芪实颗粒联合盆底肌训练治疗女性轻中度压力性尿失禁的临床观察

Clinical Observation of Qizhu Granule Combined with Pelvic Floor Muscle Training in Treating Female Patients with Mild Moderate and Urinary Incontinence

目的：研究芪实颗粒联合盆底肌训练治疗女性轻中度压力性尿失禁效果。方法：选取2015年9月-2017年2月医院轻、中度压力性尿失禁女性152例，参考随机数字表法，按照1：1比例将纳入者随机分为观察组和对照组（各76例）。对照组采用盆底肌训练治疗、观察组采用芪实颗粒联合盆底肌训练治疗。观察和比较治疗前和治疗两个月后两组患者1h尿垫试验、72h排尿日记卡、尿失禁问卷简表（ICIQ-SF）评分、性生活质量问卷（PISQ-12）评分、盆底功能测试。结果：观察组患者I临床痊愈率14．47％、显效率39．47％和总有效率90．79％均高于对照组的5．26％、21．05％、68．42％，差异有统计学意义（P〈0．05）。1h尿垫试验和24h平均尿失禁，治疗前后差值比较，观察组高于对照组，差异有统计学意义（P〈0．05）。ICIQ-SF、PISQ-12量表评分，治疗后观察组评分少于对照组，差异有统计学意义（P〈0．05）。治疗后观察组静息状态肌电值低于对照组，最大收缩力、持续收缩力和协调性高于对照组，差异均有统计学意义（P〈0．05）。结论：芪实颗粒联合盆底肌功能训练治疗女性轻中度压力性尿失禁疗效确切、效果倍增，为中医药联合局部功能训练治疗慢性虚损性疾病开辟了一条新思路、新方法，不失为一种理想的治疗方案，值得临床推广。

Objective ： To study the effect of Qixi Granule combined with pelvic floor muscle in the treatment of mild to moderate stress urinary incontinence in women. Methods ： From January 2015 to February 2017,152 patients with moder- ate and moderate stress urinary incontinence were randomly divided into observation group and control group（76 cases） , according to the ratio of 1 ： 1. The rats in the control group were treated with pelvic floor muscle training. The observation group was treated with Qixi Granule combined with pelvic floor muscle training. ICIQ - SF score, Sexual Quality of Life Questionnaire （PISQ - 12） score and pelvic floor function test were performed in two groups before and after treatment（ P 〈 0. 05）. The two groups＇ 1 h urine pad test, 72 h urinary diary card, urinary incontinence questionnaire （ICIQ -SF） were compared. Results： The clinical cure rate was 14.47% , the markedly effective rate was 39.47% and the total effec- tive rate was 90.79% ,which were respectively higher than the control group＇ s 5.26% , 21.05% , 68.42%. The differ- ence was statistically significant（P 〈0. 05）. Before and after treatment, 1 h urine pad test and 24 h average urinary in- continence difference were compared. The observation group＇ s was higher than that of the control group, and the differ- ence was statistically significant（P 〈 0. 05 ）. ICIQ -SF and PISQ -12 scale were significantly lower than those in the control group （P 〈 0. 05 ）. After treatment, the electromyography of resting state in the observation group was lower than that in the control group. The maximal contractility, sustained contractility and coordination were higher than those in the control group, and the difference was statistically significant（P 〈0. 05 ）. Conclusion： Qizhu Granule combined with pel- vic floor muscle function training is effective in the treatment of mild and moderate urinary incontinence in women, which has opened up a new idea and method for the treatment of chronic wasting diseases by traditional Chinese medicine com- bined with local functional training. The ideal treatment regimen is worth popularizing.