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뇌경색을 동반한 신경인성 과민성 방광 환자의 배뇨장애 팔료혈 전침 치료 1례

Clinical Report of Baliao Electroacupuncture Treatment on a Stroke Patient Suffering from a Neurogenic Overactive Bladder

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초록

Objective: The purpose of this case study is to report the effectiveness of Baliao acupoints electro-acupuncture treatment on a neurogenic overactive bladder induced by stroke. Method: A patient suffering from middle cerebral artery infarction was diagnosed with a neurogenic overactive bladder and treated by Korean medicine, including electro-acupuncture on Baliao acupoints six times per week. The evaluation was performed by monitoring urinary frequency and using the Korean versions of the Overactive Bladder Symptom Score (OABSS) and Urinary Incontinence Quality of Life (I-QoL). Results: After 27 days of electro-acupuncture treatment, the OABSS score improved from 6 to 3. The I-QoL total score improved from 60 to 87. The patient also showed a decrease in nocturia frequency. Conclusion: This case suggests that electro-acupuncture on Baliao acupoints can be effective for overactive bladders due to supra-pontine lesions.

Abstract

Objective: The purpose of this case study is to report the effectiveness of Baliao acupoints electro-acupuncture treatment on a neurogenic overactive bladder induced by stroke. Method: A patient suffering from middle cerebral artery infarction was diagnosed with a neurogenic overactive bladder and treated by Korean medicine, including electro-acupuncture on Baliao acupoints six times per week. The evaluation was performed by monitoring urinary frequency and using the Korean versions of the Overactive Bladder Symptom Score (OABSS) and Urinary Incontinence Quality of Life (I-QoL). Results: After 27 days of electro-acupuncture treatment, the OABSS score improved from 6 to 3. The I-QoL total score improved from 60 to 87. The patient also showed a decrease in nocturia frequency. Conclusion: This case suggests that electro-acupuncture on Baliao acupoints can be effective for overactive bladders due to supra-pontine lesions.

참고문헌 (29)

  1. Korean Continence Society, "Clinical Guideline on Overactive Bladder", pp.77~85 (2016)
  2. Taub NA, "Predicting the Disability of First-Time Stroke Sufferers at 1 Year. 12-Month Follow-up of a Population-Based Cohort in Southeast England", Stroke, 25(2), pp.352~357 (1994)
  3. Karl Erik Andersson, "On the Site and Mechanism of Action of β3-Adrenoceptor Agonists in the Bladder", International Neurourology Journal, 21(1), pp.6~11 (2017), 대한배뇨장애요실금학회
  4. Yamada S, "Basic and Clinical Aspects of Antimuscarinic Agents Used to Treat Overactive Bladder", Pharmacol Ther, 189, pp.130~148 (2018)
  5. Shamliyan T, "Benefits and Harms of Pharmacologic Treatment for Urinary Incontinence in Women : A Systematic Review", Ann Intern Med, 156(12), pp.861~874 (2012)
  6. Lee EC, "A Case Study of Improved Dysuria Caused by Cerebral Infarction Treated with Oriental Medical Treatment", J Intern Korean Med, pp.261~266 (2011)
  7. 장명웅, "한방 치료로 호전된 排尿 障碍 환자 치험 2례", 동의생리병리학회지, 26(2), pp.241~247 (2012), 한의병리학회[DOI]
  8. Kang AR, "A Case Study of Stroke Patient with Voiding Dysfunction Treated by Traditional Korean Medicine", J Intern Korean Med, pp.157~161 (2015)
  9. Gotoh M, "Responsiveness and Minimal Clinically Important Change in Overactive Bladder Symptom Score", Urology, 78(4), pp.768~773 (2011)
  10. Yalcin I, "Minimal Clinically Important Differences in Incontinence Quality-of-Life Scores in Stress Urinary Incontinence", Urology, 67(6), pp.1304~1308 (2006)
  11. Abrams P, "The Standardisation of Terminology of Lower Urinary Tract Function : Report from the Standardisation Sub-Committee of the International Continence Society", Neurourol Urodyn, 21(2), pp.167~178 (2002)
  12. 표한나, "Effects of Overactive Bladder Symptoms in Stroke Patients’ Health Related Quality of Life and Their Performance Scale", Annals of Rehabilitation Medicine, 41(6), pp.935~943 (2017), 대한재활의학회
  13. Brittain KR, "Prevalence and Impact of Urinary Symptoms among Community-Dwelling Stroke Survivors", Stroke, 31(4), pp.886~891 (2000)
  14. Williams MP, "Urinary Symptoms and Natural History of Urinary Continence after First-Ever Stroke--a Longitudinal Population-Based Study", Age Ageing, 41(3), pp.371~376 (2012)
  15. Bradley WE, "Innervation of the Detrusor Muscle and Urethra", Urol Clin North Am, 1(1), pp.3~27 (1974)
  16. Martens FMJ, "Neurostimulation in Neurogenic Patients", Curr Opin Urol, 30(4), pp.507~512 (2020)
  17. Wilson ML, "Laboratory Diagnosis of Urinary Tract Infections in Adult Patients", Clin Infect Dis an OffPubl Infect Dis Soc Am, 38(8), pp.1150~1158 (2004)
  18. Society of Acupuncture and Moxibustion, "The Acupuncture and Moxibustion", pp.364~371 (2008), Society of Acupuncture and Moxibustion
  19. Zhu YF, "Clinical Effect of Acupuncture at Baliao Point Combined with Electroacupuncture in the Treatment of Neurogenic Bladder", China Mod Med, 26(27), pp.26~28 (2019)
  20. Chen H, "Electroacupuncture for Post-Stroke Overactive Bladder : A Multi-Centre Pilot Randomized Controlled Trial", Acupunct Med, 39(3), pp.175~183 (2020)
  21. de Groat WC, "A Neurologic Basis for the Overactive Bladder", Urology, 50(6, Supplement 1), pp.36~52 (1997)
  22. Kim SD, "Voiding Dysfunction after Stroke and Traumatic Brain Injury-Multi-Center Study-", Brain & NeuroRehabilitation, 4(2), pp.110~115 (2011)
  23. Kuhtz-Buschbeck J, "Cortical Representation of the Urge to Void : A Functional Magnetic Resonance Imaging Study", J Urol, 174(4 Part 1), pp.1477~1481 (2005)
  24. Jung WM, "Cortical Activation Patterns of Bodily Attention Triggered by Acupuncture Stimulation", Sci Rep, 5(1), pp.12455~ (2015)
  25. Homma Y, "Symptom Assessment Tool for Overactive Bladder Syndrome-Overactive Bladder Symptom Score", Urology, 68(2), pp.318~323 (2006)
  26. Heo J, "Dong-Uibogam", pp.295~ (2003), Namsan-Dang
  27. 최민선, "여성 과민성 방광의 한방 임상에 관한 고찰", 대한한방부인과학회지, 27(2), pp.83~102 (2014), 대한한방부인과학회[DOI]
  28. Dudley KA, "Interest in Bariatric Surgery among Obstructive Sleep Apnea Patients", Am J Respir Crit Care Med, 187, pp.A5686~ (2013)

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