万姹嫣 贾超 万绮雯 饶赟 刘敏

【摘要】 目的：探討中医综合康复治疗脑卒中并发尿失禁患者的临床效果。方法：选取2017年12月-

2019年12月于本院治疗的90例脑卒中并发尿失禁患者，按照随机数字表法将患者分为观察组和对照组。每组45例。两组均进行常规干预，对照组在常规干预的基础上进行西医康复治疗（盆底肌训练+排尿功能训练），观察组在对照组基础上联合中医综合康复治疗（中药+针刺艾灸+穴位按摩）。比较两组治疗前及治疗1个月国际尿失禁咨询委员会尿失禁问卷表简表（ICI-Q-SF）评分以及排尿情况。结果：治疗1个月，两组ICI-Q-SF评分均低于治疗前，且观察组低于对照组，差异均有统计学意义（P<0.05）。治疗1个月，两组日均排尿次数、日均尿失禁次数均少于治疗前，且观察组均少于对照组（P<0.05）;两组日均单次尿量均多于治疗前，且观察组多于对照组，差异均有统计学意义（P<0.05）。结论：对脑卒中并发尿失禁患者在功能训练的基础上加用中药、针刺艾灸、穴位按摩，可有效改善患者尿失禁症状，促进患者排尿功能恢复。

【关键词】 脑卒中 尿失禁 中医综合康复 排尿功能

Clinical Effect of Comprehensive Rehabilitation of Chinese Medicine Therapy on Stroke Patients with Urinary Incontinence/WAN Chayan， JIA Chao， WAN Qiwen， RAO Yun， LIU Min. //Medical Innovation of China， 2021， 18（14）： -106

[Abstract] Objective： To explore the clinical effect of comprehensive rehabilitation of traditional Chinese medicine therapy on stroke patients with urinary incontinence. Method： A total of 90 stroke patients with urinary incontinence who entered our hospital from December 2017 to December 2019 were selected， they were randomly divided into the observation group and the control group， 45 cases in each group. Both groups received conventional intervention. The control group received western medicine rehabilitation （pelvic floor muscle training + urination training） on the basis of conventional intervention， and the observation group combined with traditional Chinese medicine rehabilitation （Chinese medicine + acupuncture moxibustion + point massage） on the basis of the control group. The scores of International Urinary Incontinence Advisory Committee Urinary Incontinence Questionnaire （ICI-Q-SF） and urination were compared between the two groups before treatment and 1 month after treatment. Result： After 1 month of treatment， the ICI-Q-SF scores in both groups were lower than those before treatment， and the observation group was lower than that of the control group， the differences were statistically significant （P<0.05）. After 1 month of treatment， the average daily frequency of urination and urinary incontinence in both groups were lower than those before treatment， and those of observation group were lower than those of control group （P<0.05）; the average daily single urine volume in both groups were more than those before treatment， and that of the observation group was more than that of the control group， the differences were statistically significant （P<0.05）. Conclusion： On the basis of functional training， Chinese medicine， acupuncture moxibustion and acupoint massage can effectively improve the symptoms of urinary incontinence and promote the recovery of patients urination function.

[Key words] Stroke Urinary incontinence Comprehensive rehabilitation of Chinese medicine Urination function

First-authors address： Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine， Nanchang 330000， China

doi：10.3969/j.issn.1674-4985.2021.14.025

腦卒中是一种临床常发的神经内科中危急重病，多由脑血管破裂或血液循环障碍所致，即使及时进行有效治疗，部分患者也会出现排尿障碍，并发尿失禁[1]。而脑卒中患者一旦并发尿失禁，几乎丧失排尿功能，对患者的身心健康产生不良影响[2]。目前，针对脑卒中并发尿失禁的治疗尚无简便、统一的方法，临床上多采用西医康复治疗，其主要包括盆底肌训练+排尿功能训练，但需要患者的主动配合，临床应用效果有限。中药、针灸、穴位按摩属于中医综合康复治疗，能有效弥补上述不足，且中西医结合治疗逐渐成为当下治疗的主要方向。本研究采用中药+针灸+穴位按摩的中西医结合康复治疗方式治疗脑卒中并发尿失禁患者，疗效较好。……