Clinical Observation Of Awn Acupuncture Plus Electroacupuncture In The Treatment Of Non Cognitive Impairment Urinary Incontinence After Stroke

Objective: To explore the clinical efficacy of Awn Needle plus Electroacupuncture in the treatment of post-stroke non cognitive impairment urinary incontinence,and preliminarily explore its possible treatment mechanism,clarify the role of this method in the prevention and treatment of post-stroke urinary incontinence,so as to provide new methods for protecting the upper urinary tract function of stroke patients,improving urinary leakage and other symptoms,and regulating bladder micturition and urinary storage function convenient,safe and effective clinical treatment.Methods: Sixty patients with non cognitive impairment urinary incontinence after stroke who met the inclusion criteria were randomly divided into awn needle group(20 cases),electroacupuncture group(20 cases)and Awn Needle plus Electroacupuncture group(20 cases).The three groups received routine rehabilitation function training,physical factor therapy,massage and other treatment every day,and were given relevant rehabilitation education.In the awn needle group,the awn needle was used to deeply prick Zhongliao,Zhibian,Shenshu and bladder Shu,in the electroacupuncture group,the ordinary filiform needle was used to prick Zhongliao,Zhibian,Shenshu and bladder Shu together with electroacupuncture,and in the Awn Needle plus Electroacupuncture group,the awn needle was used to deeply prick Zhongliao,Zhibian,Shenshu and bladder Shu together with electroacupuncture continuous wave treatment.Once a day,30 minutes for each item,5 days a week,two days off,a total of 4 weeks of treatment.The degree of urinary incontinence,24-hour urination diary(24-hour urination times,24-hour leakage times,24-hour average single urine volume),bladder safety capacity,residual urine volume and other indicators of the three groups before and after treatment,4 weeks of treatment or after the end of treatment were recorded in detail.The differences of various indicators of the three groups before and after treatment and the differences between the three groups were compared.Results:The 60 patients included in this study successfully completed all treatment.Before treatment,the general data(age,gender,course of disease,type of disease,etc.),urinary incontinence scale,24-hour urination diary,bladder safety volume,residual urine volume and other indicators of the three groups were compared.There was no significant difference and there was no statistical significance(P > 0.05).After 4 weeks of continuous treatment,the number of 24-hour micturition and 24-hour urinary leakage in the three groups were lower than those before treatment,the single micturition volume and bladder safety capacity were higher than those before treatment,the score of urinary incontinence scale was lower than that before treatment,and the residual urine volume was lower than that before treatment.The differences of various indexes in the three groups were statistically significant(P < 0.05);The improvement degree of each index in Awn Needle plus Electroacupuncture group was better than that in awn needle group and electroacupuncture group(P < 0.05).Conclusion:1.Awn Needle,electroacupuncture,Awn Needle plus Electroacupuncture can improve the urinary tract symptoms of patients with urinary incontinence after stroke to a certain extent.2.The curative effects of simple Awn Needle Therapy and electroacupuncture therapy are basically the same in improving the symptoms of urinary incontinence,and there is little difference.However,Awn Needle plus Electroacupuncture Therapy has significant advantages in reducing the number of 24-hour micturition and 24-hour leakage in patients with non cognitive impairment urinary incontinence after stroke,alleviating the symptoms of urinary incontinence,increasing the safe capacity of bladder,increasing single urine volume and reducing residual urine volume,It can adjust bladder compliance,improve bladder urinary control ability and protect patients’ upper urinary tract function.3.Awn Needle plus Electroacupuncture is effective in the treatment of non cognitive impairment urinary incontinence after stroke,which is worthy of further study on its treatment mechanism and clinical promotion.