补中益气汤加减联合生物反馈电刺激治疗女性压力性尿失禁的增效作用

Buzhong Yiqi Decoction Combined with Biofeedback Electrical Stimulation Therapy Synergistic Effect of Stress Urinary Incontinence in Women

目的:观察补中益气汤加减联合生物反馈电刺激治疗女性压力性尿失禁的治疗效果,评价补中益气汤的增效作用。方法:将2022.10~2023.5在金山区中西医结合医院妇科接受治疗的符合纳入条件的女性压力性尿失禁患者60例,随机分成2组,观察组和对照组。观察组30例采用补中益气汤加减联合生物反馈电刺激治疗,对照组30例单纯采用生物反馈电刺激治疗,两组疗程均为一个月。疗程结束后观察两组患者盆底肌电位评分、尿失禁评分、中医症候评分改善情况,以及两组总有效率有无差异。6个月后随访,观察两组患者复发率有无差异。结果:疗程结束后,观察组阴道盆底肌电位综合评分明显高于对照组、观察组尿失禁ICI-Q-SF评分明显低于对照组,观察组中医症候评分明显低于对照组,观察组总有效率明显高于对照组。6个月后随访,观察组患者复发率明显低于对照组,观察组中医症候评分明显低于对照组。结论:补中益气汤联合盆底生物反馈电刺激治疗女性压力性尿失禁,能明显增加女性压力性尿失禁的治疗效果,且复发率低,疗效具有长期稳定性。

Objective: This paper aims to observe the therapeutic effect of Buzhong Yiqi Decoction combined with biofeedback electrical stimulation in the treatment of female stress urinary incontinence, and evaluate the synergistic effect of Buzhong Yiqi Decoction. Methods: A total of 60 female patients with stress urinary incontinence who received treatment in the gynecology department of Jinshan District Hospital of Integrated Chinese and Western Medicine from 2022.10 to 2023.5 were randomly divided into 2 groups, observation group and control group. Observation group 30 cases were treated with Buzhong Yiqi decoction combined with biofeedback electrical stimulation, control group 30 cases were treated with biofeedback electrical stimulation alone, and the course of treatment of both groups was one month. After treatment, the improvement of pelvic floor muscle potential score, urinary incontinence score, TCM symptom score and total effective rate between the two groups were observed. 6 months later, the two groups were followed up to observe whether the recurrence rate was different. Results: After treatment, the comprehensive score of vaginal pelvic floor muscle potential in the observation group was significantly higher than that in the control group, the score of incontinence ICI-Q-SF in the observation group was significantly lower than that in the control group, the score of TCM syndrome in the observation group was significantly lower than that in the control group, and the total effective rate in the observation group was significantly higher than that in the control group. After 6 months of follow-up, the recurrence rate of patients in the observation group was significantly lower than that in the control group, and the TCM symptom score in the observation group was significantly lower than that in the control group. Conclusion: Buzhong Yiqi Decoction combined with pelvic floor biofeedback electrical stimulation can significantly increase the therapeutic effect of female stress urinary incontinence, and the recurrence rate is low, and the curative effect has long-term stability.