Effects of Electroacupuncture at Zhongji and Guanyuan on Urge Urinary Incontinence after Stroke
10.3969/j.issn.1006-9771.2019.00.018
- VernacularTitle:电针中极和关元治疗脑卒中后急迫性尿失禁的效果
- Author:
Lan-qun LIU
1
;
Hui-lan LI
1
;
Shuang CHEN
2
;
Ji-min XU
1
Author Information
1. Department of Traditional Chinese Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
2. Medical Records Room, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
- Publication Type:Research Article
- Keywords:
stroke;
urge urinary incontinence;
electroacupuncture;
urodynamics
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(1):93-97
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effects of electroacupuncture on urge urinary incontinence after stroke. Methods:From May, 2015 to May, 2018, 40 patients with urge urinary incontinence after stroke were randomly divided into control group (n = 20) and electroacupuncture group (n = 20). Both groups accepted routine rehabilitation, while the electroacupuncture group accepted electroacupuncture at Zhongji (CV3) and Guanyuan (CV4) in addition, for four weeks. They recorded the urination log (72 hours), and were assessed with Incontinence Scale, and tested with urodynamics before and after treatment. Results:There were 17 cases in the control group and 18 in the electroacupuncture group finishing the trial. The total number of urination, the number of urge incontinence and the number of calls for urination carer at night decreased, the average volume of urine increased, and the score of Incontinence Scale decreased (|t| > 4.770, P < 0.001) in both groups, which were better in the electroacupuncture group than in the control group (|t| > 2.962, P < 0.01). The maximum cystometric bladder capacity and bladder compliance increased in both groups, while the maximum bladder pressure and maximum detrusor pressure decreased after treatment (|t| > 4.052, P < 0.001), which were better in the electroacupuncture group than in the control group (|t| > 2.716, P < 0.05). Conclusion:Electroacupuncture at Zhongji and Guanyuan is effective on urge urinary incontinence, which relates with reducing detrusor and bladder pressure, increasing bladder volume, and improving bladder compliance.
