热敏灸加腹针疗法联合盆底肌训练法治疗女性压力性尿失禁28例临床观察

Clinical Observation on Heat Sensitive Moxibustion Combined with Abdominal Acupuncture Therapy and Kegel Exercise in Treating 28 Females' Stress Urinary Incontinence

目的观察热敏灸加腹针疗法结合盆底肌训练法治疗女性压力性尿失禁的临床疗效。方法 56例女性压力性尿失禁患者随机分为治疗组和对照组各28例。对照组采用盆底肌训练法加腹针疗法治疗,治疗组在对照组治疗基础上加用热敏灸治疗。热敏灸每日2次(上午、下午各1次),每次45 min^2 h不等,共治疗5天,第6天起每日1次,再治疗25次;腹针疗法每日1次,每次留针25 min,共治疗30天;Kegel锻炼每日3次,每次15~30 min,治疗30天。观察两组患者治疗前后1 h尿垫试验漏尿量、漏尿次数及国际尿失禁咨询委员会问卷量表(ICIQ-SF)总分,并评价临床疗效。结果治疗组临床疗效总有效率为96.43%,对照组为75.00%,治疗组优于对照组(P<0.05)。与治疗前比较,两组患者治疗后1 h尿垫试验漏尿量、漏尿次数及ICIQ-SF总分明显降低(P<0.01);与对照组治疗后比较,治疗组1 h尿垫试验漏尿量、漏尿次数及及ICIQ-SF总分降低显著(P<0.05)。结论热敏灸加腹针疗法结合盆底肌训练法治疗女性压力性尿失禁,可显著改善女性尿失禁的漏尿症状,提高其生活质量。

Objective To examine the therapeutic effect of heat sensitive moxibustion combined with abdominal acupuncture therapy and Kegel exercise in treating female stress urinary incontinence （SUI）.Methods Fifty-six female patients with SUI were randomized into treatment group and control group,28 cases in each group.The control group was treated by Kegel exercise and abdominal acupuncture therapy.The treatment group was added heat sensitive moxibustion.Heat sensitive moxibustion was given twice every day （once in the morning,once in the afternoon）,45 minutes to 2 hours each time,for 5 days.From the 6th day,the moxibustion was given once every day,for 25 times.Abdominal acupuncture therapy was given once every day,retaining the needle for 25 min each time,for 30 days.Kegel exercise was given three times every day,15 to 30 minutes each time,for 30 days.Patients’ 1-hour pad test leakage volume,leakage times and total scores of International Consultation on Incontinence Questionnaire-Short Form （ICIQ-SF） in both groups were examined before and after treatment.The clinical effect was evaluated.Results The total effective rate of clinical effect in the treatment group was 96.43%,while 75.00% in the control group.The treatment group was superior to the control group （P 〈 0.05）.Compared before treatment,patients’ 1-hour pad test leakage volume,leakage times and ICIQ-SF total scores in both groups decreased after treatment （P 〈0.01）.Compared with the control group,patients’ 1-hour pad test leakage volume,leakage times and ICIQ-SF total scores in the treatment group decreased （P 〈 0.05）.Conclusion Heat sensitive moxibustion combined with abdominal acupuncture therapy and Kegel exercise treating female SUI might improve female leakage symptoms of incontinence and improve their life quality.