电治疗中风后尿失禁:一个系统的范围审查.
Tao Jiang1,2, Shiyi Jiang3, Ying Cui1,2,4
1National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China.
Medicine
|January 10, 2026
概括
电针 (EA) 是有效的治疗中风后尿失禁. 这份对58篇出版物的范围审查证实了EA的说法.
科学领域:
- 神经学和康复医学 神经学和康复医学
- 整合和补充医学是整合和补充医学.
背景情况:
- 脑卒中后尿失禁 (UI) 是一种常见的并发症,影响患者的生活质量.
- 电针 (EA) 对治疗中风后UI有希望,但缺乏全面的概述.
- 这项研究解决了对EA对中风后UI的当前研究进行系统总结的需求.
研究的目的:
- 系统地审查和总结有关电治疗中风后尿失禁的普遍主题和临床发现.
- 概述现有关于EA在治疗中风后UI疗效的研究证据.
主要方法:
- 在八个主要数据库 (PubMed,Cochrane Library,Web of Science,Embase,CNKI,VIP,Wan Fang Data,SinoMed) 进行了全面的文献搜索,截至2023年6月1日.
- 两位独立研究人员确定并过了有关电治疗中风后尿失禁的相关研究.
- 采用了一种描述方法和定量分析,并遵循PRISMA-ScR检查清单进行范围审查.
主要成果:
- 包括58篇出版物,主要是来自中国的49项临床研究 (2008-2022年).
- 电针在中风后UI的各种结果测量中显示出明确的治疗效果.
- 确定的主要针点包括EX-HN1,BL23,RN3,RN4,BL32,SP6,GV20,RN6和BL35,所有研究都显示了UI严重程度的统计学显著改善.
结论:
- 电是一种安全有效的替代性干预,用于中风后尿失禁.
- EA表现出相当大的治疗潜力,提供了一个有前途的治疗选择.
- 建议进行进一步的大规模,精心设计的研究和国际合作,以进行全面的临床评估.
相关概念视频
01:26Regulation of Water Output
The human body predominantly expels water through the urinary system. On average, an individual generates around 1.5 liters of urine each day. This amount can fluctuate based on how well a person is hydrated, but a critical minimum quantity of urine must be produced to ensure the body's proper functioning. Daily, the kidneys remove 600 to 1200 milliosmoles of dissolved substances, effectively excreting excess minerals and water-soluble toxins such as creatinine, urea, and uric acid from the...
01:21Nursing Assessment of the Genitourinary System I: Health History
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
01:22Nursing Assessment of the Genitourinary System III: Percussion and Auscultation
The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
01:29Urine Studies I: Urinalysis
Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...