CAJ | 학술논문

目的：观察腹针疗法结合康复训练治疗脑卒中后尿失禁的疗效。方法：将86例脑卒中后尿失禁患者随机分为康复组（29例）、腹针组（28例）及腹针+康复组（29例），分别给予定时饮水计划、触发反射排尿、物理治疗等康复训练、腹针疗法及两者联合治疗，观察两组患者临床疗效及症状积分、残余尿量的改善情况。结果：治疗后，腹针+康复组总有效率高于康复组和腹针组（P<0.05），症状积分及残余尿量均低于对照组（P<0.05）。结论：腹针疗法结合康复训练能有效提高脑卒中后尿失禁的疗效，改善患者症状，减少残余尿量，值得临床推广应用。
목적：관찰복침요법결합강복훈련치료뇌졸중후뇨실금적료효。방법：장86례뇌졸중후뇨실금환자수궤분위강복조（29례）、복침조（28례）급복침+강복조（29례），분별급여정시음수계화、촉발반사배뇨、물리치료등강복훈련、복침요법급량자연합치료，관찰량조환자림상료효급증상적분、잔여뇨량적개선정황。결과：치료후，복침+강복조총유효솔고우강복조화복침조（P<0.05），증상적분급잔여뇨량균저우대조조（P<0.05）。결론：복침요법결합강복훈련능유효제고뇌졸중후뇨실금적료효，개선환자증상，감소잔여뇨량，치득림상추엄응용。
Objective:To observe the therapeutic effect of abdominal acupuncture combined with rehabilitation training treating urinary incontinence after stroke. Methods:86 cases of urinary incontinence after stroke were randomly divided into rehabilitation group (29 cases), abdominal acupunc-ture group (28 cases) and abdominal acupuncture plus rehabilitation group (29 cases), which were respectively treated with rehabilitation training of regular drinking plan, trigger reflex urination, physical therapy and the like, abdominal acupuncture and the combination therapy, the clinical efficacy and symptoms integral, as well as improvement of residual urine volume between the two groups were observed. Results:after the treatment abdomi-nal acupuncture plus rehabilitation group was more efficient than rehabilitation group and abdominal acupuncture group (P<0.05), and symptom score and residual urine volume were both lower than those of control group (P<0.05). Conclusion:Abdominal acupuncture combined with rehabilita-tion training can effectively improve the curative effect of urinary incontinence after stroke, improving patients’symptoms, reducing residual urine volume, which is worthy of clinical promotion and application.