电针刺激联合二仙汤对产后压力性尿失禁患者的疗效观察  

Observation on the curative effect of electroacupuncture stimulation combined with Erxian decoction on postpartum stress urinary incontinence patients

作　　者：赵然[1] Zhao Ran(Department of Acupuncture at Meridian,Baoding First Hospital of Traditional Chinese Medicine,Baoding 071000,China)

机构地区：[1]保定市第一中医院针灸经络科,保定071000

出　　处：《国际泌尿系统杂志》2024年第3期513-517,共5页International Journal of Urology and Nephrology

基　　金：保定市科学技术和知识产权局资助项目(18ZF257)。

摘　　要：目的:探讨电针刺激联合二仙汤对产后压力性尿失禁(SUI)患者的疗效。方法:回顾性分析2020年1月至2022年1月于本院就诊的134例SUI患者的临床资料,按方便抽样法抽取2020年1月至2021年1月67例SUI患者作为对照组(基础盆底肌康复训练+二仙汤),抽取2021年2月至2022年1月67例SUI患者作为联合组(基础盆底肌康复训练+二仙汤+电针刺激),治疗周期为3个月,观察比较两组患者的血清结缔组织生长因子(CTGF)、松弛素(RLX)水平、尿垫试验结果、盆底肌力、疗效以及不良反应发生率。结果:治疗1、3个月后,两组血清CTGF水平均显著降低,且联合组低于对照组(均P<0.05);治疗1周、1、3个月后,两组血清RLX水平均显著降低,且联合组低于对照组(均P<0.05);治疗3个月后,两组的漏尿量均显著降低,且联合组低于对照组(均P<0.05);治疗3个月后,两组的盆底肌力情况均显著改善,且联合组改善效果优于对照组(均P<0.05);联合组的治疗总有效率显著高于对照组[91.04%(61/67)vs.77.61%(52/67),χ^(2)=4.574,P=0.032]。结论:电针刺激联合二仙汤治疗SUI患者的疗效显著,可有效降低血清CTGF、RLX水平,改善SUI症状,且安全性较高。Objective To investigate the efficacy of electroacupuncture stimulation combined with Erxian decoction on postpartum stress urinary incontinence(SUI)patients.Methods Retrospective analysis was conducted on the clinical data of 134 SUI patients who visited our hospital from January 2020 to January 2022.According to the convenient sampling method,67 SUI patients from January 2020 to January 2021 were selected as the control group(basic pelvic floor muscle rehabilitation training+Erxian decoction),and 67 SUI patients from February 2021 to January 2022 were selected as the combined group(basic pelvic floor muscle rehabilitation training+Erxian decoction+electroacupuncture stimulation),the treatment cycle was 3 months.The levels of serum connective tissue growth factor(CTGF)and relaxin(RLX),urine pad test results,pelvic floor muscle strength,curative effect and adverse reactions were observed and compared between the two groups.Results After 1 month and 3 months of treatment,the level of serum CTCF in both groups was greatly decreased,and the combined group was lower than the control group(all P<0.05);after 1 week,1 month and 3 months of treatment,the level of serum RLX in both groups was greatly decreased,and the combined group was lower than the control group(all P<0.05).After 3 months of treatment,the urine leakage in both groups was greatly reduced,and the combined group was lower than the control group(all P<0.05).After 3 months of treatment,the pelvic floor muscle strength of both groups was greatly improved,and the improvement effect of the combined group was better than that of the control group(all P<0.05).The total effective rate of the combined group was greatly higher than that of the control group[91.04%(61/67)vs.77.61%(52/67),χ^(2)=4.574,P=0.032].Conclusions Electroacupuncture stimulation combined with Erxian Decoction has obvious curative effect in treating SUI patients,it can effectively reduce serum CTCF and RLX levels,and ameliorate SUI symptoms,with high safety.

关 键 词：产后期 尿失禁 压力性 电刺激疗法 二仙汤 

分 类 号：R271.43[医药卫生—中医妇科学]