电针对轻、中度女性压力性尿失禁的防治效应研究

Preventive and Therapeutic Effects of Electroacupuncture in Treating Mild-moderate Female Stress Urinary Incontinence

目的评价和验证电针配合盆底肌训练(PFMT)对轻、中度女性压力性尿失禁(SUI)的防治效应。方法通过随机、对照、单盲的临床研究方法,将82例SUI患者随机分为观察组40例、对照组42例,观察组接受电针配合PFMT治疗,对照组接受PFMT治疗。治疗前及治疗4星期后,对两组患者1 h漏尿量、ICI-Q-SF评分、好转率进行评价,分析两种治疗方法对轻、中度尿失禁症状的改善情况。结果轻度SUI患者治疗后,观察组1 h漏尿量、ICI-Q-SF评分明显低于治疗前(P<0.05),观察组明显低于对照组(P<0.05)。中度SUI患者治疗后,两组1h漏尿量、ICI-Q-SF评分明显低于治疗前(P<0.05),观察组明显低于对照组(P<0.05),观察组好转率远高于对照组(P<0.01)。结论电针配合盆底肌训练可以有效改善轻、中度SUI患者的漏尿量及临床排尿症状。电针配合盆底肌训练能有效预防中度女性SUI患者病情加重,且效果优于盆底肌训练。

Objective To evaluate and verify the preventive and therapeutic effects of electroacupuncture （EA） plus pelvic floor muscle training （PFMT） in treating mild-moderate female stress urinary incontinence （SUI）. Method By adopting a single-blind randomized controlled design, eighty-two SUI patients were randomized into an observation group of 40 cases and a control group of 42 cases. The observation group was intervened by EA plus PFMT, while the control group only received PFMT. Before the treatment and after 4-week treatment, the 1 h urine leakage amount, Incontinence Questionnaire Short Form （ICI-Q-SF） and improvement rate were evaluated in the two groups, to analyze the effects of the two methods in improving mild-moderate SUI. Result For mild SUI patients, the 1 h urine leakage amount and ICI-Q-SF score dropped significantly after the treatment in the observation group （P〈0.05）, and the observation group was significantly lower than the control group （P〈0.05）. For moderate SUI patients, the 1 h urine leakage amount and ICI-QSF score dropped significantly in both groups after the intervention （P〈0.05）, the observation group was significantly lower than the control group （P〈0.05）, and the improvement rate in the observation group was markedly higher than that in the control group （P〈0.01）. Conclusion EA plus PFMT can effectively improve the urine leakage and urination in mild-moderate SUI patients. EA plus PFMT can effectively prevent the aggravation of moderate female SUI, and its effect is better than PFMT alone.