针刺联合盆底肌训练治疗产后压力性尿失禁临床研究

Clinical Study on Acupuncture Combined with Pelvic Floor Muscle Training Exercises for Postpartum Stress Urinary Incontinence

目的:观察针刺联合盆底肌训练治疗产后压力性尿失禁的临床疗效。方法:选取100例产后压力性尿失禁患者为研究对象,按随机数字表法分为观察组和对照组,每组50例。对照组采用盆底肌训练治疗,观察组在此基础上增加针刺疗法。治疗后评估临床疗效,记录2组治疗前后尿垫实验阳性率,观察2组治疗前后排尿评分、尿失禁问卷调查表(ICI-Q-SF)评分的变化。结果:观察组治疗总有效率92.0%,高于对照组的76.0%,2组比较,差异有统计学意义(P <0.05)。治疗后,2组尿垫实验阳性率均较治疗前降低(P <0.05),观察组尿垫实验阳性率低于对照组(P <0.05)。治疗后,2组排尿评分及盆底肌肉肌电位值均较治疗前改善(P <0.05),观察组排尿评分及盆底肌肉肌电位值改善程度均优于对照组(P <0.05)。治疗后,2组ICI-Q-SF评分均较治疗前降低(P <0.05),观察组ICI-Q-SF评分低于对照组(P <0.05)。结论:针刺联合盆底肌训练治疗产后压力性尿失禁临床效果显著,能减少尿失禁发生次数,增强盆底肌肉力量。

Objective: To observe the clinical effect of acupuncture combined with pelvic floor muscle training exercises for postpartum stress urinary incontinence. Methods: One hundred of patients with postpartum stress urinary incontinence were selected as study subjects,and were divided into the observation group and the control group according to the random number table method,with 50 patients in each group. Patients in the control group did pelvic floor muscle training exercises,and those in the observation group were additionally treated with acupuncture based on the treatment of the control group.The clinical effect was evaluated after treatment;the positive rate of urinary pad test was recorded, and the changes in the urination scores and the scores of International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF) were observed before and after treatment in the two groups. Results: The total effective rate was 92.0% in the observation group,higher than that of 76.0% in the control group, the difference being significant(P < 0.05). After treatment, the positive rate of urinary pad test in the two groups were decreased when compared with those before treatment(P< 0.05),and that in the observation group was lower than that in the control group(P < 0.05). After treatment, the urination scores and the potential value of pelvic floor muscle in the two groups were improved when compared with those before treatment(P < 0.05), and the improvement of the above indexes in the observation group was superior to that in the control group(P < 0.05). After treatment, scores of ICI-Q-SF in the two groups were decreased when compared with those before treatment(P < 0.05).and that in the observation group was lower than that in the control group(P< 0.05). Conclusion: The therapy of acupuncture combined with pelvic floor muscle training exercises has significant effect in treating postpartum stress urinary incontinence,which can reduce the frequency of urinary incontinence and enhance the strength of pelvic floor muscles.