隔姜温和灸联合盆底肌训练及生物反馈电刺激治疗产后压力性尿失禁33例

Ginger-Separated Mild Moxibustion Combined with Pelvic Floor Muscle Training and Biofeedback Electrical Stimulation in Treatment of Postpartum Stress Urinary Incontinence in 33 Cases

目的观察隔姜温和灸联合盆底肌训练及生物反馈电刺激治疗产后压力性尿失禁(PSUI)的疗效。方法选取2021年6月—2022年6月于福建中医药大学附属人民医院整合盆底医学中心就诊的PSUI患者66例,采用SPSS 26.0软件生成随机序列和信封法分为对照组和观察组,每组33例。对照组进行盆底肌训练、生物反馈电刺激和健康教育,观察组在对照组治疗基础上联合八髎穴隔姜温和灸,每次30 min,隔日1次,2组均连续干预10次。比较2组治疗前后1 h漏尿量、尿道内口漏斗形成率和泌尿生殖障碍量表简表(UDI-6)评分,比较2组治疗前后和治疗后1个月尿失禁生活质量问卷(I-QOL)评分。结果与治疗前比较,2组治疗后1 h漏尿量、UDI-6评分均明显降低(P<0.05),治疗后和治疗后1个月I-QOL评分明显升高(P<0.05);观察组治疗后尿道内口漏斗形成率明显降低(P<0.05)。与对照组比较,观察组治疗后1 h漏尿量和UDI-6评分均明显降低(P<0.05),治疗后和治疗后1个月I-QOL评分明显升高(P<0.05)。结论隔姜温和灸能有效改善PSUI患者漏尿量,减轻尿失禁症状,提高生活质量,促进产后盆底功能康复。

Objective:To observe the therapeutic efficacy of ginger-separated mild moxibustion combined with pelvic floor muscle training and biofeedback electrical stimulation in treatment of postpartum stress urinary incontinence(PSUI).Methods:A total of 66 PSUI patients admitted to the center for pelvic floor medicine of the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from June 2021 to June 2022 were selected and randomly divided into control group and observation group,with 33 cases in each group.The control group received pelvic floor muscle training,biofeedback electrical stimulation,and health education.The observation group was treated Baliao acupoint with ginger-separated mild moxibustion for 30 minutes each time,once every other day,in addition to the treatment received by the control group.Both groups received 10 consecutive interventions.The 1-h urine leakage volume,the occurrence rate of internal urethral orifice funnel,and the urogenital disorders inventory-6(UDI-6)scores were observed between the two groups before and after treatment,as well as the incontinence quality of life questionnaire(IQOL)scores before and after treatment and one month after treatment.Results:Compared with those before treatment,the 1-hour urine leakage volume and UDI-6 scores significantly decreased in both groups after treatment(P<0.05),while the I-QOL scores significantly increased after treatment and 1 month after treatment(P<0.05);the occurrence rate of internal urethral orifice funnel in the observation group significantly decreased after treatment(P<0.05).Compared with the control group,the 1-hour urine leakage volume and UDI-6 scores significantly decreased in the observation group after treatment(P<0.05),while the I-QOL scores significantly increased after treatment and 1 month after treatment(P<0.05).Conclusion:Ginger-separated mild moxibustion can effectively improve urinary leakage volume in PSUI patients,alleviate urinary incontinence symptoms,improve quality of life,and promote rehabilitation of postpartum pelvic floor function.