温肾固涩贴敷治疗女性压力性尿失禁

The treatment of female stress urinary incontinence with warming kidney and astringent posted umbilical therapy

目的观察温肾固涩贴敷治疗女性压力性尿失禁的临床疗效。方法将70例女性压力性尿失禁患者随机分为治疗组和对照组,2组均采用凯格尔(Kegel)训练治疗,治疗组在此基础上加用贴敷疗法,在神阙穴贴敷具有温肾固涩作用的自拟"固泉脐贴"治疗,疗程均为8周。观察治疗前后1 h尿垫试验漏尿量、尿失禁问卷评分及尿失禁发作频率评分的变化。结果治疗后治疗组与对照组患者1 h尿垫试验漏尿量、尿失禁问卷评分及尿失禁发作频率评分均较治疗前明显减少(P<0.05),且治疗组改善程度均优于对照组(P<0.05)。治疗组临床总有效率为87.50%,对照组为45.45%。结论凯格尔训练联合温肾固涩贴敷疗法疗效优于单纯凯格尔训练,是治疗女性压力性尿失禁的一种有效方法。

Objective To observe the clinical effect of warming kidney and astringent posted umbilical therapy in the treatment of female stress urinary incontinence （SUI）. Methods A total of 70 SUI pa- tients were randomly divided into observation group （n = 35, treated with Kegel exercise combined with Gu Quan umbilical paste which has the effect of warm kidney and astringent） and control group（ n = 35, only take the Kegel exercise）. The treatment lasted 8 weeks. The pad-test leak volume, urinary inconti- nence questionnaire score and urinary incontinence frequency score 1 h before and after treatment were tested. Results Compared with before treatment, the quantity of fluid loss of l h pad test of the two groups reduced significantly （P 〈 0.05 ）, the symptom scores of ICI-Q-SF improved significantly after treatment （P 〈 0.05 ）, and episodes of incontinence reduced significantly （ P 〈 0.05 ）. The observation group was superior to the control group （P 〈 O. 05 ）. Conclusion Kegel exercise combined with warm kidney and astringent posted umbilical therapy is an effective way to treat female stress incontinence, which is superior to pure Kegel exercise.