电针治疗老年急迫性尿失禁临床研究

Clinical Study on Electroacupuncture Treatment of Senile Imperative Urinary Incontinence

目的 :对电针治疗老年急迫性尿失禁进行系统临床和尿流动力学评价。结果 :电针组近期治愈率 35 0 % ,有效率 4 5 0 % ,远期治愈率 36 4 % ,有效率 4 0 9% ,疗效与病程长短无关 ;对照组分别为 2 5 %和 35 0 % ,远期总有效率仅 33 3% ;两组差异有非常显著性意义 (P <0 0 0 1,P <0 0 5 )。尿流动力学评价也显示出类似结果 (P <0 0 5 )。结论 :电针可显著增加膀胱最大容量、提高膀胱充盈初始感觉阈、降低膀胱最大收缩压、抑制逼尿肌的无抑制性收缩 ,从而治疗尿失禁。

Clinical therapeutic effect and urodynamics were evaluated in electroacupuncture treatment of senile urinary incontinence.Results indicated that the short-term cured rate and effective rate were 35.0% and 45.0%,and the long-term cured rate and effective rate were 36.3% and 40.9% respectively in the electroacupuncture group,and the therapeutic effect was not related with the course of disease;the short-term therapeutic effect and effective rate were and 35.0% respectively,and the total long-term therapeutic effect was 33.3% in the control group,with very significant differences betwen the two groups (P<0.001 and 0.05).Evaluation of urodynamics showed the similar result (P<0.05).Electroacupuncture increased markedly the maximum volume of urinary bladder and initial sensory threshold of bladder filling,reduced the maximum contraction pressure and inhibited non-inhibitory contraction of pubovesical muscle,so as to cure urinary incontinence.