艾灸加生物反馈电刺激结合运动疗法治疗女性轻中度压力性尿失禁的临床研究  

Clinical Study of Female Mild-Moderate Stress Incontinence Treated By Moxibustion Plus Biofeedback Electrical Stimulation Combined With Exercise Therapy

作　　者：王艳[1] 董传菲 宫双[2] 郭子楠 郑琳琳 WANG Yan;DONG Chuanfei;GONG Shuang;GUO Zinan;ZHENG Linlin(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [2]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2018年第10期1-5,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然基金面上项目;编号:81674077;黑龙江省自然科学基金面上项目;编号:JJ2017ZR0135;哈尔滨市科技局科技创新人才研究专项基金;编号:2016RAXYJ106

摘　　要：目的:观察艾灸和生物反馈电刺激结合运动疗法对女性压力性尿失禁的疗效,为女性轻中度压力性尿失禁提供有效的康复方案。方法:根据随机数字表法,将60例符合纳入标准的压力性尿失禁患者分为3组,A组为艾灸+运动疗法组20例,B组为生物反馈电刺激+运动疗法组20例,C组为艾灸+生物反馈电刺激+运动疗法组20例。3组患者在治疗前与治疗4周后通过盆底肌综合肌力、肛提肌裂孔面积、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分变化及3个月后临床疗效随访,观察艾灸加生物反馈电刺激结合运动疗法对女性压力性尿失禁的影响。结果:治疗前3组患者的盆底肌综合肌力、肛提肌裂孔面积、ICI-Q-SF评分均无显著差异(P> 0. 05);治疗后3组患者的盆底肌综合肌力均提高(P <0. 05),肛提肌裂孔面积均缩小(P <0. 05),ICI-Q-SF评分均有所减小(P <0. 05),且C组效果优于A组和B组(P <0. 05)。临床疗效随访结果显示,治疗结束3个月后,C组疗效优于B组和A组(P <0. 05)。结论:艾灸疗法结合运动疗法、生物反馈电刺激疗法结合运动疗法及三者结合均能减轻女性轻中度压力性尿失禁的症状;艾灸加生物反馈电刺激结合运动疗法治疗女性轻中度压力性尿失禁的疗效优于运动疗法与艾灸或生物反馈电刺激结合,且远期疗效更佳。Objective： To observe the curative effect of moxibustion plus biofeedback electrical stimulation combined with exercise therapy in the treatment of female stress incontinence,thus to provide an effective rehabilitation program for women with mild-moderate stress incontinence. Methods： 60 female patients with stress incontinence were randomly divided into the moxibustion group（ group A,n = 20）,the group of biofeedback electrical stimulation combined with exercise（ group B,n = 20）,and the group of moxibustion combined with exercise plus biofeedback electrical stimulation group（ group C,n = 20）. The pelvic floor muscle strength,levator ani hole area,and ICI-Q-SF score were observed before and after 4 w of the treatment; also follow-up after 3 months of the treatment were followed in the three groups. Results： There were no differences in terms of the pelvic floor muscle strength,the levator ani hole area,and ICI-Q-SF score in the three groups before the treatment（ P〉0. 05）. The pelvic floor muscle strength was increased（ P〈0. 05）,the levator ani hole area was decreased（ P〈0. 05）,and ICI-Q-SF score was decreased（ P〈0. 05） in the three groups after the treatment; of which,group C was better than group A and group B（ P〈0. 05）. Group C was also superior to group A and group B in terms of follow-up results（ P〈0. 05）. Conclusion： Moxibustion therapy combined with exercise therapy,biofeedback electrical stimulation combined with exercise therapy,and the combination of the three therapies all can reduce the symptoms of female mild-moderate stress incontinence; the method of moxibustion plus biofeedback electrical stimulation combined with exercise therapy was better than the other two therapy with its long-term effect.

关 键 词：压力性尿失禁 生物反馈电刺激 艾灸 运动疗法 

分 类 号：R245.81[医药卫生—针灸推拿学]