培补肾气针法联合温针灸治疗脾肾阳虚型女性压力性尿失禁的临床研究

Clinical Study on Acupuncture for Tonifying Kidney-Qi Combined with Needle-Warming Moxibustion in Treatment of Female Stress Urinary Incontinence with Yang Deficiency of Spleen and Kidney

目的:探讨培补肾气针法联合温针灸治疗女性压力性尿失禁(SUI)的疗效。方法:选取本院治疗的SUI女性患者60例,采用区组随机法分为对照组30例和观察组30例,对照组给予温针灸疗法,观察组在此基础联合培补肾气针法,对比两组治疗后临床疗效、治疗前后中医症候积分、ICIQ-SF评分、1 h尿垫量、I-QOL评分及凝血功能指标水平变化。结果:治疗3周、6周后两组ICIQ-SF评分、1 h尿垫量及I-QOL评分与治疗前比较改善明显,差异具有统计学意义(P<0.05),观察组改善更显著(P<0.05);观察组治疗后临床疗效更为明显,差异具有统计学意义(P<0.05);治疗6周后两组中医症候积分全部出现了明显的降低,差异具有统计学意义(P<0.05),且观察组改变幅度更为显著,差异具有统计学意义(P<0.05);相较于治疗前,两组治疗6周后APTT、PT和Fbg水平出现了明显的改善情况,差异具有统计学意义(P<0.05),且观察组具有更好的改善情况,差异具有统计学意义(P<0.05)。结论:采用培补肾气针法联合温针灸治疗SUI具有较好的疗效。

Objective:To investigate the effect of acupuncture for tonifying Kidney-Qi combined with needle-warming moxibustion in treatment of female stress urinary incontinence(SUI).Methods:60 female patients with SUI were randomly divided into the control group(n=30)and the observation group(n=30).The control group was treated with needle-warming moxibustion;on which basis,the observation group was also treated with acupuncture for tonifying Kidney-Qi.Clinical efficacy,TCM symptom score,ICIQ-SF score,1h urine pad volume,I-QOL score and coagulation function index were compared between the two groups after the treatment.Results:ICIQ-SF score,1h urine pad volume and I-QOL score were significantly improved after 3 weeks and 6 weeks of treatment compared with those before the treatment in the two groups(P<0.05),and the improvements were more significant in the observation group than those in the control group(P<0.05).The curative effect of the observation group was obviously higher than that of the control group(P<0.05).The TCM main symptoms score,the secondary symptoms score and the total score were significantly decreased after 6 weeks of treatment in the two groups(P<0.05),and the decreases were more significant in the observation group than those in the control group(P<0.05).The levels of APTT,PT and Fbg were significantly improved after 6 weeks of treatment than those before the treatment in the two groups(P<0.05),and the improvements were more significant in the observation group than those in the control group(P<0.05).Conclusion:Acupuncture for tonifying Kidney-Qi combined with needle-warming moxibustion has a good therapeutic effect in treatment of SUI.