| Objective:To observe the clinical effect of thermal moxibustion on the treatment of the urinary incontinence after stroke.Methods:Select 90 patients of urinary incontinence after stroke patients from Acupuncture Department ward of Guangxing Hospital Afiliated to Zhejiang University of Chinese Medicine between October 2012 and October 2014 and randomly divided into 2 groups, treatment group 45 cases, control group 45 cases. Using thermal moxibustion treatment, the treatment group selected Sanyin jiao(SP6), Guan yuan(RN4), Qi hai(RN6), do the thermal moxibustion quantitative treatment, until the thermal phenomena disappear for 1 time. The treatment time because of the people, generally 20-100 minutes, the standard for the thermal phenomena disappear. Once per day, treatment 5 days a week,2 days off, a total of 4 weeks treatment. Control group adopts box moxibustion abdomen to Qi hai(RN6), Guan yuan(RN4) midpoint as the center of the place attachment temperature moxibustion box, moxibustion for 20 minutes each time, once per day, treatment 5 days a week,2 days off, a total of 4 weeks treatment. After 4 weeks, compare two groups before and after the treatment of urinary incontinence scores change main symptoms, signs, and evaluate the clinical efficacy, safely, and compliance.Results:Urinary incontinence after thermal moxibustion treatment group degree evaluation results is better than that of control group (P<0.01). Urinary incontinence after thermal moxibustion treatment group clinical symptom scores were significantly lower than the control group by statistical analysis (P<0.01). After thermal moxibustion treatment group patients ADL score is better than that of control group (P<0.05). Clinical efficacy of the total thermal moxibustion group work effective rate was 93.0%; The control group was only 83.3%, thermal effect of moxibustion group was obviously better than the control group (P<0.01).Conclusion:1. Thermal moxibustion can reduce the degree of incontinence in patients with stroke and grade of treatment, reduce urinary incontinence clinical symptom scores, improve the symptoms of urinary incontinence;2.Thermal moxibustion can improve clinical ADL scores, improve the ability of life for the patients. And patients daily life activities ability enhancement may be associated with the improvement of the degree of patients with urinary incontinence;3. Thermal moxibustion is effective, and the method is safe, no significant side effects, patient compliance is good, worthy of promotion and application. |