针刺联合生物反馈训练治疗产后压力性尿失禁50例临床观察  

Clinical observation on 50 cases of postpartum stress urinary incontinence treated by acupuncture combined with biofeedback training

作　　者：李小娟 刘莉莎 LI Xiaojuan;LIU Lisha(Department of TCM and Acupuncture,Xuchang Municipal Maternal and Child Health Hospital,Xuchang,Henan,461000,China;Department of Postpartum Rehabilitation,Xuchang Municipal Maternal and Child Health Hospital,Xuchang,Henan,461000,China)

机构地区：[1]许昌市妇幼保健院中医针灸科,河南许昌461000 [2]许昌市妇幼保健院产后康复科,河南许昌461000

出　　处：《甘肃中医药大学学报》2020年第4期76-79,共4页Journal of Gansu University of Chinese Medicine

摘　　要：目的观察针刺联合生物反馈训练治疗产后压力性尿失禁的临床疗效。方法将100例产后压力性尿失禁患者采用随机数字表法分为治疗组和对照组,各50例。对照组采用生物反馈训练治疗,治疗组在对照组治疗方法的基础上给予针刺治疗,2组均每日治疗1次,10 d为1个疗程,疗程间休息1 d,连续治疗3个疗程后比较2组的临床疗效及治疗前后盆底肌肌力及盆底肌肌力疲劳程度。结果治疗组总有效率为88%(44/50),对照组为60%(30/50),2组比较差异有统计学意义(P<0.01);治疗后2组盆底肌肌力均明显升高,盆底肌肌力疲劳程度均明显降低,与同组治疗前比较差异有统计学意义(P<0.01),且治疗组对2项指标的改善作用更明显,与对照组治疗后比较差异有统计学意义(P<0.01)。结论针刺联合生物反馈训练治疗产后压力性尿失禁可降低患者压力性尿失禁发生率,提高其盆底肌肌力,减轻盆底肌肌力疲劳程度。Objective To observe the clinical efficacy of acupuncture combined with biofeedback training on postpartum stress urinary incontinence.Methods Totally 100 patients with postpartum stress urinary incontinence were divided into treatment group and control group according to random number table method,with 50 cases in each.The control group was treated with biofeedback training,on this basis,the treatment group was given acupuncture.Once per day for both groups,10 days constituted 1 course of treatment,the break between the courses of treatment was 1 day,and consecutive treatment for 3 courses of treatment.The clinical efficacy,pelvic floor myodynamia and pelvic floor myodynamia fatigue degree before and after treatment were compared between the two groups.Results The total effective rate of the treatment group was 88%(44/50),that of the control group was 60%(30/50),and the difference between the 2 groups was statistically significant(P<0.01).After treatment,pelvic floor myodynamia of the 2 groups all significantly increased,while pelvic floor myodynamia fatigue degree significantly decreased,and the difference was statistically significant compared with the same group before treatment(P<0.01),moreover,the improvement on the 2 indexes in the treatment group was more significant,and the difference was statistically significant compared with that in the control group after treatment(P<0.01).Conclusion It can reduce the incidence of stress urinary incontinence,improve the pelvic floor myodynamia,and reduce the fatigue degree of pelvic floor myodynamia to use acupuncture combined with biofeedback training to treat postpartum stress urinary incontinence.

关 键 词：产后压力性尿失禁 针刺 盆底肌肌力 盆底肌肌力疲劳程度 临床疗效 

分 类 号：R246.3[医药卫生—针灸推拿学]