电针会阳、中髎穴结合头针治疗女性压力性尿失禁临床观察

Clinical Observation of Electroacupuncture at Huiyang(BL35) and Zhongliao(BL33) plus Scalp Acupuncture for Female Stress Urinary Incontinence

目的观察电针会阳、中髎穴结合头针治疗女性压力性尿失禁的临床疗效,为针刺治疗压力性尿失禁提供临床依据。方法选取90例符合研究标准的女性压力性尿失禁患者,随机分为治疗组和对照组,治疗组采用电针会阳、中髎穴结合头针治疗,对照组采用缩紧肛门的动作行康复治疗。对比两组患者的漏尿程度、膀胱残余尿量和临床疗效。结果治疗后两组患者漏尿程度比较差异具有统计学意义(P<0.05);两组患者治疗后组间膀胱残余尿量比较差异均具有统计学意义(P<0.05);治疗后治疗组愈显率为62.2%,对照组愈显率为35.6%,两组比较差异具有统计学意义(P<0.05)。结论电针会阳、中髎穴结合头针治疗女性压力性尿失禁,其临床疗效明显优于康复训练。

Objective To observe the clinical efficacy of electroacupuncture at Huiyang（BL35） and Zhongliao（BL33） plus scalp acupuncture in treating female stress urinary incontinence（SUI）, for providing clinical evidence in the treatment of SUI. Method Ninety eligible female SUI patients were randomized into an observation group and a control group. The observation group was intervened by electroacupuncture at Huiyang and Zhongliao plus scalp acupuncture, while the control group was asked to practice contracting anus. The urine leakage degree, residual urine volume in bladder and clinical efficacy were compared. Result After treatment, there was a significant difference in comparing urine leakage degree between the two groups（P〈0.05）; there was a significant between-group difference in comparing the residual urine volume（P〈0.05）; the cured and markedly-effective rate was 62.2% in the observation group versus 35.6% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Electroacupuncture at Huiyang and Zhongliao plus scalp acupuncture can produce a more significant clinical efficacy compared with rehabilitation training in treating female SUI.