补中益气汤加减联合凯格尔运动治疗女性压力性尿失禁临床研究  

Clinical Observation of Modified Buzhong Yiqi Tang Combined with Kegel Exercises in Treating Female SUI

作　　者：梅雪峰[1] 夏雨果[1] 田英[1] 赵娟[1] 张闯[2] 曾文彤[1] 

机构地区：[1]成都中医药大学附属医院泌尿外科,四川成都610072 [2]成都中医药大学临床医学院,四川成都610072

出　　处：《新中医》2017年第8期64-66,共3页New Chinese Medicine

基　　金：成都市科技局项目(2014-HM01-00252-SF)

摘　　要：目的:观察补中益气汤加减联合凯格尔运动治疗女性压力性尿失禁(SUI)的效果。方法 :收集56例脾虚气陷证SUI女性患者,随机分为治疗组和对照组,每组28例。治疗组给予补中益气汤加减联合凯格尔运动治疗,对照组予凯格尔运动治疗。2组均持续治疗4周。分别于治疗前后进行临床症状主观分度、尿失禁问卷表简表(ICI-Q-SF)的评定,观察1 h尿垫试验漏尿量的变化与不良反应发生情况,比较2组的临床疗效。结果:治疗后,2组疗效比较,差异有统计学意义(P<0.05)。2组临床症状主观分度情况均优于治疗前(P<0.05),治疗组临床症状主观分度情况优于对照组(P<0.05)。2组1 h尿垫试验漏尿量及ICI-Q-SF评分均低于治疗前(P<0.05),治疗组1 h尿垫试验漏尿量及ICI-Q-SF评分均低于对照组(P<0.05)。结论 :补中益气汤加减联合凯格尔运动治疗轻、中度SUI,既有助于改善患者的理化指标,又有助于改善患者的临床症状,使患者的生存质量大幅提高。Objective： To observe the effect of modified Buzhong Yiqi tang combined with Kegel exercises in treating female stress urinary incontinence （SUI）. Methods： Selected 56 female SUI patients with syndrome of sinking of qi due to spleen deficiency, and divided them into the treatment group and the control group randomly, 28 cases in each. The treatment group was given modified Buzhong Yiqi tang combined with Kegel exercises, while the control group was only given Kegel exercises. Treatment of the two groups both lasted for four weeks. Observed the clinical symptom subjective division and incontinence impact questionnaire short form （ICI-Q-SF）, and leakage of urine in 1 h pad-test and incidence of adverse reaction, and compared the clinical effect of the two groups before and after treatment. Results： After treatment, compared efficacy of the two groups, there was significant difference（P 〈 0.05）. Clinical symptom subjective division of the two groups was better than that before treatment （P 〈 0.05）, and that of the treatment group was better than that of the control group （P 〈 0.05）. Leakage of urine in 1 h pad-test and scores of ICI-Q-SF of the two groups were all lower than those before treatment （P 〈 0.05） and leakage of urine in 1 h pad-test and scores of ICI-Q-SF of the treatment group were lower than those of the control group （P 〈 0.05）. Conclusion. Modified Buzhong Yiqi tang combined with Kegel exercises is beneficial for improving physicochemical indexes and clinical symptom of patients in treating light and moderate SUI, which can improve quality of life of patients significantly.

关 键 词：压力性尿失禁(SUI) 脾虚气陷证 补中益气汤 凯格尔运动 尿失禁问卷表简表(ICI-Q-SF) 临床症状主观分度 

分 类 号：R694.54[医药卫生—泌尿科学]