Volume 21 Issue 9
Sep.  2023
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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

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
Funds:

 2021-4-284

 LGF20H170002

  • Received Date: 2022-11-18
    Available Online: 2023-10-19
  •   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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