浮针结合Kegel训练治疗女性压力性尿失禁临床研究  

Clinical Study of Fu's Subcutaneous Needling Combined with Kegel Training in Treatment of SUI in Female

作　　者：陈慧杰[1] 李保龙 李宇婷 张春艳[1] CHEN Huijie;LI Baolong;LI Yuting;ZHANG Chunyan(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》2021年第10期19-23,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省自然科学基金,编号:LH2020H079;黑龙江省中医药科研项目,编号:ZHY19-043。

摘　　要：目的:探讨浮针结合Kegel训练对女性压力性尿失禁的治疗效果。方法:选择2020年1月—2021年1月本院进行治疗的压力性尿失禁患者60例。按照随机数字表法分为3组,Kegel训练组(对照1组)、普通针刺结合Kegel训练组(对照2组)和浮针结合Kegel训练组(治疗组),各组患者均为20例。评价治疗前后1 h尿垫试验、ICIQ-SF评分、盆底肌肌力检测以及临床疗效。结果:1 h尿垫试验漏尿量比较,治疗前后3组的数据组内比较差异均有统计学意义(P<0.05);干预前3组患者的数值比较差异无统计学意义(P>0.05);干预后治疗组的数值明显低于对照1组以及对照2组(P<0.05);对照2组的数值明显低于对照1组(P<0.05)。ICIQ-SF评分比较,治疗前后3组的评分组内比较差异均有统计学意义(P<0.05);干预前3组患者的评分比较差异无统计学意义(P>0.05);干预后治疗组评分明显低于对照1组以及对照2组(P<0.05);对照2组评分明显低于对照1组(P<0.05)。盆底肌肌力情况比较,治疗前后3组的数值组内比较差异均有统计学意义(P<0.05);干预前3组患者的Ⅰ类肌纤维肌力以及Ⅱ类肌纤维肌力比较差异无统计学意义(P>0.05);干预后治疗组Ⅰ类肌纤维肌力以及Ⅱ类肌纤维肌力明显高于对照1组以及对照2组(P<0.05);对照2组明显高于对照1组(P<0.05)。临床疗效比较,治疗组总有效率明显高于对照1组和对照2组(P<0.05);对照2组总有效率高于对照1组,但两组比较差异无统计学意义(P>0.05)。结论:浮针结合Kegel训练治疗女性压力性尿失禁有较好疗效,值得临床上推广。Objective:To explore the therapeutic effect of Fu's subcutaneous needling combined with Kegel training on stress urinary incontinence(SUI)in female.Methods:60 patients with SUI were randomly divided into the control group 1,the control group 2 and the treatment group,with 20 patients in each group.The control group 1 was treated with Kegel training,the control group 2 was treated with conventional needling combined with Kegel training,and the treatment group was treated with Fu's subcutaneous needling combined with Kegel training.1h pad test,ICIQ-SF score,pelvic floor muscle strength test and clinical efficacy were used for evaluation indicators.Results:In terms of the urine leakage of 1h pad test,there was significant difference between before and after the treatment in the same intragroup(P<0.05);there was no statistical difference among the three groups before the intervention(P>0.05);after the intervention,the value of the treatment group was significantly lower than that of the control group 1 and the control group 2(P<0.05),and the value of the control group 2 was significantly lower than that of the control group 1(P<0.05).In terms of ICIQ-SF score,there was significant difference between before and after the treatment in the same intragroup(P<0.05);there was no statistical difference among the three groups before the intervention(P>0.05);after the intervention,it was significantly lower in the treatment group than that in the control group 1 and the control group 2(P<0.05),and it was also significantly lower in the control group 2 than that in the control group 1(P<0.05).In terms of pelvic floor muscle strength,there was significant difference between before and after the treatment in the same intragroup(P<0.05);before the intervention,there were no statistical differences in the muscle strength of class I muscle fiber and classⅡmuscle fiber among the three groups(P>0.05);after the intervention,they were significantly higher in the treatment group than those in the control group 1 and the control group

关 键 词：浮针 凯格尔训练 压力性尿失禁 

分 类 号：R246.2[医药卫生—针灸推拿学]