“立极针法”联合“下三皇”穴治疗女性压力性尿失禁的临床观察  

Clinical Observation of“Liji Acupuncture”Combined with“Xiasanhuang”Acupoint in the Treatment of Female Stress Urinary Incontinence

作　　者：金玲 宋宇轩 纪丽丽 丁云云 左林静 俞红五[2] JIN Ling;SONG Yuxuan;JI Lili;DING Yuyun;ZUO Linjing;YU Hongwu(Graduate School of Anhui University of Chinese Medicine,Anhui Hefei 230012;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230061)

机构地区：[1]安徽中医药大学研究生院,安徽合肥230012 [2]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《深圳中西医结合杂志》2024年第20期1-4,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：安徽省医疗卫生重点专科建设项目[安徽省财政厅皖卫函(2021)273号]。

摘　　要：目的:观察“立极针法”联合“下三皇”穴治疗女性压力性尿失禁(脾肾阳虚型)的临床疗效。方法:选取2023年2月至2023年12月于安徽中医药大学第二附属医院就诊的48例压力性尿失禁女性患者,按照随机数字表法分为观察组和对照组,各24例。两组患者均进行盆底肌锻炼治疗,对照组患者在此基础上予以普通针刺治疗,观察组患者在对照组的基础上予以“立极针法”联合“下三皇”穴治疗。观察两组患者治疗前后国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分、膀胱残余尿量、1 h尿垫试验、汉密尔顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分、中医证候积分以及临床疗效的差异。结果:治疗后观察组患者ICI-Q-SF、HAMA、HAMD评分均低于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者膀胱残余尿量及1 h尿垫重量均低于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者各项中医证候积分及证候总积分均低于对照组,差异具有统计学意义(P<0.05);观察组患者的总有效率为95.83%,高于对照组的87.50%,差异具有统计学意义(P<0.05)。结论:“立极针法”联合“下三皇”穴能够明显减轻患者尿失禁的症状,改善患者焦虑抑郁情绪。Objective To observe the clinical efficacy of“Liji Acupuncture”combined with“Xiasanhuang”acupoint in the treatment of female stress urinary incontinence(Spleen-Kidney Yang deficiency type).Methods Forty-eight female patients with stress urinary incontinence who visited The Second Affiliated Hospital of Anhui University of Chinese Medicine from February 2023 to December 2023 were randomly divided into an observation group and a control group,with 24 cases in each group.Both groups of patients underwent pelvic floor muscle exercises.Patients in the control group were treated with conventional acupuncture on this basis,while patients in the observation group were treated with“Liji Acupuncture”combined with“Xiasanhuang”acupoint in addition to the treatment in the control group.The differences in international consultation on incontinence questionnaire-short form(ICI-Q-SF)scores,bladder residual urine volume,1-hour pad test,Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)score,traditional Chinese medicine(TCM)symptom score before and after treatment,and clinical efficacy were observed in both groups.Results After treatment,the scores of ICI-Q-SF,HAMA,and HAMD of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).The bladder residual urine volume and 1-hour pad weight in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The TCM symptom scores and total symptom score in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The total effective rate in the observation group was 95.83%,which was higher than 87.50%in the control group,with a statistically significant difference(P<0.05).Conclusion“Liji Acupuncture”combined with“Xiasanhuang”acupoint can significantly alleviate the symptoms of urinary incontinence and improve the anxiety and depression of patients.

关 键 词：压力性尿失禁 立极针法 下三皇 女性 

分 类 号：R256.54[医药卫生—中医内科学]