中医内外合治治疗压力性尿失禁的临床观察

Clinical Observation of Stress Urinary Incontinence Treated with Integrated Internal and External Therapy of Chinese Medicine

目的探讨采用捏脊、穴位按摩后中药外敷及中药内服综合治疗压力性尿失禁(USI)的疗效。方法将138例USI患者随机分为治疗组和对照组各69例,对照组采用单纯中医内治法,即中药内服,治疗组采用中医内外疗法综合治疗:中药内服(组方同治疗组)同时应用中医外治法:先捏脊,然后主选足太阳膀胱经之背腧穴、督脉、任脉等经穴,用三位八法(先后采用仰卧位、俯卧位、自由体位及八种手法),行穴位按摩,后施以穴位贴敷。10 d为1个疗程,疗程间休息2 d,3个疗程后观察疗效。结果治疗组总有效率97.10%,对照组为81.16%,两组比较差异有统计学意义(P<0.01)。结论中医内外结合疗法治疗压力性尿失禁疗效可靠,值得临床推广。

Objective To explore the efficacy on stress urinary incontinence（SUI）treated with the comprehensive therapeutic program with the external application and internal administration of Chinese medicine after spine pinching therapy and acupoint massage.Methods 138 cases of SUI were randomized into a treatment group and a control group,69 cases in each one.In the control group,the simple internal administration of Chinese medicine was adopted.In the treatment group,the comprehensive internal and external therapy of Chinese medicine was used,in which the internal administration of Chinese medicine was same as the control group.The external therapy of Chinese medicine included：The spine pinching therapy was used at first.Afterward,the acupoint massage was applied to the back-shu points of the bladder meridian of foot-taiyang,the acupoints of the Governor Vessel and Conception Vessels.（The patients were in supine,prone or kept natural posture.The eight manipulations of massage were provided）.Finally,the acupoint plaster therapy was given.The treatment of 10 days made one session.There were 2 days at interval among the sessions.The efficacy was observed after 3 sessions of treatment.Results The total effective rate was 97.10% in the treatment group and was 81.16% in the control group,presenting the statistical significant difference in comparison（P〈0.01）.Conclusion The integrated internal and external therapy of Chinese medicine achieves the reliable efficacy on SUI and deserves to be promoted in clinic.