电针联合盆底肌训练治疗女性膀胱过度活动症的临床研究

Clinical study on electroacupuncture plus pelvic floor muscle training for female overactive bladder

目的观察电针联合盆底肌训练治疗女性膀胱过度活动症(overactive bladder,OAB)的临床疗效。方法将80例OAB的女性患者随机分为治疗组和对照组,每组40例。治疗组采用电针联合盆底肌训练治疗,对照组采用非穴假电针联合盆底肌训炼治疗。观察两组治疗前后24 h排尿次数、24 h夜尿次数、24 h尿急次数、24 h尿失禁次数、每次排尿量、膀胱过度活动症症状评分表(overactive bladder symptom score,OABSS)、膀胱状态患者感知(patient perception of bladder condition,PPBC)量表和尿失禁生活质量问卷(incontinence quality of life questionnaire,I-QOL)评分变化,并比较两组临床疗效。结果两组治疗后24 h排尿次数、24 h夜尿次数、24 h尿急次数、24 h尿失禁次数及单次排尿量较治疗前改善(P<0.05);且治疗组治疗后24 h尿急次数、24 h尿失禁次数及单次排尿量优于对照组(P<0.05)。两组治疗后OABSS评分、PPBC评分和I-QOL评分较治疗前降低(P<0.05);且治疗组低于对照组(P<0.05)。治疗组的总有效率为95.0%,高于对照组的85.0%(P<0.05)。结论电针联合盆底肌训练的联合治疗方法能明显改善OAB患者的尿频、尿急、夜尿多、尿失禁症状,增加排尿量,提高生活质量,其疗效较单一的盆底肌训练更显著。

Objective To observe the clinical efficacy of electroacupuncture plus pelvic floor muscle training for female overactive bladder(OAB).Method Eighty female OAB patients were randomized to treatment and control groups,with 40 cases in each group.The treatment group received electroacupuncture plus pelvic floor muscle training and the control group,sham electroacupuncture at non-points plus pelvic floor muscle training.The 24-hour number of voids,the 24-hour number of nocturnal voids,the 24-hour number of urinary urgencies,the 24-hour number of urinary incontinence,urine volume at one void,the overactive bladder symptom score(OABSS)score,the patient perception of bladder condition(PPBC)score and the incontinence quality of life questionnaire(I-QOL)score were observed in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result After treatment,the 24-hour number of voids,the 24-hour number of nocturnal voids,the 24-hour number of urinary urgencies,the 24-hour number of urinary incontinence and urine volume at one void were better in the two groups compared with before(P<0.05)and the 24-hour number of urinary urgencies,the 24-hour number of urinary incontinence and urine volume at one void were better in the treatment group than in the control group(P<0.05).After treatment,the OABSS score,the PPBC score and the I-QOL score decreased in the two groups compared with before(P<0.05)and were lower in the treatment group than in the control group(P<0.05).The total efficacy rate was 95.0%in the treatment group,which was higher than 85.0%in the control group(P<0.05).Conclusion Electroacupuncture plus pelvic floor muscle training as a combination treatment can markedly relieve the symptoms of urinary frequency,urgency,nocturia and urinary incontinence,increase urine volume at voids and improve the quality of life in OAB patients.Its therapeutic effect is more significant than that of pelvic floor muscle training alone.