电针与手法针刺治疗女性急迫性尿失禁疗效观察  

Clinical efficacy observation on electroacupuncture and manipulating acupuncture for female urge urinary incontinence

作　　者：高志强 姚俊丽 

机构地区：[1]上海市仁和医院康复医学科,上海200443 [2]上海市宝山区中西医结合医院

出　　处：《中国针灸》2013年第S1期37-40,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察电针加手法针刺治疗急迫性尿失禁的临床疗效。方法:将72例急迫性尿失禁患者随机分为电针加手法针刺组和手法针刺组。两组均选用会阳、肾俞、中膂俞、中醪四个穴位,手法针刺组使用手法针刺进行治疗,电针加手法针刺组在手法针刺组的基础上使用电针治疗,频率为疏波4 Hz、密波20 Hz,强度以患者舒适为度,留针20 min。两组治疗均隔日1次,10次为一疗程,1个疗程结束后进行疗效评定。观察治疗前后两组患者1-PSS量表、生活质量量表的变化,并比较两组的临床疗效。结果:电针加手法针刺组愈显率为86.8%,优于手法针刺组的61.9%(P<0.05)。与治疗前相比,电针加手法针刺组和手法针刺组治疗后I-PSS积分及生活质量评分均显著降低(均P<0.01),但两组之间比较无显著性差异(P>0.05)。结论:电针加手法针刺能够显著改善急迫性尿失禁患者临床症状和生活质量,改善排尿功能,值得临床推广。Objective To observe clinical efficacy of electroacupuncture and manipulating-acupuncture for female urge urinary incontinence.Methods Seventy-two cases of urge urinary incontinence were randomly divided into an observation group and a control group.Huiyang(BL 35),Shenshu(BL 23),Zhongl(u|¨)shu(BL 29) and Zhongliao(BL 33) were selected in both groups.The manipulating-acupuncture was applied in the control group.On the basis of control group,electroacupuncture was applied in the observation group with 4 Hz of monophase wave and 20 Hz of condensation wave for 20 min.The treatment was given once every other day.and ten times made a treatment course.The efficacy assessment was conducted after one course.Results The effective rate was 86.8%in the observation group,which was superior to 61.8%in the control group(P<0.05).Compared before the treatment,the I-PSS score and life quality score were both decreased in two groups,there was no differences between two groups(P>0.05).Conclusion The electroacupuncture and manipulating acupuncture could obviously improve clinical symptoms and life quality of patients with urge urinary incontinence and is worthy of clinical promotion.

关 键 词：急迫性尿失禁 女性 骶穴 电针 手捻针 

分 类 号：R246.3[医药卫生—针灸推拿学]