带脉姜药灸联合盆底肌训练治疗女性压力性尿失禁的临床观察

Clinical Observation on Female Stress Urinary Incontinence Treated by Ginger Moxibustion With Pulse and Pelvic Floor Muscle Training

目的:探讨带脉姜药灸联合盆底肌训练治疗女性压力性尿失禁的临床效果。方法:选取本院2021年3月~2022年3月收治的82例女性压力性尿失禁患者,按照随机数字表法分为对照组和观察组各41例。对照组采用盆底肌训练治疗,观察组在对照组基础上联合带脉姜药灸治疗。对比观察两组患者治疗前后1h尿垫试验漏尿量、平均24h漏尿频次、ICI-QSF量表评分以及盆底表面肌电值。结果:治疗后,两组患者的1h尿垫试验漏尿量、平均24h漏尿频次、ICI-QSF量表评分均较治疗前降低(P<0.05),且观察组治疗后的1h尿垫试验漏尿量、平均24h漏尿频次、ICI-QSF量表评分均低于对照组(P<0.05)。治疗后,两组患者的盆底表面肌电值(快收最大值、紧收均值、耐受均值)均较治疗前提高(P<0.05),且观察组治疗后的快收最大值、紧收均值、耐受均值均高于对照组(P<0.05)。结论:带脉姜药灸联合盆底肌训练可改善女性压力性尿失禁漏尿情况,提高盆底肌肉肌纤维肌力。

Objective:To explore the clinical effect of ginger moxibustion with pulse combined with pelvic floor muscle training in the treatment of female stress urinary incontinence.Methods:82 female patients with stress urinary incontinence treated in our hospital from March 2021 to March 2022 were randomly divided into control group and observation group with 41 cases in each group.The control group was treated with pelvic floor muscle training,and the observation group was treated with ginger moxibustion with pulse on the basis of the control group.The amount of urine leakage in 1H urine pad test,the average frequency of urine leakage in 24h,the score of ici-qsf scale and the EMG value of pelvic floor surface were observed and compared between the two groups before and after treatment.Results:after treatment,the amount of urine leakage in 1H pad test,the average frequency of urine leakage in 24h and the score of ici-qsf in the two groups were lower than those before treatment(P<0.05),and the amount of urine leakage in 1H pad test,the average frequency of urine leakage in 24h and the score of ici-qsf in the observation group were lower than those in the control group(P<0.05).After treatment,the pelvic floor surface electromyogram values(maximum value of rapid contraction,mean value of tight contraction and mean value of tolerance)of the two groups were higher than those before treatment(P<0.05),and the maximum value of rapid contraction,mean value of tight contraction and mean value of tolerance in the observation group were higher than those in the control group(P<0.05).Conclusion:Ginger Moxibustion with pulse combined with pelvic floor muscle training can improve the leakage of female stress urinary incontinence,and improve the muscle fiber strength of pelvic floor muscle.