针灸联合生物反馈治疗女性轻中度压力性尿失禁  

Clinical Observation of Acupuncture Combined with Pelvic Floor Biofeedback in Treatment of Mild-to-moderate Female Stress Urinary Incontinence

作　　者：杨明 叶和松[1] 秦远[1] 唐龙龙 YANG Ming;YE He-song;QIN Yuan(Urology Surgery,Jiangsu Province Second Hospital of Traditional Chinese Medicine,Nanjing（210000）,China)

机构地区：[1]江苏省第二中医院(南京中医药大学第二附属医院)泌尿外科,南京210017

出　　处：《中国中西医结合外科杂志》2018年第3期290-293,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：2016年江苏省高层次卫生人才"六个一工程"项目(LGY2016027)

摘　　要：目的:分析针灸联合盆底生物反馈治疗女性轻中度压力性尿失禁(SUI)的疗效。方法:将65例轻中度女性SUI患者随机分为针灸加盆底生物反馈治疗组(32例)及生物反馈对照组(33例)治疗,分析两组不同程度SUI治疗前后1 h尿垫试验漏尿量、72 h尿失禁次数、ICI-Q-SF评分。结果:治疗组治疗后1 h尿垫试验漏尿量与对照组比较:轻度(4.7 vs 3.2)g、中度(10.5 vs 6.4)g、轻度+中度(6.3 vs 3.8)g;72 h尿失禁次数:轻度(4.2±2.0 vs 2.6±1.3)次、中度(6.9±1.7 vs 3.8±1.7)次、轻度+中度(5.3±2.3 vs 3.1±1.6)次;ICI-Q-SF评分:轻度(8.6±1.9 vs 2.4±1.2)、中度(11.4±2.2vs 4.1±1.4)、轻度+中度(9.3±2.4 vs 3.1±1.5),显著降低(P<0.05),对照组仅在治疗后72 h尿失禁次数、ICI-Q-SF评分上存在统计学差异(P<0.05);治疗组(轻度、中度、轻度+中度)治疗前后上述三项降低幅度明显优于对照组(P<0.05),其中以中度SUI降低幅度最为显著。结论:针灸联合盆底生物反馈治疗女性轻中度SUI,临床长期效果良好。Objective To analyze and discuss the clinical efficacy of acupuncture combined with pelvic floor biofeedback in the treatment of mild-to-moderate female stress urinary incontinence（SUI）.Methods Female patients with mild-to-moderate SUI（65 cases） were randomly divided into two groups, 32 cases in treatment group and 33 cases in control group.The patients in treatment group were treated by acupuncture combined with pelvic floor biofeedback therapy, while the patients in control group only received biofeedback therapy.The amount of urine was recorded by 1 h pad test leak, the number of incontinence for 72 h and the ICI-Q-SF score were compared between two groups before and after treatment.Results In treatment group（before treatment vs after treatment）, the amount of leakage in the 1 h urine cushion test was mild（4.7 vs 3.2） g, moderate（10.5 vs 6.4） g and mild to moderate（6.3 vs 3.8） g; 72 h urinary incontinence times： mild（4.2 ＋ 2.0 vs 2.6 ＋ 1.3）times, moderate（6.9 ＋ 1.7 vs 3.8 ＋ 6.4） times and mild to moderate（5.3±2.3 vs 3.1±1.6） times; ICI-Q-SF scores： mild（8.6 ±1.9 vs 2.4 ±1.2）, moderate（11.4 ＋ 2.2 vs 4.1 ＋ 1.4）, mild to moderate（9.3 ＋ 2.4 vs 3.1 ＋ 1.5）,（P〈0.05）.In the control group, there was only statistical difference in the number of incontinence and ICIQ-SF score 72 h of treatment （P〈0.05）.The three reductions of the three items before and after treatment（mild,moderate and mild to moderate） were significantly better than those in control group（P〈0.05）, and the moderate SUI was the most significant.Conclusion Acupuncture combined with pelvic floor biofeedback in the treatment of women with mild to moderate SUI has a long-term clinical effect.

关 键 词：针灸 生物反馈 压力性尿失禁 女性 

分 类 号：R694.54[医药卫生—泌尿科学]