八髎穴埋线治疗女性产后压力性尿失禁的临床效果

Clinical Effect of Baliao Point Catgut Embedding in the Treatment of Female Postpartum Stress Urinary Incontinence

目的观察八髎穴埋线对女性产后压力性尿失禁(stress urinary incontinence,SUI)的临床疗效。方法选取2021年8月—2023年8月在福建省中医药科学院综合门诊部治疗的60例产后SUI患者为研究对象。按随机数字表法分为功能训练组、电刺激组及埋线组,每组20例。功能训练组进行常规盆底肌训练治疗,埋线组进行八髎穴埋线结合盆底肌功能训练,电刺激组进行电刺激-生物反馈结合盆底肌功能训练,治疗时间总计8周。3组治疗前后均采用盆底肌表面肌电检测、手检盆底肌肌力评估、国际尿失禁咨询委员会尿失禁问卷表简表(international consultation on incontinence questionnaire,ICIQ-SF)评分及1 h尿垫试验的漏尿量数据进行疗效评价。结果快肌阶段,3组受试者治疗前后的盆底肌表面肌电值数比较,差异无统计学意义(P>0.05);慢肌阶段,3组受试者治疗前盆底肌表面肌电值数比较,差异无统计学意义(P>0.05);治疗后,埋线组、电刺激组和功能训练组盆底肌表面肌电值分别为(35.485±8.326)μV、(32.915±7.893)μV、(28.635±4.879)μV,差异有统计学意义(P<0.05)。治疗前,3组1 h尿垫试验漏尿量及ICIQ-SF量表评分比较,差异无统计学意义(P>0.05);治疗后,3组1 h尿垫试验漏尿量、差值以及ICIQ-SF评分、差值比较,差异有统计学意义(P<0.05)。结论八髎穴埋线在治疗女性产后SUI方面有助于提高盆底肌肌力,能够显著缓解患者尿失禁症状。

Objective To observe the clinical effect of Baliao point catgut embedding in the treatment of female postpartum stress urinary incontinence(SUI).Methods A total of 60 patients with postpartum SUI treated in the department of comprehensive outpatient,Fujian Academy of Chinese Medical Sciences from August 2021 to August 2023 were selected as the study objects.They were divided into functional training group,electrical stimulation group and catgut embedding group according to random number table method,with 20 cases in each group.The functional training group received routine pelvic floor muscle training treatment,the catgut embedding group received Baliao point catgut embedding combined with pelvic floor muscle function training,and the electrical stimulation group received electrical stimulation-biofeedback combined with pelvic floor muscle function training.The total treatment time was 8 weeks.The efficacy was evaluated by manual pelvic floor muscle strength assessment,pelvic floor muscle surface electromyography screening,international consultation on incontinence questionnaire(ICIQ-SF)score,and 1 h pad test data before and after treatment in the three treatment groups.Results In the fast muscle stage,there was no statistical significance in the surface electromyography value of pelvic floor muscle before and after treatment among the 3 groups(P>0.05).In the slow muscle stage,there was no statistical significance in the surface of surface electromyography values of pelvic floor muscle before treatment among 3 groups(P>0.05).After treatment,the surface electromyography values of pelvic floor muscle in the catgut embedding group,the electrical stimulation group and the functional training group were(35.485±8.326)μV,(32.915±7.893)μV,(28.635±4.879)μV,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the amount of urine leakage in the 1 h pad test and ICIQ-SF scale score among 3 groups(P>0.05).After treatment,the urine leakage of 1 h urine pad test and difference value,the ICIQ-SF score and difference value among 3 groups,the differences were statistically significant(P<0.05).Conclusion Baliao point catgut embedding is helpful in improving pelvic floor muscle strength in the treatment of female postpartum SUI,significantly relieving patients'incontinence symptoms.