电针治疗轻中度女性压力性尿失禁的近远期疗效观察

Observation on Short-term and Long-term Therapeutic Effects of Electro-acupuncture on Mild and Moderate Stress Urinary Incontinence

目的观察电针和盆底肌功能锻炼治疗轻中度女性压力性尿失禁的近远期疗效。方法将符合纳入标准的患者分为治疗组(33例)和对照组(33例),以1 h尿垫试验、ICIQ-SF量表为观察指标,4周为1个疗程,1个月和6个月后分别进行近远期疗效评定。结果近期疗效:治疗组总有效率达93.94%,对照组总有效率达54.55%;治疗组的总有效率明显高于对照组(P<0.05)。远期疗效:治疗组痊愈患者结束治疗后不采取任何后续措施,6个月后随访,复发率13.33%;对照组坚持锻炼6个月的疗效优于锻炼1个月(P<0.05)。结论电针治疗轻中度女性压力性尿失禁起效快、见效显著、患者依从性高,有较好的近期和远期疗效,值得临床进一步推广。

Objective To observe the short- term and long- term therapeutic effect of electro- acupuncture and pelvic floor muscle exercise for treatment of mild and moderate female stress urinary incontinence. Methods Patients who were in accordance with the inclusive criteria were divided into treatment group( n = 33) and control group( n = 33). According to one hour pad test,ICIQ- SF,patients in the two groups took the treatment course for 4 weeks. Their therapeutic effects were evaluated after treatment for 1month and 6 months follow- up visit respectively. Results For the short- term therapeutic effect,the effective rate was 93. 94% in the treatment group and 54. 55% in the control group with a significant difference between two groups( P < 0. 05). For the long- term therapeutic effect,recurrence rate at 6 months of the recovery cases in treatment group was 13. 33%. The effective rate of pelvic floor muscle training for 6 months was much better than that of1 month( P < 0. 05). Conclusion Electro- acupuncture has immediate and significant effect,and high compliance on mild and moderate stress urinary incontinence. This treatment has satisfactory short- term and long- term therapeutic effect and deserves popularizing.