腹针疗法加低频电刺激结合盆底肌训练治疗女性压力性尿失禁的临床研究  被引量:25

Clinical research on the effect of abdominal acupuncture with low frequency electric stimulation and pelvic floor muscle training in the treatment of female stress urinary incontinence

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作  者:薛宁[1] 夏兆新 朱栋华[1] 

机构地区:[1]江苏省镇江市句容市人民医院针灸科,江苏镇江212400

出  处:《上海中医药杂志》2016年第8期54-57,共4页Shanghai Journal of Traditional Chinese Medicine

基  金:江苏省镇江市科委科技支撑计划项目(FZ2014057)

摘  要:目的观察腹针疗法加低频电刺激结合盆底肌训练治疗女性压力性尿失禁的临床疗效。方法将65例女性压力性尿失禁患者随机分为治疗组(33例)与对照组(32例)。对照组单纯采用盆底肌训练法,治疗组在对照组治疗措施基础上加用腹针疗法加低频电刺激治疗。两组疗程均为2个月,观察两组临床疗效,比较1h尿垫试验失禁量、国际尿失禁咨询委员会问卷简表(ICI-Q-SF)及健康调查简表(SF-36)评分的变化情况。结果 1治疗组、对照组临床总有效率分别为81.82%和71.88%;组间临床疗效比较,差异有统计学意义,治疗组优于对照组(P<0.05)。2组间治疗前后1 h尿垫试验尿失禁量差值比较,差异有统计学意义,即治疗组改善尿失禁作用明显优于对照组(P<0.05)。3组间治疗后比较,ICI-Q-SF评分及SF-36各维度评分差异有统计学意义,即治疗组改善生活质量等作用明显优于对照组(P<0.05)。结论腹针疗法加低频电刺激结合盆底肌训练治疗女性压力性尿失禁,可显著改善女性尿失禁症状,提高其生活质量。Objective To observe the clinical efficacy of abdominal acupuncture with low frequency electric stimulation combined with pelvic floor muscle training in the treatment of female stress urinary incontinence. Methods 65 patients with female stress urinary incontinence were randomly divided into 2 groups. The control group (32 cases) were treated only with pelvic floor muscle training;the treatment group (33 cases) were treated with abdominal acupuncture combined with low frequency electric stimulation additionally,with a course of 2 months. Clinical efficacy in both groups was observed. The urine pad test results within 1 h, the scores of incontinence advisory committee on international questionnaire summary table (ICI-Q-SF) and health survey profiles (SF-36) integral situation were compared. Results ①The total effective rate in the treatment and control group was 81.82% and 71.88% respectively. There was statistically significant difference in clinical efficacy between two groups( P 〈0.05 ), and the treatment group was more effective.②There were statistically significant differences in the urine pad test results within I h,the scores of ICI-Q-SF and SF-36 between two groups (P 〈0.05 ), and the treatment group was more effective. Conclusion Abdominal acupuncture with low frequency electric stimulation combined with pelvic floor muscle training could be used for the treatment of female stress urinary incontinence,which effectively improved the symptoms of urinary incontinence and life quality of patients.

关 键 词:压力性尿失禁 女性 腹针疗法 低频电刺激 盆底肌训练 

分 类 号:R246.3[医药卫生—针灸推拿学]

 

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