盆底肌功能训练联合艾灸关元穴治疗女性压力性尿失禁的临床研究

Clinical Study on Treating the Female Stress Urinary Incontinence by Functional Training of Pelvic Floor Muscles Combining with Moxa-Wool Moxibustion at Guanyuan(RN4)

目的:观察盆底肌功能训练联合艾灸关元穴治疗女性压力性尿失禁的临床疗效。方法:选取2017年3月至2018年3月北京中医药大学第三附属医院收治的女性压力性尿失禁患者60例作为研究对象,按照随机数字表法分为A、B、C 3组,每组20例。A组采用盆底肌功能训练,B组采用艾灸关元穴,C组采用盆底肌功能训练联合艾灸关元穴。评价3组患者治疗前、治疗8周后国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分、盆底肌肌力的变化,评价3组患者治疗后临床疗效,同时随访6个月后3组患者ICI-Q-SF评分、盆底肌肌力、临床疗效,观察盆底肌功能训练联合艾灸关元穴对女性压力性尿失禁疗效的影响。结果:治疗前3组患者ICI-Q-SF评分、盆底肌肌力差异均无统计学意义(P>0.05),治疗后3组患者ICI-Q-SF评分均有所下降(P<0.05),盆底肌肌力均有所提高,并且C组效果明显高于A、B组(P<0.05),6个月后随访ICI-Q-SF评分、盆底肌肌力、临床疗效C组效果明显高于A、B组(P<0.05)。结论:盆底肌功能训练联合艾灸关元穴是治疗女性压力性尿失禁的有效方法,值得临床推广。

Objective:To observe the clinical effects on treating the female stress urinary incontinence by functional training of pelvic floor muscles combine with moxa-wool moxibustion at Guanyuan(RN4).Methods:According to random number table,60 cases of patients with female stress urinary incontinence from the Third Affiliated Hospital of Beijing University of Chinese Medicine during March 2017 to March 2018 were divided into a Group A(20 cases were treated by functional training of pelvic floor muscles),a Group B(20 cases were treated by moxa-wool moxibustion at Guanyuan(RN4),a Group C[20 cases were treated by functional training pelvic floor muscles combining with moxa-wool moxibustion at Guanyuan(RN4)].The score of Urinary Incontinence Questionnaire(ICI-Q-SF)from International Consultation on Incontinence,muscle force of pelvic floor muscles and clinical efficacy in each of 3 groups were compared before and after the treatment.Meantime,the score of ICI-Q-SF,muscle force of pelvic floor muscles and clinical efficacy in each of 3 groups 6 months after the treatment were compared.The effect on female stress urinary incontinence treated by functional training of pelvic floor muscles combine with moxa-wool moxibustion at Guanyuan(RN4)was observed.Results:There were no significant differences in ICI-Q-SF scores and muscle force of pelvic floor muscles between the 3 groups before the treatment(P>0.05).After treatment,ICI-Q-SF scores decreased in 3 groups(P<0.05),and muscle force of pelvic floor muscles increased in 3 groups.The effect of group C was significantly higher than that in group A and B(P<0.05).In the follow-up after 6 months,the effect of group C was significantly higher than that of group A and B in ICI-Q-SF scores,muscle force of pelvic floor muscles and clinical efficacy(P<0.05).Conclusion:It is worth popularizing that it is an effective method to use the functional training of pelvic floor muscles combine with moxa-wool moxibustion at Guanyuan(RN4).