻煩。目前西醫藥物治療禁忌癥和副作用較多，且不能達到滿意的療效[4]。中西醫尚無規范的特效療法，通過臨床實踐，采用飛法治療取得了可喜成效，報告如下。

1資料與方法