超声引导下针刺八髎穴联合通督调神针法治疗脑卒中后尿失禁临床观察

目的 观察超声引导下针刺八髎穴联合通督调神针法治疗脑卒中后尿失禁的疗效。方法 将60例脑卒中后尿失禁患者随机分为试验组和对照组，每组30例，试验组采用通督调神针法联合超声引导下针刺八髎穴治疗，对照组采用通督调神针法联合传统方法针刺八髎穴治疗，每日1次，每周治疗6 d，共治疗4周。采用国际尿失禁咨询委员会尿失禁问卷简表(the International Consultation on incontinence questionnaire-short form,ICI-Q-SF)评价漏尿情况和排尿次数，采用排尿日记观察日间和夜间的尿失禁次数和排尿次数，基于治疗后ICI-Q-SF评分下降率判定临床疗效。结果 与治疗前比较，两组患者治疗后ICI-Q-SF评分，日间、夜间排尿次数和尿失禁次数均显著降低（P＜0.05），且试验组上述指标下降程度显著大于对照组（P＜0.05）。试验组基于ICI-Q-SF评分的疗效显著优于对照组（P＜0.05）。结论 超声引导有助于八髎穴定位，提高八髎穴针刺联合通督调神针法治疗脑卒中后尿失禁的疗效。

Efficacy of Ultrasound-guided Acupuncture at Baliao Point Combined with Tongdu Tiaoshen Acupuncture in Treatment of Urinary Incontinence After Stroke

Objective To investigate the efficacy of ultrasound-guided acupuncture at Baliao point combined with Tongdu Tiaoshen acupuncture in the treatment of urinary incontinence after stroke.Methods A total of 60 patients with urinary incontinence after stroke were randomly divided into experimental group and control group,with 30 patients in each group.The patients in the experimental group received Tongdu Tiaoshen acupuncture combined with ultrasound-guided acupuncture at Baliao point, while those in the control group received Tongdu Tiaoshen acupuncture combined with traditional acupuncture at Baliao point,once a day for 6 days a week,and each course of treatment was four weeks.The international consultation on incontinence questionnaire-short form (ICI-Q-SF) was used to evaluate urine leakage and micturition frequency,and voiding diary was used to observe the number of urinary incontinence episodes and micturition frequency in the daytime and nighttime.Clinical outcome was assessed based on the reduction rate of ICI-Q-SF score after treatment.Results After treatment,both groups had significant reductions in ICI-Q-SF score as well as the micturition frequency and number of urinary incontinence episodes in the daytime and nighttime (P<0.05), and the experimental group had significantly greater reductions in the above indicators than the control group (P<0.05).The experimental group had a significantly better clinical outcome based on ICI-Q-SF score than the control group (P<0.05). Conclusion Ultrasound guidance helps to locate Baliao point and improve the efficacy of acupuncture at Baliao point combined with Tongdu Tiaoshen acupuncture in the treatment of urinary incontinence after stroke.