横骨三针联合盆底肌训练治疗轻中度女性压力性尿失禁的临床研究

Clinical Study of Transversum Three Needles Acupuncture Combined with Pelvic Floor Muscle Training in Treatment of Mild to Moderate Female Stress Urinary Incontinence

目的:探讨横骨三针联合盆底肌训练治疗轻中度女性压力性尿失禁的临床疗效。方法:将66例轻中度女性压力性尿失禁患者随机分为观察组和对照组。对照组采用盆底肌训练;观察组在对照组治疗的基础上增加横骨三针针法治疗。观察治疗前后及治疗4周、8周的72 h漏尿频次、1 h漏尿量、汉密尔顿抑郁量表(HAMD)和国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分的变化。结果:两组HAMD评分、ICI-Q-SF量表评分较治疗前均降低,漏尿频次、漏尿量较治疗前均有所改善,观察组结局指标改善情况及疗效优于对照组,在治疗8周后各项指标及疗效更为显著。结论:横骨三针联合盆底肌训练可在一定程度上改善轻中度女性压力性尿失禁患者的临床症状及焦虑情绪,提高患者生活质量。

Objective:To explore the clinical efficacy of transversum three needles acupuncture combined with pelvic floor muscle training in treatment of mild to moderate female stress urinary incontinence.Methods:66 cases of mild to moderate female stress urinary incontinence were randomly divided into the observation group and the control group.The control group was treated with pelvic floor muscle training;on which basis,the observation group was also treated with transversum three needles acupuncture.The changes in frequency of 72 h urine leakage,1 h urine leakage,scores of HAMD and ICI-Q-SF were observed before the treatment,after 4 weeks and after 8 weeks of treatment.Results:The scores of HAMD and ICI-Q-SF were lower after the treatment than those before the treatment,and the frequency and volume of urine leakage were improved after the treatment compared with those before the treatment;of which the improvements and efficacy were more significant in the observation group than those in the control group,the improvements and the efficacy were more significant after 8 weeks of treatment.Conclusion:Transversum three needles acupuncture combined with pelvic floor muscle training can improve the clinical symptoms and anxiety of the female patients with mild to moderate stress urinary incontinence,and it can improve life quality of the patients.