补中益气颗粒联合督脉熏蒸辅助治疗压力性尿失禁临床研究  

Clinical Study on Buzhong Yiqi Granules Combined with Fumigation at Governor Vessel in the Adjuvant Treatment of Stress Incontinence

作　　者：于小红 YU Xiaohong

机构地区：[1]武义县妇幼保健院妇产科,浙江武义321200

出　　处：《新中医》2023年第12期71-75,共5页New Chinese Medicine

摘　　要：目的:观察补中益气颗粒联合督脉熏蒸辅助治疗压力性尿失禁的临床疗效。方法:回顾性分析压力性尿失禁患者78例,根据治疗方法不同分为对照组与观察组各39例。对照组采用盆底康复训练进行干预,观察组在对照组基础上加用补中益气颗粒联合督脉熏蒸辅助治疗。比较2组临床疗效,以及治疗前后中医证候积分、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分、尿流动力学水平和盆底功能。结果:观察组总有效率为94.87%,对照组为74.36%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组神疲、气短、懒言、自汗等中医证候评分及总分均较治疗前降低(P<0.05),且观察组上述各项评分均低于对照组(P<0.05)。治疗后,2组ICI-Q-SF量表中漏尿次数、漏尿量、生活质量评分及总分均较治疗前降低(P<0.05),且观察组上述各项评分均低于对照组(P<0.05)。治疗后,2组最大膀胱容量、充盈期逼尿肌压力、最大尿道闭合压、最大尿流率均较治疗前升高(P<0.05),残余尿量较治疗前减少(P<0.05);且观察组最大膀胱容量、充盈期逼尿肌压力、最大尿道闭合压、最大尿流率均高于对照组(P<0.05),残余尿量少于对照组(P<0.05)。治疗后,2组Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力、阴道动态压力均较治疗前升高(P<0.05);且观察组上述各项指标均高于对照组(P<0.05)。结论:补中益气颗粒联合督脉熏蒸辅助治疗压力性尿失禁,能进一步提高治疗效果,有效减轻患者临床症状,改善其膀胱、尿道功能,从而提高生活质量。Objective:To observe the clinical effect of the therapy of Buzhong Yiqi Granules combined with fumigation at governor vessel on the adjuvant treatment of stress incontinence.Methods:A total of 78 patients with stress incontinence were given retrospective analysis and divided into the control group and the observation group,with 39 cases in each group.The control group was given pelvic floor rehabilitation training,and the observation group was additionally treated with Buzhong Yiqi Granules combined with fumigation at governor vessel based on the treatment of the control group.The clinical effects in the two groups were compared,and the traditional Chinese medicine(TCM)syndrome scores,International Consultation on Incontinence-Questionnaire Urinary Incontinence-Short Form(ICI Q-SF),urinary fluidity indexes and pelvic floor function were also compared before and after treatment.Results:The total effective rate was 94.87%in the observation group and 74.36%in the control group,the difference being significant(P<0.05).After treatment,the scores and total scores of TCM syndromes such as mental fatigue,shortness of breath,laziness to speak and spontaneous sweating in the the two groupswere decreased when compared with those before treatment (P<0.05), and the above scores in theobservation group were lower than those in the control group (P<0.05). After treatment,the urine leakagetimes,urine leakage volume,quality of life scores and total scores in ICI- Q- SF in the two groups weredecreased when compared with those before treatment (P<0.05),and the above scores in the observationgroup were lower than those in the control group (P<0.05). After treatment, the maximum bladdervolume,detrusor pressure,maximum urethral closure pressure and maximum urine flow rate in the twogroups were increased when compared with those before treatment (P<0.05), and the residual urinevolume in the two groups was decreased when compared with that before treatment (P<0.05);theimprovement of the above indexes in the observation group was more si

关 键 词：压力性尿失禁 补中益气颗粒 督脉熏蒸 盆底康复训练 尿失禁问卷表简表 尿流动力学 

分 类 号：R694.54[医药卫生—泌尿科学]