带脉铺姜灸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 ginger moxibustion on belt channel and pelvic floor muscle training in the treatment of mild-to-moderate stress urinary incontinence in female

目的:观察带脉铺姜灸联合盆底肌训练对女性轻中度压力性尿失禁(SUI)患者的临床疗效。方法:共纳入72例女性轻中度SUI患者,随机分为对照组和试验组,每组36例。对照组采用盆底肌训练法,试验组采用带脉铺姜灸联合盆底肌训练法。分别在治疗前,治疗4、8周后检测1h尿垫试验漏尿量、平均24h漏尿频次及ICI-QSF量表评分,并比较两组疗效差异。结果:与治疗前比较,两组治疗4、8周后1h尿垫试验漏尿量、平均24h漏尿频次、ICI-Q-SF量表评分显著减少(P<0.01),且试验组治疗4、8周各指标优于对照组(P<0.05,P<0.01)。试验组总有效率为87.50%(28/32),显著高于对照组的65.63%(21/32)(P<0.01)。结论:带脉铺姜灸联合盆底肌训练和单纯盆底肌训练对女性轻中度SUI均有效,带脉铺姜灸联合盆底肌训练法在改善漏尿量、漏尿频次及生活质量影响评分方面优于单纯盆底肌训练法。

Objective: To observe the curative effect of belt channel moxibustion combined with pelvic floor muscle training on female patients with mild to moderate stress urinary incontinence(SUI). Methods: Seventy-two female patients with mild to moderate SUI were randomly divided into the control group and the experimental group, 36 cases in each group. 4 weeks and 8 weeks after treatment, the urine leakage volume of 1 hour urine pad test, the average 24 hours urine leakage frequency and ICI-Q-SF scale score were detected, and the curative effect difference between the two groups was compared. Results: After 4 and 8 weeks of treatment, the urine leakage volume of 1 hour urine pad test, the average frequency of 24 hours urine leakage frequency and ICI-Q-SF scale score were significantly reduced(P<0.01). After 4 and 8 weeks of treatment, every index in the experimental group were better than those in the control group(P<0.05, P<0.01). The total effective rate of the experimental group was 87.50%(28/32), which was significantly higher than 65.63%(21/32) of the control group(P<0.01). Conclusion: Ginger moxibustion on belt channel combined with pelvic floor muscle training and pelvic floor muscle training alone are effective in the treatment of women with mild to moderate SUI. The method of ginger moxibustion on belt channel combined with pelvic floor muscle training is better than that of pelvic floor muscle training alone in improving urine leakage volume, frequency and quality of life.