温针联合会阴冷热刺激与盆底肌功能训练治疗女性压力性尿失禁

The clinical curative effect of combined acupuncture and caloric stimulation to Perineum and pelvic floor muscle training in the treatment of female stress urinary incontinence

目的观察温针联合会阴部冷热刺激与盆底肌功能训练对女性压力性尿失禁临床康复效应。方法将60例患者随机分为干预组30例和对照组30例。干预组给予温针、会阴部冷热刺激、盆底肌功能训练;对照组予以会阴部冷热刺激与盆底肌功能训练。两组于治疗8周后采用国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)、1小时尿垫试验(1HTPV)对比疗效。结果两组患者治疗后ICI-Q-SF评分均有降低,1HTPV漏尿量减少;干预组治疗后ICI-Q-SF评分、1HTPV情况优于对照组,差异有统计学意义(P<0.05)。结论温针联合会阴冷热刺激与盆底肌功能训练治疗女性压力性尿失禁疗效显著。

Objective To observe the clinical curative effect of combined acupuncture and caloric stimulation to Perineum and pelvic floor muscle training in the treatment of female stress urinary incontinence. Methods 60 patients were randomly divided into treatment group and control group, 30 cases of each group . The treatment group was given combined acupuncture and caloric stimulation to Perineum and pelvic floor muscle training, and the control group was given caloric stimulation to Perineum and pelvic floor muscle training. Compared the curative effect using international uroclepsia advisory committee questionnaire and 1HTPV after eight weeks treatment. Results The ICI-Q-SF score of the two groups were decreased after treatment, 1HTPV leakage of urine; The TCI-Q-SF score and 1HTPV in the treatment group were better than those in the control group, the difference was statistically significant （P 〈 0.05 ） Conclusion Combined acupuncture and caloric stimulation to Perineum and pelvic floor muscle training have distinct curative effect in the treatment of female stress urinary incontinence.