不同治疗频次对女性压力性尿失禁疗效的影响

Efficacy impacts of the different treatment frequencies on female stress urinary incontinence

目的：观察不同治疗频次电针阴部神经刺激疗法对女性压力性尿失禁疗效的影响。方法：60例患者分为每周3次组和每周2次组，每组30例。两组均采用电针阴部神经刺激疗法，穴取骶四穴，每次60min，分别采取每周3次和每周2次治疗。观察治疗前和治疗12次后尿失禁症状程度和生活质量评分，并评定两组疗效。结果：治疗结束时，两组患者尿失禁症状程度和生活质量评分均显著改善（均P〈0．01），且每周3次组优于每周2次组[0（0～4．3）vs 4（0～5），P〈0．01]。治疗结束时，每周3次组总有效率为90．0％（27／30），优于每周2次组的76．7％（23／30），（P〈0．05）。结论：电针阴部神经刺激疗法治疗女性压力性尿失禁疗效肯定，每周治疗3次优于每周治疗2次。

Objective To observe the effect on female stress urinary incontinence （SUI） treated with the pu- dendal nerve stimulation of electroacupuncture therapy at different frequencies. Methods Sixty patients were di- vided into a group treated three times every week （group A） and a group treated twice every week （group B）, 30 cases in each one. The pudendal nerve stimulation of electroacupuncture therapy was adopted at Disixue （four acupoints on sacral region）, 60 rain in each time in the two groups, treated three times a week or twice a week re- spectively. SUI severity and the score of life quality were observed before and after 12 treatments separately. The efficacy was evaluated in the two groups. Results At the end of treatment, SUI severity was relieved and the score of life quality was improved in the two groups （all P（0.01）. The results in group A were superior to group B [0 （0-4.3） vs 4 （0-5）, P〈0.01]. At the end of treatment, the total effective rate in group A was 90.0% （27/30） and was 76.7% （23/30） in group B; the efficacy in group A was better than that in group B （P〈0.05）. Conclusion The pudendal nerve stimulation of electroacupuncture therapy achieves the definite efficacy on female SUI and the results in the treatment of three times a week are superior to those in the treatment of twice a week.