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目的探讨超短波加耳穴治疗儿童膀胱过度活动症的疗效。方法把300例膀胱过度活动症儿童随机分为超短波加耳穴治疗组(n=200)和奥昔布宁治疗组(n=100)。超短波耳穴治疗组:按压取穴耳神门、三焦、膀胱、尿道、内分泌、肾,将粘有王不留行的脱敏透气胶布贴在选定的耳穴上,用手指按压王不留行,每次每穴按压1 min,每日按压4次,1日1更换,两耳交替贴压,同时使用脉冲式超短波,25cm×35cm两个治疗电极腰骶部和膀胱区位置,每次15min,1次/d,连续治疗5 d为一疗程,间歇25天继续下一疗程;奥昔布宁治疗组:口服奥昔布宁每日0.25 mg/kg,Bid,共治疗3个月。3个月后依据膀胱过度活动症状评分问卷评定疗效。结果通过膀胱过度活动症状评分问卷的评分比较,超短波耳穴、奥昔布宁对于膀胱过度活动症均有治疗作用,治疗效果无差异;奥昔布宁组54%患儿出现不同程度不良反应,耳穴超短波组无明显不良反应。结论在儿童膀胱过度活动症的治疗中,超短波耳穴治疗与奥昔布宁药物治疗疗效无差异,但超短波耳穴治疗具有更好的安全性和依从性。
Objective To investigate the curative effect of ultrashort wave plus ear on children with overactive bladder. Methods 300 children with overactive bladder were randomly divided into treatment group (n = 200) and oxybutynin treatment group (n = 100). Ultra-short wave ear acupuncture treatment group: acupoints acupuncture ear God door, triple burner, bladder, urethra, endocrine, kidney, will be sticky Wang demission line desensitized breathable tape affixed to the selected ear acupuncture points, Each hole pressing 1 min, press 4 times a day, 1 1 replacement, alternately paste the ears, while using pulsed ultrashort wave, 25cm × 35cm two treatment electrodes lumbosacral and bladder area location, each 15min, 1 time / d, continuous treatment for 5 days for a course of treatment, intermittent 25 days to continue the next course of treatment; Oxybutynin treatment group: oral oxybutynin 0.25 mg / kg, Bid, a total of 3 months. After 3 months according to overactive bladder symptom score questionnaire to assess efficacy. Results Compared with the score of questionnaire of overactive bladder symptom score, ultrashort Bohr point and oxybutynin had therapeutic effect on overactive bladder with no difference in treatment effect; 54% of children in oxybutynin group had different degrees of adverse reactions, Ultrashort wave group no obvious adverse reactions. Conclusion In the treatment of children with overactive bladder, there is no difference between the treatment of OWB and Oxybutynin in the treatment of overactive bladder, but the treatment of OWB has better safety and compliance.