Volume 21 Issue 9
Sep.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(9): 1585-1589
LI Xiaohua, WANG Lingyan, YAN Junhua, FANG Yan, ZHUGE Lejun, JIN Minjuan. A randomized controlled study of warm needle ginger moxibustion combined with Xingnao Kaiqiao acupuncture method in treatment of urinary incontinence after stroke[J]. Chinese Journal of General Practice, 2023, 21(9): 1585-1589. doi: 10.16766/j.cnki.issn.1674-4152.003176
Citation: LI Xiaohua, WANG Lingyan, YAN Junhua, FANG Yan, ZHUGE Lejun, JIN Minjuan. A randomized controlled study of warm needle ginger moxibustion combined with Xingnao Kaiqiao acupuncture method in treatment of urinary incontinence after stroke[J]. Chinese Journal of General Practice, 2023, 21(9): 1585-1589. doi: 10.16766/j.cnki.issn.1674-4152.003176
shu

A randomized controlled study of warm needle ginger moxibustion combined with Xingnao Kaiqiao acupuncture method in treatment of urinary incontinence after stroke

doi: 10.16766/j.cnki.issn.1674-4152.003176
  • 1.

    Acupuncture and Massage Department, Jinhua Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medicine University, Jinhua, Zhejiang 321017, China

Funds:

 2021-4-284

 LGF20H170002

  • Received Date: 2022-11-18
    Available Online: 2023-10-19
    Abstract
  •   Objective  Urinary incontinence is a common sequela after stroke. In this study, warm acupuncture and ginger moxibustion combined with Xingnao Kaiqiao acupuncture were used to treat urinary incontinence after stroke, aiming to find a more effective treatment method for urinary incontinence after stroke.  Methods  A total of 45 patients with stroke and urinary incontinence treated with warm needle and ginger moxibustion combined with Xingnao Kaiqiao acupuncture method were selected as the observation group from January 2021 to June 2022 in Jinhua Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine, and 45 patients with stroke and urinary incontinence treated with Xingnao Kaiqiao acupuncture method were enrolled as the control group during the same period. The clinical efficacy, adverse events and scores before and after treatment were compared between the two groups.  Results  The total effective rate of clinical efficacy in the observation group was significantly higher than that in the control group. At 2, 4 weeks, 1 and 3 months of treatment, international continence advisory committee urinary incontinence questionnaire short form (ICIQ-SF) score (14.52±3.16, 10.49±3.20, 9.24±2.47, 7.63±2.34 vs. 14.68±3.41, 12.23±2.66, 11.50±1.97, 10.33±2.62), nocturnal incontinence grade score (3.71±1.23, 3.06±1.28, 2.26±0.87, 2.59±0.73 vs. 4.54±1.66, 4.13±1.85, 3.41±0.96, 3.29±0.87) and residual urinary volume of the observation group were significantly lower than those of the control group, while the maximum detrusor muscle pressure, maximum urine flow rate, maximum bladder volume and single urine volume in observation group were significantly higher than those in control group (all P < 0.05).  Conclusion  Warm needle ginger moxibustion combined with Xingnao Kaiqiao acupuncture and pelvic floor muscle function training in the treatment of urinary incontinence after stroke can effectively improve urination function, reduce the degree of urinary incontinence and nocturnal urinary incontinence, and the security is better.

     

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    • References(21)
  • [1]
    周雨欣, 陆雪松, 封海霞, 等. 脑卒中后尿失禁患者功能独立性现状及其对社会参与、生活质量和心理状态的影响[J]. 中国护理管理, 2020, 20(11): 1653-1658. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL202011013.htm

    ZHOU Y X, LU X S, FENG H X, et al. Functional independence in patients with Post-Stroke Urinary Incontinence and its effect on social participation, quality of life and mental health[J]. China Nursing Management, 2020, 20(11): 1653-1658. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL202011013.htm
    [2]
    HELTTY H. Patient, family, and peer engagement in nursing care as an effort to improve the functional independence of post-stroke urinary incontinence patients: a cross-sectional study[J]. Cureus, 2022, 14(7): e26649. DOI: 10.7759/cureus.26649.
    [3]
    KOHLER M, OTT S, MULLIS J, et al. Promoting urinary continence in people suffering a stroke: effectiveness of a complex intervention-An intervention study[J]. Nurs Open, 2022, 9(2): 1262-1275. doi: 10.1002/nop2.1166
    [4]
    CHENG S, LIN D, HY T, et al. Association of urinary incontinence and depression or anxiety: a meta-analysis[J]. J Int Med Res, 2020, 48(6): 300060520931348. DOI: 10.1177/0300060520931348.
    [5]
    刘兰群, 李惠兰, 陈爽, 等. 电针中极和关元治疗脑卒中后急迫性尿失禁的效果[J]. 中国康复理论与实践, 2020, 26(1): 93-97. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS202001018.htm

    LIU L Q, LI H L, CHEN S, et al. Effects of Electroacupuncture at Zhongji and Guanyuan on Urge Urinary Incontinence after Stroke[J]. Chin J Rehabil Theory Pract, 2020, 26(1): 93-97. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS202001018.htm
    [6]
    WANG P, SHI J, ZHAO L, et al. The efficacy and safety of electroacupuncture against urinary incontinence after stroke: a protocol for systematic review and meta analysis[J]. Medicine (Baltimore), 2020, 99(38): e22275. DOI: 10.1097/MD.0000000000022275.
    [7]
    CHENG P, CHI Z, XIAO Y, et al. The acupuncture-related therapy for post-stroke urinary incontinence: a protocol for systematic review and network meta-analysis[J]. Medicine (Baltimore), 2020, 99(44): e22865. DOI: 10.1097/MD.0000000000022865.
    [8]
    冼丽霞, 李润明, 朱海丰, 等. 醒脑开窍针刺法治疗脑梗死早期运动功能障碍的临床观察[J]. 广州中医药大学学报, 2022, 39(4): 831-836. https://www.cnki.com.cn/Article/CJFDTOTAL-REST202204016.htm

    XIAN L X, LI R M, ZHU H F, et al. Clinical Observation on Xingnao Kaiqiao Acupuncture Therapy in the Treatment of Motor Dysfunction in Early Cerebral Infarction[J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2022, 39(4): 831-836. https://www.cnki.com.cn/Article/CJFDTOTAL-REST202204016.htm
    [9]
    赵敏, 张晶晶, 李蕾, 等. 卒中后尿失禁中西医临床研究进展[J]. 河北中医, 2020, 42(12): 1910-1915. https://www.cnki.com.cn/Article/CJFDTOTAL-HBZY202012032.htm

    ZHAO M, ZHANG J J, LI L, et al. Clinical research progress of Chinese and Western medicine on urinary incontinence after stroke[J]. Hebei J TCM, 2020, 42(12): 1910-1915. https://www.cnki.com.cn/Article/CJFDTOTAL-HBZY202012032.htm
    [10]
    李飞, 皮亚彬, 王艳, 等. 针刺结合"温阳补肾灸"治疗脑卒中后肾阳虚型尿失禁随机对照研究[J]. 辽宁中医杂志, 2021, 48(7): 194-197. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY202107052.htm

    LI F, PI Y B, WANG Y, et al. Acupuncture Combined with "Warming Yang and Tonifying Kidney Moxibustion" in Treatment of Urinary Incontinence with kidney Yang Deficiency after Stroke: Randomized Controlled Study[J]. Liaoning Journal of Traditional Chinese Medicine, 2021, 48(7): 194-197. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY202107052.htm
    [11]
    周维金. 脑血管疾病分类和诊断要点(1995)简介[J]. 中国乡村医药, 1997(10): 5-9. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYY199710004.htm

    The fourth National Conference on Cerebrovascular Diseases. Classification and diagnosis of cerebrovascular diseases(1995)[J]. Chinese Journal of Neurology, 1997(10): 5-9. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYY199710004.htm
    [12]
    吴阶平. 泌尿外科学[M]. 济南: 山东科学技术出版社, 2009: 897-898

    WU J P. Urinary surgery[M]. Jinan: Shandong Science and Technology Press, 2009: 897-898
    [13]
    萨仁. 温针灸八髎穴联合针刺足运感区治疗脑卒中后肾气不固型尿失禁[J]. 中国老年学杂志, 2020, 40(18): 3833-3836. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202018009.htm

    SA R. Treatment of renal qi deficiency urinary incontinence after stroke by warm acupuncture and Baliao acupoint combined with acupuncture of foot sensation area[J]. Chinese Journal of Gerontology, 2020, 40(18): 3833-3836. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202018009.htm
    [14]
    单华英, 徐亚芬, 陆艳, 等. 盆底超声在女性压力性尿失禁中的应用及初产妇产后盆底肌肉训练的疗效评估[J]. 中华全科医学, 2019, 17(9): 1557-1560. doi: 10.16766/j.cnki.issn.1674-4152.000997

    SHAN H Y, XU Y F, LU Y, et al. Application of pelvic floor ultrasound in female stress incontinence and evaluation of efficacy of postpartum pelvic floor muscle training[J]. Chinese Journal of General Practice, 2019, 17(9): 1557-1560. doi: 10.16766/j.cnki.issn.1674-4152.000997
    [15]
    CHOHAN S A, VENKATESH P K, HOW C H. Long-term complications of stroke and secondary prevention: an overview for primary care physicians[J]. Singapore Med J, 2019, 60(12): 616-620.
    [16]
    SUNG V W, BORELLO-FRANCE D, NEWMAN D K, et al. Effect of behavioral and pelvic floor muscle therapy combined with surgery vs surgery alone on incontinence symptoms among women with mixed urinary incontinence: the ESTEEM randomized clinical trial[J]. JAMA, 2019, 322(11): 1066-1076.
    [17]
    彭婷婷, 洪静芳, 刘从秀. 盆底肌功能锻炼联合热敏灸在老年脑卒中后尿失禁患者中的应用[J]. 中国老年学杂志, 2020, 40(21): 4580-4584. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202021033.htm

    PENG T T, HONG J F, LIU C X. Application of pelvic floor muscle function exercise combined with heat-sensitive moxibustion in senile patients with urinary incontinence after stroke[J]. Chinese Journal of Gerontology, 2020, 40(21): 4580-4584. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202021033.htm
    [18]
    尹晶, 蔡少康, 杨军, 等. 温针灸联合尿路综合管超早期康复模式对急性脑卒中后尿失禁的影响[J]. 世界中医药, 2018, 13(10): 2572-2575, 2579. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZA201810051.htm

    YIN J, CAI S K, YANG J. Effect of Ultra-rehabilitation Mode of Warm Needling Moxibustion Combined with Urinary Tract Integrated Management on Patients With Urinary Incontinence after Stroke in Acute-phase[J]. World Chinese Medicine, 2018, 13(10): 2572-2575, 2579. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZA201810051.htm
    [19]
    邝雪辉, 康玉闻. 电温针八髎穴治疗脊髓损伤后神经源性膀胱的临床观察[J]. 中国中医急症, 2018, 27(11): 2017-2020. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ201811040.htm

    KUANG X H, KANG Y W. Clinical observation on the treatment of neurogenic bladder after spinal cord injury with electrothermal acupuncture and Baaliao Point[J]. JETCM, 2018, 27(11): 2017-2020. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ201811040.htm
    [20]
    陈晓彤, 阮传亮. 脑卒中后尿失禁治疗的研究进展[J]. 中国医药导刊, 2020, 22(7): 451-455. https://www.cnki.com.cn/Article/CJFDTOTAL-DKYY202007004.htm

    CHEN X T, RUAN C L. Research Progress on the Treatment of Urinary Incontinence after Stroke[J]. Chinese Journal of Medicinal Guide, 2020, 22(7): 451-455. https://www.cnki.com.cn/Article/CJFDTOTAL-DKYY202007004.htm
    [21]
    武小利, 朱宏程, 吴生兵, 等. 芒针透刺配合盆底肌训练治疗脑卒中后尿失禁的疗效观察[J]. 上海针灸杂志, 2021, 40(8): 932-936. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ202108005.htm

    WU X L, ZHU H C, WU S B, et al. Efficacy Observation of Penetration Needling with Elongated Needles Combined with Pelvic Floor Muscle Exercise for Urinary Incontinence After Cerebral Stroke[J]. Shanghai J Acu-mox, 2021, 40(8): 932-936. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZJ202108005.htm
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