基于“肝肾同源”理论治疗围绝经期女性小便不禁的疗效观察  

Observation of the treatment effect of urinary incontinence in perimenopausal women based on the theory of“Hepatorenal homology”

作　　者：干翠萍 吴耀持[2] GAN Cuiping;WU Yaochi(General Practice Department of Traditional Chinese Medicine of Fangsong Community Health Service Center of Songjiang District,Shanghai 201620,China;Department of Acupuncture and Moxibustion of Sixth People’s Hospital Affiliated to Jia Tong University,Shanghai 200030,China)

机构地区：[1]上海市松江区方松街道社区卫生服务中心中医科,上海201620 [2]上海交通大学医学院附属第六人民医院针推伤科,上海200030

出　　处：《上海医药》2024年第20期32-35,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市中医特色专病专科(社区)能力建设(SQZBZK-23-45)。

摘　　要：目的:探讨基于“肝肾同源”理论治疗围绝经期女性小便不禁的临床疗效。方法:选取2023年1月至2024年4月中心遗尿病专病门诊收治的围绝经期女性小便不禁患者65例,按照随机数字排列法将其分为对照组32例,给予电针治疗。治疗组33例,在电针治疗基础上给予疏肝解郁中药治疗,4周为1个疗程。观察治疗后两组OABSS评分及24 h排尿情况。结果:干预后两组OABSS评分、尿急、尿频等次数较治疗前均有明显下降,且治疗组OABSS评分、尿急、夜尿、急迫性尿失禁次数显著低于对照组。治疗组临床总有效率为93.3%(/33),对照组临床总有效率为82.1%(/32),组间差异有统计学意义(P<0.05)。结论:基于“肝肾同源”理论下运用针药结合治疗围绝经期女性小便不禁,疗效确定。Objective:To explore the clinical efficacy of treating urinary incontinence in perimenopausal women based on the theory of“Hepatorenal homology”.Methods:Sixty-five perimenopausal female patients with urinary incontinence were selected from the specialized outpatient department of enuresis in the center from Jan.2023 to April 2023,and according to the random number arrangement method divided into a control group with 32 cases and treated with electroacupuncture,and a treatment group with 33 cases were treated with traditional Chinese medicine for soothing the liver and relieving depression on the basis of electroacupuncture treatment.One course of treatment was 4 weeks.The overactive bladder syndrome score(OABSS)scores and 24-hour urination status of the two groups were observed after the treatment.Results:After intervention,the OABSS scores,urgency and frequency of urination in both groups decreased significantly compared to those before treatment,and the OABSS scores,urgency,nocturia,and urgency urinary incontinence episodes in the treatment group were significantly lower than those in the control group.The total effective rate in the treatment group was 93.3%,while the total effective rate in the control group was 82.1%,and the difference between groups is statistically significant(P<0.05).Conclusion:Based on the theory of“Hepatorenal homology”,the combination of acupuncture and medication is effective in the treatment of urinary incontinence in perimenopausal women.

关 键 词：小便不禁 围绝经期女性 肝肾同源 针药结合 

分 类 号：R256.54[医药卫生—中医内科学]