The Clinical Effect Observation On The Treatment Of Post-stroke Urinary Incontinence By "The Abdominal Awn Needle Acupuncture Combined With Rapid Needling Of Baliao Point"

Objective:The aim of this study was to observe the clinical curative effect of the treatment of post-stroke urinary incontinence by observing “abdominal awn needle acupuncture combined with rapid needling of Baliao point”,and to evaluate its clinical value,explore its theoretical basis and mechanism of action to provide a simple and efficient treatment plan for clinical treatment of post-stroke urinary incontinence.Research Program:All of the study cases were come from the acupuncture department of First Teaching Hospital of Tianjin University of Traditional Chinese Medicine during March 2019 to December 2019,which were diagnosed as post-stroke urinary incontinence.The single-blind randomized grouping method was used to divide the included 64 patients into 2 groups,32 in the therapy group and 32 in the control group.At the end of the observation,2 cases were excluded from the control group,leading to the result that there were 32 in the therapy group and 30 in the control group.Both groups received conventional stroke medications and acupuncture treatments to restore limb function.In the therapy group,acupuncture was performed on Baliao(BL31-34),Tianshu(ST25,both sides),Qihai(CV6),Guanyuan(CV4),and Zhongji(CV3).All acupuncture points were pierced 50-60 mm with 0.30 × 75 mm acupuncture needles,except for Baliao point,which was pierced rapidly and no needle left,the rest points were left for 30 minutes.The control group used acupoints on "urinary incontinence" in the Therapeutics of Acupuncture and Moxibustion which is part of textbooks for the "Thirteenth Five-Year Plan of National Colleges of Traditional Chinese Medicine" : "Shenshu(BL23,both sides),Pangguangshu(BL28,both sides),Zhongji(CV3),Sanyinjiao(SP6,both sides)".Treatment was performed once a day,5times a week,10 times was a course of treatment,and 30 times were required.Before and after treatment,a 24-hour urination diary scale and Incontinence Quality of Life Questionnaires(I-QOL)were used as observation indicators.Efficacy evaluation was based on the total score of the urination diary and was judged by the nimodipinemethod.Finally SPSS23.0 was adopted to analyse the data gathered.All the data was analyzed descriptively,measurement data in accordance with normal distribution using t test,conforming to skewed distribution data with rank sum test.Chi-square test was used by treating count data and choosing rank sum test when it came to ranked data.The above inspection levels were ? = 0.05,P <0.05 was considered as statistically significant.Results:There was no statistical difference between the therapy group and the control group before treatment in terms of gender,age,course of disease,stroke type,24 h urination diary scale,and I-QOL scores(P> 0.05),which were comparable.After treatment,the 24 h urination diary score scale and the I-QOL scores were compared within the two groups,and the differences were statistically significant(P<0.01),that is,both groups had curative effects.Comparing between the two groups,the therapy group had statistically significant differences in the times of nocturnal urination,the degree of urination urgency,the degree of urinary incontinence,and I-QOL scores(P <0.05).There was no significant difference in the times of urination during the day and the number of urinary incontinence in 24 hours(P> 0.05),indicating that the therapy group can significantly reduce the number of urination at night,the degree of urgency,the degree of urinary incontinence and improve the quality of life of the patients than the control group.After treatment,3 cases were cured,12 cases were markedly effective,10 cases were effective,and 5 cases were ineffective,with a total effective rate of 83.33% in the therapy group.2 cases were cured,7 cases were markedly effective,13 cases were effective,8 cases were ineffective,and the total effective rate was 73.33% in the control group.The curative effect of the therapy group was better than that of the control group.Conclusion:Compared with conventional acupuncture,“abdominal awn needle acupuncture combined with rapid needling of Baliao point ”can reduce the number of urination at night,reduce the degree of urination urgency,urinary incontinence,and improve thequality of life.To a certain extent,it can reduce the number of urination during the day and throughout the day.