PERAN LASER AKUPUNKTUR PADA SEORANG PASIEN ANAK DENGAN KANDUNG KEMIH OVERAKTIF : STUDI KASUS

I. Nareswari, Hartono Gunarso, Henny Adriani Puspitasari, Fina Widia
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Abstract

: The Role of Acupuncture in Pediatric Patient with Overactive Bladder: Case Study. Over Active Bladder (OAB) in children is a lower urinary tract dysfunction with an estimated prevalence of 5-12% worldwide. Conservative management is less able to provide satisfactory results and medications for children are still limited and often cause adverse side effects. Various acupuncture modalities have been proven to improve OAB in adults, however, there are no studies for children yet. A 13-year-old girl was hospitalized with complaints of intermittent pain in both lower abdominal sides for the past 2 years and was bedwetting at least 5 times daily. Her OAB symptom score (OABSS) was 14 and the Visual Analog Scale (VAS) was 3. Her main diagnosis was wet OAB. Laser acupuncture was performed at LI4, ST36, SP6, and KI3 bilaterally. Acupuncture session was performed 3 times a week, with 6 sessions in total. After the third session, bedwetting had stopped, VAS was 1/10 and OABSS was 10. After the fifth session, VAS was 0/10. After the sixth session, she had no more pain and her OABSS was 6. In this case of OAB in one pediatric patient, laser acupuncture may provide good therapeutic results in relieving OAB symptoms and improving the patient’s quality of life.
激光针灸在膀胱过度活动症儿科患者中的作用:病例研究
:针灸在小儿膀胱过度活动症患者中的作用:病例研究。儿童膀胱过度活动症(OAB)是一种下尿路功能障碍,全球发病率约为 5-12%。保守治疗效果并不理想,儿童用药仍然有限,而且往往会产生不良副作用。各种针灸方法已被证明可以改善成人的 OAB,但目前还没有针对儿童的研究。一名 13 岁女孩因主诉过去两年来双侧下腹部间歇性疼痛和每天至少 5 次尿床而住院。她的 OAB 症状评分(OABSS)为 14 分,视觉模拟量表(VAS)为 3 分。针刺部位为双侧LI4、ST36、SP6和KI3。每周针灸 3 次,共 6 次。第三个疗程后,尿床现象停止,VAS为1/10,OABSS为10。第五次治疗后,VAS 为 0/10。在这例儿童 OAB 患者中,激光针灸可在缓解 OAB 症状和改善患者生活质量方面提供良好的治疗效果。
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