Efficacy And Clinical Observation Of Acupuncture On Urinary Incontinence After Cerebral Infarction.A Randomized Clinical Trial

Objective:A randomized clinical trial was designed for demonstrate treatment efficacy of the XNKQ technique combined with the 3 abdominal needles in comparison with the traditional XNKQ protocol for the treatment of urinary incontinence after a stroke.Methods:40 patients met the inclusion and exclusion criteria and were randomly divided into 2 groups of 20 patients each:a study group and control group.The study group was treated by XNKQ with 3 abdominals needles using the points:GV26(人中),PC6(内关)and SP6(三阴交)for XNKQ technique and CV6(气海)with ST28(水道)bilateral for the 3 abdominals needles;the control group was treated using CV4(关元),CV3(中极),BL23(肾俞),BL28(膀胱俞),SP9(阴陵泉),SP6(三阴交).In both groups the acupuncture was associated to electro acupuncture.Treatments were applied for 30 minutes each time,once a day for 10 days repeating itself after two days of rest.The indicators used were:maximum bladder filling volume,urine retention volume,ICI-Q-SF questionnaire and Urinary Incontinence Degree Assessment Method.Results:Before the trial the differences in age,medical history,maximum bladder filling volume,urine retention volume and ICI-Q-SF questionnaire had no statistical difference(P>0.05)between two groups,therefore baseline of the two groups was consistent and comparable.After finish the course of treatment,the difference in maximum bladder filling volume,urine retention volume and ICI-Q-SF questionnaire show a significantly statistical significance(P<0.01)Conclusion:The results of the study show that the group treated with the XNKQ technique with 3 abdominal needles protocol presents a clear improvement in comparison with patients treated with the traditional acupuncture protocol.