按针治疗儿童夜间遗尿的临床疗效观察

IF 0.2 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Jiao Rong, J Zhang, Jing Li, Junzhong Sun, Changying Yi, Meiling Fan
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The children in pressing needle group were treated with pressingneedles, and those in the desmopressin group and Suoquan pills were orallyadministrated with desmopressin and Suoquan pills, respectively. Combined behavioraltherapy was also given in all the three groups during the treatment. Enuresis frequency,degree of arousal, functional b ladder capacity (FBC) and postvoid residual urine volume(PRUV) were employed as the indicators to evaluate the clinical efficacy in the threegroups. After 6 months of follow up, the recurrence rate of the three groups was alsoanalyzed for efficacy assessment.Results:The total responsive rate in pressing needle group was 95.0%, which was higherthan 87.5% of Suoquan pills group (p < 0.05), and significantly higher than 77.5% of desmopressin group (p < 0.01)desmopressin group (p < 0.01).. 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The recurrence rate of pressing needle group, The recurrence rate of pressing needle group, desmopressin group and Suoquan pills group was 7.89%, 48.39% and 22.86%, desmopressin group and Suoquan pills group was 7.89%, 48.39% and 22.86%, respectively, with a difference which was statistically significant betrespectively, with a difference which was statistically significant between pressing needle ween pressing needle group and desmopressin group (p < 0.01), but not between pressing needle group and group and desmopressin group (p < 0.01), but not between pressing needle group and Suoquan pills group (p > 0.05). Suoquan pills group (p > 0.05). 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引用次数: 0

摘要

目的:随着经济文化的快速发展,夜遗尿症对儿童健康的不良影响和给家庭带来的长期负担越来越受到医学界和家长的重视。本临床研究旨在通过随机对照临床试验,评价按针夜间遗尿治疗儿童的临床效果。材料与方法:将120例夜间遗尿患儿随机分为压针组、去氨加压素组和药丸胶囊组,每组40例。按压针组患儿给予按压针治疗,去氨加压素组患儿口服去氨加压素,锁泉丸口服锁泉丸。三组患者在治疗期间均给予联合行为治疗。以遗尿次数、唤醒程度、功能b梯容量(FBC)、空后残尿量(PRUV)作为评价三组患者临床疗效的指标。随访6个月后,分析三组患者的复发率,评价疗效。结果:按压针组总有效率为95.0%,高于锁泉丸组87.5% (p < 0.05),显著高于去氨加压素组77.5% (p < 0.01)和去氨加压素组(p < 0.01)。遗尿频次经治疗后均显著降低(p < 0.01),同时各治疗组唤醒水平均显著改善(p < 0.01),三组均显著改善唤醒水平(p < 0.01),三组间差异有统计学意义(p < 0.01)。压针组与其他两组治疗后遗尿次数、尿频、唤醒水平、手唤醒水平组间组间差异均为,其他两组间差异均有统计学意义(p < 0.05)。差异有统计学意义(p < 0.05)。压针组复发率、压针组、去氨加压素组、锁泉丸组复发率分别为7.89%、48.39%、22.86%,去氨加压素组、锁泉丸组复发率分别为7.89%、48.39%、22.86%,差异均有统计学意义,压针组与去氨加压素组间压针组复发率差异均有统计学意义(p < 0.01);按压针组与去氨加压素组间无差异(p < 0.01),按压针组与锁泉丸组间无差异(p < 0.05)。锁泉丸组(p < 0.05)。结论:结论:按压针治疗通过改善膀胱功能、增强膀胱功能、增加膀胱FBC、降低膀胱PRUV、增强膀胱FBC增加、降低膀胱PRUV、提高唤醒程度、降低复发率,改善儿童遗尿的膀胱实质临床效果,按压针治疗儿童遗尿具有显著的临床效果。因此,建议提高唤起程度,降低复发率
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical E ffect of Pressing Needle on Nocturnal Enuresis in Children
Objective:With the fast dev elopment of economy and culture, medical professionalsand parents are paying more and more attention to nocturnal enuresis (NE) since it raisedthe negative impact on children’s health and imposes a long term burden on families.The present clinical investigation aims to evaluate the clinical effect of pressing needleon nocturnal enuresis in children through a randomized controlled clinical trial.Materials andMethods: A total of 120 children with nocturnal enuresis were randomlyassigned into pressing needle group, desmopressin group and pills Capsule group, 40cases in each group. The children in pressing needle group were treated with pressingneedles, and those in the desmopressin group and Suoquan pills were orallyadministrated with desmopressin and Suoquan pills, respectively. Combined behavioraltherapy was also given in all the three groups during the treatment. Enuresis frequency,degree of arousal, functional b ladder capacity (FBC) and postvoid residual urine volume(PRUV) were employed as the indicators to evaluate the clinical efficacy in the threegroups. After 6 months of follow up, the recurrence rate of the three groups was alsoanalyzed for efficacy assessment.Results:The total responsive rate in pressing needle group was 95.0%, which was higherthan 87.5% of Suoquan pills group (p < 0.05), and significantly higher than 77.5% of desmopressin group (p < 0.01)desmopressin group (p < 0.01).. The frequency of enuresis was significantly The frequency of enuresis was significantly lowered after lowered after treatment (p < 0.01), concurrently with an evident improvement in arousal levels in all treatment (p < 0.01), concurrently with an evident improvement in arousal levels in all of the three groups (p < 0.01), and the interof the three groups (p < 0.01), and the inter--group difference in postgroup difference in post--treatment enuresis treatment enuresis frequencyfrequency and arousal level between pressing needle group and thand arousal level between pressing needle group and the other two groups was e other two groups was also statialso statistically significant (p < 0.05).stically significant (p < 0.05). The recurrence rate of pressing needle group, The recurrence rate of pressing needle group, desmopressin group and Suoquan pills group was 7.89%, 48.39% and 22.86%, desmopressin group and Suoquan pills group was 7.89%, 48.39% and 22.86%, respectively, with a difference which was statistically significant betrespectively, with a difference which was statistically significant between pressing needle ween pressing needle group and desmopressin group (p < 0.01), but not between pressing needle group and group and desmopressin group (p < 0.01), but not between pressing needle group and Suoquan pills group (p > 0.05). Suoquan pills group (p > 0.05). Conclusion: Conclusion: Pressing needle treatment showed a Pressing needle treatment showed a substantial clinical effect on enuresis in children by improving the bladsubstantial clinical effect on enuresis in children by improving the bladder function, der function, increasing the FBC and reducing PRUV of the bladder, as well as by enhancing the increasing the FBC and reducing PRUV of the bladder, as well as by enhancing the degree of arousal and lowering the recurrence rate, therefore is suggested to be degree of arousal and lowering the recurrence rate, therefore
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来源期刊
Acupuncture & Electro-Therapeutics Research
Acupuncture & Electro-Therapeutics Research 医学-全科医学与补充医学
CiteScore
0.50
自引率
66.70%
发文量
9
审稿时长
>12 weeks
期刊介绍: The aim of the journal is to provide an international forum for the exchange of ideas and promotion of basic and clinical research in acupuncture, electro-therapeutics, and related fields. The journal was established in order to make acupuncture and electro-therapeutics a universally acceptable branch of medicine through multidisciplinary research based on scientific disciplines. The final goal is to provide a better understanding of both the beneficial and adverse effects of these treatments in order to supplement or improve existing methods of diagnosis, prognosis, treatment, and prevention of diseases in both Western and Oriental medicine.
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