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(Treatment of poststroke urinary incontinence with acupuncture and moxibustion, microwave and pelvic floor muscle exercise: analysis of 106 cases) [Chinese - simplified characters]
Zhou R-X, Yan J
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2006 Dec 20;10(47):155-157
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To analyze the abnormality in urodynamics of incontinent patients after stroke, and evaluate the treating effect of combination of acupuncture and moxibustion, microwave and pelvic floor muscle exercise. METHODS: 106 inpatients with urinary incontinence after stroke were selected from the Department of Neurology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine of Tongii Medical College, Huazhong University of Science and Technology between July 2004 and May 2006, and randomly divided into treatment group (n = 59), which was treated with acupuncture, moxibustion, micro wave and pelvic floor muscle exercise besides the routine treatment of stroke, and control group (n = 47), which was only given routine treatment of stroke. Urodynamic examination was carried out before and 30 days after treatment to analyze the functions of bladder and urinary canal. RESULTS: 106 patients were all involved in the result analysis. (1) Common urodynamic abnormalities in the two groups included detrusor hyperreflexia and uninhibited sphincter relaxation mainly in lesions of the frontal lobe as well as the basal ganglia, which accounted for 37% (22/59) in the treatment group and 41% (19/47) in the control group, and there were no significant differences (p > 0.05). (2) Stroke property and focus of infection showed no obvious effect on the urodynamics of patients (p > 0.05). (3) The urodynamic examination results of the treatment group were improved significantly compared with that before treatment (maximum systolic pressure of bladder 5.16 +/- 2.04, 6.65 +/- 2.43 kPa; maximum volume of bladder 363.50 +/- 194.14, 317.11 +/- 159.72 mL; urethral close pressure 8.53 +/- 3.23, 5.23 +/- 2.17 kPa; initial volume of bladder filling 174.73 +/- 105.32, 188.30 +/- 84.95 mL, p < 0.05). (4) The excellent efficacy and efficacy of the treatment group were remarkably higher than the control group (excellent efficacy 26%, 53%; efficacy 80%, 71%, p < 0.05). CONCLUSION: Common urodynamic abnormalities are detrusor hyperreflexia and uninhibited sphincter relaxation in incontinent patients after stroke; combination of acupuncture, moxibustion, microwave and pelvic floor muscle exercise present excellent treatment effect.

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