Observation On The Clinical Effect Of Mild Moxibustion On Overactive Bladder Of Kidney Deficiency And Damp-heat Type

Research objective:By observing the clinical efficacy of mild moxibustion on patients with kidney deficiency,damp-heat type overactive bladder,and exploring its mechanism of action,we hope to provide a better clinical reference for moxibustion to treat symptoms of urinary storage period.Research methods:Sixty patients with overactive bladder from the Department of Acupuncture and Moxibustion Rehabilitation and Urology Clinic of Jiangsu Provincial Hospital of Traditional Chinese Medicine were selected.Following the principle of randomized control,they were divided into a treatment group(gentle moxibustion+pelvic floor muscle training+western medicine treatment)and a control group(pelvic floor muscle training+western medicine treatment),each group 30 cases each.Once a day,continuous treatment for 4 weeks.Before and after treatment,the overactive bladder symptom scale(OABSS),the OAB health-related quality of life scale(OAB-q),and the TCM symptom scale were used as evaluation indicators to observe the efficacy of the two groups of patients,and all observation results were analyzed by SPSS26.0 statistical software.Research results:(1)Basic situation:The gender,age,and OAB severity classification of the two groups of patients were compared before treatment,showing no significant difference(P>0.05),which was comparable.(2)OABSS score:Before treatment,the two groups were compared and showed no significant difference(P>0.05),and they were comparable.After 4 weeks of continuous treatment,there was a big difference between the treatment group and the control group(P<0.05).The OABSS scores of the two groups were reduced,and the reduction of the treatment group was better than that of the control group.The treatment group and the control group had significant improvement in daytime urinary frequency,nocturia,urgency,and urge incontinence of patients with overactive bladder during the storage period before and after treatment.After 4 weeks of treatment for frequent urination during the day,the treatment group had a significantly better effect than the control group;nocturia after 4 weeks of treatment in the treatment group and the control group had similar curative effects,with little difference;urgency symptoms after 4 weeks of treatment in the treatment group were significantly better than the control group;After 4 weeks of treatment for urinary incontinence,the curative effect of the treatment group and the control group was similar,with little difference.(3)OAB-q score:Before treatment,the two groups were compared and showed no significant difference(P>0.05),and they were comparable.After 4 weeks of continuous treatment,there was a big difference between the treatment group and the control group(P<0.05).The OAB-q scores of the two groups were reduced,and the reduction of the treatment group was better than that of the control group.(4)TCM syndrome score:Before treatment,the two groups were compared and showed no significant difference(P>0.05),and they were comparable.After 4 weeks of continuous treatment,there was a big difference between the treatment group and the control group(P<0.05).The TCM syndrome scores of the two groups were reduced,and the reduction of the treatment group was better than that of the control group.(5)Comparison of clinical efficacy:After 4 weeks of continuous treatment,there was a big difference between the treatment group and the control group(P<0.05).The total effective rate of the treatment group was 90%.The total effective rate of the control group was 63.3%.The curative effect of the treatment group was significantly higher than that of the control group.Research conclusions:Mild moxibustion combined with pelvic floor muscle training and western medicine treatment and pure pelvic floor muscle training and western medicine treatment have ameliorating effect on overactive bladder,and can alleviate the symptoms of patients during urine storage.After 4 weeks of treatment,in comparison between the two,mild moxibustion combined with pelvic floor muscle training and western medicine treatment improved the clinical symptoms and TCM syndromes of OAB patients more significantly,and can improve the quality of life of the patients.