温肾提气方联合家庭盆底肌训练模式治疗女性轻中度压力性尿失禁临床研究

Clinical Study on Kidney-warming and Qi-raising Prescription Combined with Home-based Pelvic Floor Muscle Training Exercises for Mild-to-moderate Stress Urinary Incontinence in Women

目的:观察中药联合家庭盆底肌训练模式治疗女性压力性尿失禁的临床疗效。方法:将轻中度压力性尿失禁患者60例随机分为2组,各30例,治疗组采用温肾提气方联合家庭盆底肌训练模式治疗,对照组采用凯格尔运动治疗;评价比较2组患者尿失禁问卷简表(ICI-Q-SF)评分、尿失禁生活质量量表(I-QOL)评分、1 h尿垫试验漏尿量以及临床疗效情况。结果:总有效率治疗组为96.67%,对照组为66.67%,2组比较,差异有统计学意义(P <0.05)。治疗后6个月、1年,2组ICI-Q-SF评分、1 h尿垫试验漏尿量均较治疗前降低(P <0.05),I-QOL评分较治疗前升高(P <0.05);且治疗组上述各项指标改善均优于对照组(P <0.05)。复发率治疗组为3.33%,对照组为33.33%,2组比较,差异有统计学意义(P <0.05)。结论:温肾提气方联合家庭盆底肌训练模式治疗女性压力性尿失禁疗效显著,可有效改善尿失禁程度,提高患者生活质量,可在基层医院推广应用。

Objective:To observe the clinical effect of Chinese medicine combined with home-based pelvic floor muscle training exercises for stress urinary incontinence in women.Methods:Divided 60 cases of patients with mild-to-moderate stress urinary incontinence into two groups randomly,30 cases in each group.The treatment group received warming kidney and raising qi prescription combined with home-based pelvic floor muscle training exercises,while the control group received Kegel exercises.Evaluated and analyzed scores of international consultation on incontinence questionnaire-urinary incontinence short form(ICI-Q-SF)and incontinence quality of life scale(I-QOL),the volume of leaked urine in 1-hour pad test and clinical effect of patients in both groups.Results:The total effective rate was 96.67%in the treatment group and66.67%in the control group,difference being significant(P<0.05).After treatment for 6 months and 1 year,the scores of ICI-Q-SF and the volume of leaked urine in 1-hour pad test in both groups were decreased when comparing with those before treatment(P<0.05),and the scores of I-QOL were higher than those before treatment(P<0.05);each index above in the treatment group was improved better than that in the control group(P<0.05).The recurrence rate was 3.33%in the treatment group and 33.33%in the control group,difference being significant(P<0.05).Conclusion:Kidney-warming and qi-raising prescription combined with home-based pelvic floor muscle training exercises has significant effect in treating stress urinary incontinence in women.It can effectively improve the degree of urinary incontinence and promote the quality of life,which can be promoted and applied in the primary-level hospitals.