不同电针波形对脑小血管病所致膀胱过度活动症患者尿动力学的影响OA

Objective:To investigate the effects of different electro-acupuncture(EA)wave forms on urodynamic parameters in patients with overactive bladder(OAB)caused by cerebral small vessel disease(CSVD).Methods:A total of 70 patients with OAB caused by CSVD were randomly assigned into the EA A group and the EA B group,with 35 cases in each group.The EA A group was given continuous wave EA treatment,and the EA B group was given dense-disperse wave EA treatment.Both groups received electro-needling the same acupoints,including bilateral foot sensory areas,bilateral Zhongliao(BL33),and Huiyang(BL35).In both groups,the positive and negative electrodes were connected respectively to BL33 and BL35 on the same side,once daily for 6 consecutive days followed by a one-day rest,for a total duration of 4 weeks.Scores of Overactive Bladder Symptom Scale(OABSS)and Overactive Bladder Questionnaire(OAB-q)for quality of life,as well as urodynamic parameters,including volume at urgent desire(VUD),first desire to void(FDV),and maximum flow rate(MFR)were assessed before and after the treatment in the two groups.Results:The scores of OABSS and OAB-q were significantly lower after the treatment than those before the treatment in the two groups(P＜0.01),and the scores were lower in the EA B group than those in the EA A group(P＜0.01).The values of FDV and MFR were significantly higher(P＜0.05),whereas the value of PVR was significantly lower after the treatment than before the treatment in the two groups(P＜0.05);the values of FDV and MFR were higher(P＜0.05),and the value of PVR was lower in the EA B group than the EA A group(P＜0.05).Conclusion:Both dense-disperse wave EA and continuous wave EA effectively improve urination function and quality of life in patients with OAB caused by CSVD.Moreover,the dense-disperse wave EA demonstrates a more pronounced therapeutic advantage compared with the continuous wave EA.