摘要
目的 观察电针对帕金森病(Parkinson’s disease, PD)相关膀胱过度活动症(overactive bladder,OAB)患者尿动力学的影响。方法 将帕金森病相关膀胱过度活动症患者64例,随机分为治疗组和对照组,每组32例。对照组予抗帕金森常规药物治疗,治疗组在对照组基础上予电针治疗。观察两组治疗前后膀胱过度活动症评分(overactive bladder syndrome score, OABSS)、24 h平均排尿次数、24 h平均尿失禁次数、24 h平均单次尿量及尿动力学指标[最大逼尿肌压(maximal detrusor pressure, Pdetmax)、急迫尿意容量(volume at urgent desire, VUD)、初始尿意容量(first desire to void, FDV)、最大尿流率(maximum flow rate, MFR)、残余尿量(post-void residual urine, PVR)]变化。结果 治疗组治疗后OABSS评分、24 h平均排尿次数、24 h平均尿失禁次数较治疗前及对照组降低(P<0.05);治疗组24 h平均单次尿量较治疗前及对照组升高(P<0.05);治疗组治疗后FDV、VUD和MFR较治疗前及对照组升高(P<0.05),Pdetmax、PVR较治疗前及对照组降低(P<0.05)。结论电针治疗PD相关OAB,可改善尿动力学指标,改善临床症状,提高患者的生活质量。
Objective To observe the effect of electroacupuncture on urodynamics in patients with Parkinson’s disease(PD)-associated overactive bladder(OAB).Method Sixty-four patients with PD-associated OAB were randomly allocated to an treatment group and a control group,with 32 cases in each group.The control group was given the conventional medication for PD,and the treatment group was intervened with additional electroacupuncture treatment.Before and after treatment,the two groups were observed for changes in the overactive bladder syndrome score(OABSS),24 h average urination frequency,24 h average incontinence frequency,24 h average single urine volume,and urodynamic parameters[maximal detrusor pressure(Pdetmax),volume at urgent desire(VUD),first desire void(FDV),maximum flow rate(MFR),and post-void residual urine(PVR)].Result The OABSS,24 h average urination frequency,and 24 h average incontinence frequency declined after treatment in the treatment group and were lower than those in the control group(P<0.05);the 24 h average single urine volume increased after treatment in the treatment group and was larger than that in the control group(P<0.05);the FDV,VUD,and MFR increased after treatment in the treatment group and were larger than those in the control group(P<0.05);the Pdetmax and PVR dropped after intervention in the treatment group and was smaller than those in the control group(P<0.05).Conclusion For PD-associated OAB,electroacupuncture can improve urodynamic parameters,clinical symptoms,and quality of life in the patients.
作者
姜磊
刘立
JIANG Lei;LIU Li(Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430000,China)
出处
《上海针灸杂志》
CSCD
2023年第7期705-708,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
武汉市卫生健康委科研项目(WZ21C22,WZ21Z17)。
关键词
电针
帕金森病
膀胱过度活动症
尿动力学
Electroacupuncture
Parkinson disease
Overactive bladder
Urodynamics
