回医药治疗女性盆底功能障碍相关压力性尿失禁临床观察

Clinical Observation of Hui Medcine in the Treatment of Female Pelvic Floor Dysfunction-related Stress Urinary Incontinence

目的:观察葫芦巴穴位贴敷联合拔跟提气功治疗轻中度女性盆底功能障碍相关压力性尿失禁患者的疗效及其对生活质量的影响。方法:采用随机对照研究,将70例轻中度女性盆底功能障碍相关压力性尿失禁患者随机分为两组,观察组给予葫芦巴穴位贴敷神阙穴,4h/次,3次/周,同时练习拔跟提气功,15min/次,3次/d;对照组给予电刺激联合生物反馈治疗,20min/次,3次/周。两组均治疗6周,比较两组盆底肌力、中医证候评分及ICI-Q-LF评分变化。结果:两组治疗后盆底肌静息肌电值显著低于治疗前,最大收缩力和持续收缩力显著高于治疗前,差异均有统计学意义(P<0.05);但两组组间比较差异均无统计学意义(P>0.05)。观察组治疗后中医证候评分明显低于治疗前,差异有统计学意义(P<0.05);对照组治疗前后中医证候评分无统计学差异(P>0.05),观察组治疗后中医证候评分显著低于观察组,差异有统计学意义(P<0.05)。两组治疗后ICI-Q-LF评分均显著低于治疗前,差异均有统计学意义(P<0.05);但两组组间比较无统计学差异(P>0.05)。结论:葫芦巴穴位贴敷联合拔跟提气功在改善轻中度女性压力性尿失禁患者盆底肌力与生活质量方面,与电刺激联合生物反馈疗效相当,但可明显改善患者中医证候,疗效优于电刺激联合生物反馈,具有安全性高、疗效持续性好等优点,值得临床推广应用。

Objective:To observe the effect of fenugreek acupoint application combined with tiptoe and lift qigong on urinary incontinence and quality of life in female patients with pelvic floor dysfunction(PFD)associated with stress urinary incontinence(SUI),mild and moderate.Methods:A randomized controlled study was used to divide 70 female patients with PFD-related mild and moderate SUI into two groups:treatment group and control group.Patients in treatment group were recieved fenugreek sticked at shenque acupoint,four hours a time,three times a week,and exercising tiptoe and lift qigong,fifteen minutes a time,three times a day.The control group received electrical stimulation combined with biofeedback treatment,twenty minutes a time,three times a week.Both groups were all treated for 6 weeks.Changes in pelvic floor muscle strength,Traditional Chinese Medicine(TCM)syndrome scores,and ICI-Q-LF scores were compared between the two groups.Results:The resting electromyographic value of the pelvic floor muscles in the treatment group and the control group were all significantly lower than before treatment,and the maximum contractile force and continuous contractile force were significantly higher than before treatment.The differences were all statistically significant(P<0.05).There were no statistically significant differences between the two groups(P>0.05).The score of TCM syndromes after treatment in the treatment group was significantly lower than before treatment,and the difference was statistically significant(P<0.05).There was no significant difference in scores of TCM syndromes before and after treatment in the treatment group(P>0.05).It was significantly lower than the treatment group,and the difference was statistically significant(P<0.05).The ICI-Q-LF scores in the two groups were significantly lower than before treatment,and the differences were statistically significant(P<0.05).There was no statistical difference between the groups(P>0.05).Conclusion:Fenugreek acupoint application combined with tiptoe and lift qigong can improve the pelvic floor muscle strength and life therapy of patients with mild and moderate SUI,which is equivalent to the effect of electrical stimulation combined with biofeedback,but it can significantly improve the TCM symptoms of patients and the curative effect is better than electrical stimulation combined with biofeedback.And it has the advantages of good safety,fun,and long-term effect,and is worthy of clinical application.