CAJ | 학술논문

目的：探讨隔盐隔姜灸神阙穴治疗脑卒中后急迫性尿失禁的临床效果。方法对脑卒中后出现急迫性尿失禁的40例患者按区组随机法分为观察组(n=20)与对照组(n=20)。对照组行常规治疗，观察组行隔盐隔姜灸神阙穴治疗和常规治疗。4周疗程结束后观察疗效。结果36例完成治疗，其中对照组17例，观察组19例。治疗后，两组72 h总排尿次数、急迫性尿失禁次数、夜尿次数显著减少(P<0.001)，平均每次尿量显著增加(P<0.001)，膀胱残余尿量减少(P<0.05)，且观察组明显优于对照组(P<0.01)。同时，两组MBI评分明显增加(P<0.01)，但两组比较无显著性差异(P>0.05)。结论隔盐隔姜灸神阙穴治疗脑卒中后排尿障碍效果明显。
목적：탐토격염격강구신궐혈치료뇌졸중후급박성뇨실금적림상효과。방법대뇌졸중후출현급박성뇨실금적40례환자안구조수궤법분위관찰조(n=20)여대조조(n=20)。대조조행상규치료，관찰조행격염격강구신궐혈치료화상규치료。4주료정결속후관찰료효。결과36례완성치료，기중대조조17례，관찰조19례。치료후，량조72 h총배뇨차수、급박성뇨실금차수、야뇨차수현저감소(P<0.001)，평균매차뇨량현저증가(P<0.001)，방광잔여뇨량감소(P<0.05)，차관찰조명현우우대조조(P<0.01)。동시，량조MBI평분명현증가(P<0.01)，단량조비교무현저성차이(P>0.05)。결론격염격강구신궐혈치료뇌졸중후배뇨장애효과명현。
Objective To probe the therapeutic effect of ginger-salt-partitioned moxibustion on urge incontinence after stroke. Methods 40 stroke patients following urge incontinence were randomly divided into control group (n=20) and experimental group (n=20). 2 groups all received the same treatment, routine acupuncture and rehabilitation. Additionally, the experimental group received ginger-salt-partitioned moxibustion at Shenque (CV8). The curative effect was compared after treatment (4 weeks). Results 36 cases finished the treatment, 17 in the control group and 19 in the experimental group. Total number of urination, urinary incontinence and nocturia reduced, and the average volume of each urine increased (P<0.05), and volume of bladder residual urine reduced in 2 groups after treatment (P<0.001), while the ex-perimental group was better than the control group (P<0.05). The scores of modified Barthel Index increased in 2 groups after treatment, but there was no significant difference between 2 groups (P>0.05). Conclusion The effect of ginger-salt-partitioned moxibustion at Shenque on poststroke following urination disorders is remarkable.