以足运感区针刺为主结合盆底肌训练治疗女性轻中度压力性尿失禁的临床研究

Clinical study on acupuncture at foot movement area combined with pelvic floor muscle training in the treatment of female mild to moderate stress urinary incontinence

目的观察以足运感区针刺为主结合盆底肌训练治疗女性轻中度压力性尿失禁的临床疗效。方法选择2019年4月-2020年6月就诊于黑龙江中医药大学附属第二医院针灸四科的轻中度压力性尿失禁女性患者60例,随机分为治疗组和对照组,每组各30例。对照组采用单纯盆底肌训练,治疗组采用足运感区针刺为主结合盆底肌训练,连续治疗8周。观察2组治疗前后1 h尿垫试验漏尿量、尿失禁问卷简表(ICI-Q-SF)评分、泌尿生殖简表(UDI)评分及治疗过程中的不良反应,并比较2组临床疗效。结果 2组治疗后1 h尿垫试验漏尿量、ICI-Q-SF评分及UDI评分均较治疗前明显降低(P均<0.05),且治疗组治疗后上述指标均明显低于对照组(P均<0.05)。治疗组总有效率为86.7%(26/30),对照组总有效率为73.3%(22/30),治疗组总有效率明显高于对照组(P<0.05)。结论以足运感区针刺为主结合盆底肌训练治疗女性轻中度压力性尿失禁疗效显著。

Objective It is to observe the clinical effect of acupuncture at foot movement sensory area combined with pelvic floor muscle training in the treatment of female mild to moderate stress urinary incontinence.Methods Sixty female patients with mild to moderate stress urinary incontinence treated in the fourth Department of Acupuncture and Moxibustion of the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from April 2019 to June 2020 were selected and randomly divided into treatment group and control group,30 cases in each group.The control group was only treated with pelvic floor muscle training,the treatment group was treated with acupuncture at foot motor sensory area plus pelvic floor muscle training,both groups were continuously for 8 weeks.The 1h pad test urine leakage,ICI-Q-SF scores,UDI scores before and after treatment and adverse reactions during treatment were observed in the two groups,and the clinical efficacy was compared between the two groups.Results The overall response rate of the treatment group was 86.7%(26/30),which was higher than 73.3%(22/30)in the control group,the difference showed a significant difference(P<0.05).After treatment,the 1h pad test urine leakage,ICI-Q-SF scores and UDI scores in the two group were significantly lower than those before treatment(all P<0.05),and the above indexes after treatment in the treatment group were obviously lower than those in the control group(all P<0.05).Conclusion Acupuncture at foot movement sensory area combined with pelvic floor muscle training is distinctly effective in the treatment of female mild to moderate stress urinary incontinence.