雷火灸联合盆底训练治疗产后虚寒型压力性尿失禁的疗效观察

Observation of Thunder Fire Moxibustion and Pelvic Floor Training in Treating the Postpartum Deficiency-cold Stress Incontinence

目的研究雷火灸联合盆底训练在产后虚寒型压力性尿失禁中的干预价值。方法便利选取2022年1月—2023年5月韶州人民医院收治的96例产后虚寒型压力性尿失禁患者为研究对象,以不同治疗方法分为盆底训练组(盆底训练)、雷火灸组(雷火灸)与联合组(雷火灸联合盆底训练),各32例。对比3组患者盆底肌收缩能力、生活质量评分、体质虚寒程度、治疗效果。结果治疗后,联合组患者盆底肌收缩能力优于盆底训练组与雷火灸组,差异有统计学意义(P<0.05)。治疗前,3组国际尿失禁咨询委员会问卷简表评分、体质虚寒程度评分相比,差异无统计学意义(P均>0.05);治疗后,3组国际尿失禁咨询委员会问卷简表评分、体质虚寒程度评分均降低,且联合组评分低于盆底训练组与雷火灸组,差异有统计学意义(P均<0.05)。联合组治疗总有效率为100.00%(32/32),高于盆底训练组的81.25%(26/32)与雷火灸组的84.38%(27/32),差异有统计学意义(χ^(2)=6.366,P=0.042)。结论产后虚寒型压力性尿失禁患者接受雷火灸联合盆底训练治疗后,可提高其盆底肌收缩能力与治疗效果,改善其生活质量与虚寒程度。

Objective To study the intervention value of thunder fire moxibustion combined with pelvic floor training in postpartum deficiency-cold stress incontinence.Methods From January 2022 to May 2023,96 patients with stress urinary incontinence of postpartum deficiency-cold type admitted to Shaozhou People's Hospital were conveniently se⁃lected as the research objects.According to different treatment methods,they were divided into pelvic floor training group(pelvic floor training),thunder fire moxibustion group(thunder fire moxibustion)and combined group(thunder fire moxibustion combined with pelvic floor training),32 cases in each group.The pelvic floor muscle contraction abil⁃ity,quality of life score,physical deficiency cold degree and treatment effect of the three groups were compared.Re⁃sults After treatment,the pelvic floor muscle contraction ability of the combined group was better than that of the pel⁃vic floor training group and the thunder fire moxibustion group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of the International Urinary Incontinence Advisory Committee Questionnaire Short Form and the degree of physical deficiency cold among the three groups(both P>0.05).After treatment,the scores of the International Urinary Incontinence Advisory Committee Questionnaire Short Form and the scores of physical deficiency cold in the three groups decreased,and the scores in the combined group were lower than those in the pelvic floor training group and the thunder fire moxibustion group,and the differ⁃ences were statistically significant(all P<0.05).The total effective rate of treatment in the combined group was 100.00%(32/32),which was higher than 81.25%(26/32)in the pelvic floor training group and 84.38%(27/32)in the thunder fire moxibustion group,and the difference was statistically significant(χ^(2)=6.366,P=0.042).Conclusion Pa⁃tients with postpartum deficiency-cold stress urinary incontinence can improve their pelvic floor muscle contraction ability and therapeutic effect,and improve their quality of life and deficiency-cold degree after receiving thunder-fire combined with pelvic floor training.