三阴交穴位按摩联合低频脉冲反馈电刺激对产后压力性尿失禁患者盆底功能、尿失禁次数的影响  

Effects of Massage at Sanyinjiao(SP6)Combined with Low-Frequency Pulse Feed⁃back Electrical Stimulation on Pelvic Floor Function and Frequency of Urinary In⁃continence in Patients with Postpartum Stress Urinary Incontinence

作　　者：郭艳[1] 鲍以嘉[2] 顾志娟 GUO Yan;BAO Yi-jia;GU Zhi-juan(Department of Obstetrics and Gynecology,Taicang Hospital Affiliated to Nanjing University of Chinese Medicine,Taicang Hospital of Traditional Chinese Medicine,Suzhou Jiangsu 215400;Department of Breast Medicine,Longhua Hos-pital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200030)

机构地区：[1]南京中医药大学太仓附属医院太仓市中医医院妇产科,江苏苏州215400 [2]上海中医药大学附属龙华医院中西医结合乳腺科,上海200030

出　　处：《世界中西医结合杂志》2023年第9期1826-1830,1835,共6页World Journal of Integrated Traditional and Western Medicine

基　　金：太仓市科学技术局基础研究计划(TC2018JCYL09)。

摘　　要：目的探究三阴交穴位按摩联合低频脉冲反馈电刺激对产后压力性尿失禁患者盆底功能、尿失禁次数的影响。方法选取2018年6月—2020年6月期间在南京中医药大学太仓附属医院进行产后压力性尿失禁治疗的患者110例,根据随机数字表法分为按摩组和联合组,每组各55例。两组患者均进行常规治疗,适当减少水分摄入,及时排尿,进行膀胱功能训练,按摩组在常规治疗的基础上进行三阴交穴位按摩治疗,联合组在按摩组的基础上,进行低频脉冲反馈电刺激治疗。治疗6周后,观察比较两组患者临床疗效,治疗前后尿流动力学指标[腹压漏尿点压力(Abdominal leak point pressure,ALPP)、最大尿流率(The maximum flow rate,Qmax)、最大尿道闭合压(Maximum urethral closure pressure,MUCP)];膀胱颈活动度、尿道旋转角水平;盆底功能水平(阴道收缩压、阴道静息压、阴道收缩持续时间);ICI-Q-SF评分(总排尿量、总排尿次数、总漏尿次数、总分)。结果治疗后两组患者尿流动力学指标ALPP、Qmax、MUCP水平较治疗前升高,差异有统计学意义(P<0.05),且联合组高于按摩组,差异有统计学意义(P<0.05)。治疗后两组患者膀胱颈活动度、尿道旋转角水平较治疗前降低,差异有统计学意义(P<0.05);且联合组低于按摩组,差异有统计学意义(P<0.05)。治疗后两组患者阴道收缩压、阴道静息压、阴道收缩持续时间水平较治疗前升高,差异有统计学意义(P<0.05);且联合组高于按摩组,差异有统计学意义(P<0.05)。治疗后两组患者ICI-Q-SF评分总分及总排尿次数、总漏尿次数较治疗前降低,总排尿量较治疗前升高,差异有统计学意义(P>0.05);且联合组ICI-Q-SF评分总分及总排尿次数、总漏尿次数低于按摩组,总排尿量高于按摩组,差异有统计学意义(P<0.05)。治疗后联合组临床疗效总有效率92.73%(51/55)明显高于按摩组70.91%(39/55),差异有统计学意义(P<0.05)。结�Objective To explore the effects of massage at Sanyinjiao(SP6)combined with low-frequency pulse feedback electrical stimulation on the pelvic floor function and the frequency of urinary incontinence in the patients with post⁃partum stress urinary incontinence.Methods A total of 110 patients with postpartum stress urinary incontinence treated in Taicang Hospital Affiliated to Nanjing University of Chinese Medicine from June 2018 to June 2020 were assigned by the random number table method into a massage group(n=55)and a combined treatment group(n=55).Both groups received routine treatment with reduced water intake,timely urination,and bladder training.In addition,the massage group received massage at Sanyinjiao(SP6),and the combined treatment group received massage at Sanyinjiao(SP6)combined with low-frequency pulse feedback electrical stimulation.After treatment for 6 weeks,the clinical efficacy was compared between the two groups.The urodynamic indicators[abdominal leak point pressure(ALPP),maximum flow rate(Qmax),and maximum urethral closure pressure(MUCP)],the mobility of bladder neck and urethra rotation angle,pelvic floor function indicators(vaginal systolic blood pressure,vaginal resting pressure,and vaginal contraction duration),and the International Consulta⁃tion of Incontinence Questionnaire-Short Form(ICI-Q-SF)scores for total urine volume,total urination times,total u⁃rine leakage times,and total score were determined before and after treatment.Results After treatment,the ALPP,Qmax,and MUCP in both groups increased(P<0.05)and were higher in the combined treatment group than in the massage group(P<0.05).After treatment,the bladder neck motility and urethra rotation angle decreased(P<0.05)and were lower in the combined treatment group than in the massage group(P<0.05).The treatment in both groups increased the vaginal systolic blood pressure,vaginal resting pressure,and vaginal contraction duration(P<0.05),and the increases were higher in the combined treatment group than in the massage group(P<0.0

关 键 词：三阴交穴位按摩 低频脉冲反馈电刺激 产后压力性尿失禁 盆底功能 尿失禁次数 

分 类 号：R245.9[医药卫生—针灸推拿学]