电针联合生物反馈电刺激治疗产后压力性尿失禁的临床体会

Clinical experience of acupuncture and electro-acupuncture combined with biofeedback electric stimulation in the treatment of postpartum stress urinary incontinence

女性压力性尿失禁(SUI)指咳嗽、打喷嚏、大笑时出现的尿液不自主流出,是盆底功能障碍性疾病的主要症状,属于尿道控尿机制异常。主要病因是盆底组织松弛,膀胱颈和尿道近端过度下移,尿道内括约肌功能障碍,与妊娠与阴道分娩损伤、绝经后雌激素水平低有关。中医学认为此病属膀胱咳,为脏腑病,病位在膀胱,与肾、肺、脾关系最为密切,发病以虚多见。探讨电针结合生物反馈电刺激的方法治疗产后SUI,针刺对证取穴,并予电针仪以补中益气、固摄止遗、疏通经络;生物反馈电刺激改善局部组织营养,增加肌纤维肌力和反应速度,故可作为临床上治疗SUI的有效疗法。

Female stress urinary incontinence(SUI)refers to the involuntary outflow of urine when coughing,sneezing and laughing.It is the main symptom of pelvic floor dysfunction and belongs to the abnormal mechanism of urethral control.The main causes are pelvic floor tissue relaxation,excessive downward movement of bladder neck and proximal urethra,and dysfunction of internal urethral sphincter,which are related to pregnancy,vaginal delivery injury and low estrogen level after menopause.Traditional Chinese medicine believes that this disease belongs to bladder cough,which is a disease of viscera and organs .It is located in the bladder and has the closest relationship with kidney,lung and spleen.This article mainly discusses the methodsof acupuncture and electro-acupuncture combined with biofeedback electric stimulation in treating postpartum SUI.Acupuncture points are selected according to the symptoms,together withelectro-acupuncture,toinvigorate spleen-stomach and replenish qi,astringe for preventing enuresis,and dredge channels and collaterals.Biofeedback electric stimulation can improve local tissue nutrition,increase muscle strength and reaction speed of muscle fibers,and the two methods can be used as effective therapies for clinical treatment of SUI.