针灸疗法治疗压力性尿失禁的应用进展  

Progress in the Application of Acupuncture Therapy in the Treatment of Stress Urinary Incontinence

作　　者：韦丽君[1] 李善霞[2] WEI Lijun;LI Shanxia(Guangxi University of Chinese Medicine,Nanning 530000,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China)

机构地区：[1]广西中医药大学,广西南宁530000 [2]广西中医药大学第一附属医院,广西南宁530023

出　　处：《中医药信息》2024年第1期79-84,共6页Information on Traditional Chinese Medicine

摘　　要：压力性尿失禁(SUI)是慢性盆底功能障碍性疾病,对女性的心理健康与生活质量造成严重困扰,已成为现今全球严重的卫生和社会问题之一。西医主要采用生活方式管理、物理疗法、药物治疗、手术等方法对SUI进行干预和治疗,单一的常规方法治疗周期长,疗效不甚理想。诸多研究表明,毫针、电针、浮针、温针灸、雷火灸和热敏灸等针灸疗法在治疗SUI疗效确切,基于此,笔者查阅近年来针灸疗法治疗女性SUI的研究成果,发现该病病位主要涉及肾与膀胱,与脾、肺、肝、三焦多个脏腑相关,病机以脏腑功能失调为本,瘀血、痰湿等为其标;治疗时多选用足少阴肾经、足太阳膀胱、任脉经腧穴,以经腹部、腰骶部腧穴为主要施治部位,可明显改善盆底结构和功能、减少并发症、提升生活质量。Stress urinary incontinence(SUI)is a chronic pelvic floor dysfunction,which has caused serious troubles to women's mental health and quality of life,and has become one of the most serious health and social problems in the world.Western medicine mainly adopts lifestyle management,physical therapy,drug therapy,surgery and other methods to intervene and treat SUI.A single conventional method usually has a long treatment period and unsatisfactory curative effect.Many studies have shown that acupuncture therapies such as filiform needle acupuncture,electroacupuncture,floating acupuncture,warm acupuncture,thunder fire moxibustion and heat sensitive moxibustion are effective in the treatment of SUI.The author reviewed the research results on the treatment of female SUI by acupuncture and moxibustion in recent years,and found that the disease mainly involves the kidney and bladder,and is related to multiple viscera,the spleen,lung,liver and triple energizers.The root of pathogenesis is the dysfunction of the viscera,and the superficial of the pathogenesis is blood stasis,phlegm and dampness.SUI is usually treated in acupuncture through needling the acupoints of kidney meridian,bladder meridian,conception meridian,with the abdominal and lumbosacral acupoints as the main treatment sites.These treatments can significantly improve pelvic floor structure and function,reduce complications,and improve quality of life.

关 键 词：压力性尿失禁 针灸疗法 盆底功能 盆底肌 

分 类 号：R246.9[医药卫生—针灸推拿学]