目的:探讨八髎穴烧山火针刺联合补中益气汤治疗脾肾虚型轻、中度女性压力性尿失禁的临床疗效。方法:按随机数字表法将2021年1月-2023年12月重庆市中医院妇科收治的60例压力性尿失禁患者分为对照组和治疗组,每组30例。对照组予以补中益...目的:探讨八髎穴烧山火针刺联合补中益气汤治疗脾肾虚型轻、中度女性压力性尿失禁的临床疗效。方法:按随机数字表法将2021年1月-2023年12月重庆市中医院妇科收治的60例压力性尿失禁患者分为对照组和治疗组,每组30例。对照组予以补中益气汤加减治疗,治疗组加用八髎穴烧山火针刺法,两组患者均连续治疗8周。比较两组临床疗效、尿失禁评分、临床相关指标和生活质量、安全性。结果:治疗后,治疗组总有效率高于对照组,总漏尿次数、总排尿次数均少于对照组,总排尿量大于对照组,综合评分低于对照组,差异均有统计学意义(均P<0.05)。治疗后,治疗组1 h尿垫试验漏尿量少于对照组,膀胱颈移动度、膀胱尿道后角均小于对照组,盆膈裂孔左右径、前后径及面积均小于对照组,差异均有统计学意义(均P<0.05)。治疗后,治疗组生活质量测定量表(Quality of Life-Brief Scale,QOL-BREF)各项评分均高于对照组,差异有统计学意义(P<0.05)。两组治疗期间均未见明显不良反应。结论:脾肾虚型轻、中度女性压力性尿失禁患者采用八髎穴烧山火针刺联合补中益气汤治疗疗效显著,有助于增强患者盆底肌力,减轻尿失禁各临床症状,提高患者生活质量,对促进患者预后恢复具有重要作用,值得推广应用。展开更多
Objective:This clinical study was performed to examine the influence of heat-producing acupuncture(HPA)treatment on the local skin temperature of Zusanli(足三里ST36)acupoint in healthy participants.Methods:30 healthy ...Objective:This clinical study was performed to examine the influence of heat-producing acupuncture(HPA)treatment on the local skin temperature of Zusanli(足三里ST36)acupoint in healthy participants.Methods:30 healthy participants received four successive sessions of heat-producing acupuncture(HPA),non-acupoint HPA(NAHPA),normal stable acupuncture(Norm)and non-invasive sham acupuncture(Sham)on the ST36 acupoint in random order.Within each treatment session,the local skin temperature of ST36 acupoint and basal body temperature of each participant were measured at 1 min before needle insertion(T1 B),just after needle insertion and manipulation(T0),5 min after needle insertion(T5)and 5 min after needle removal(T5 A).Visual Analogue Scale(VAS)scores of the participants’perceived needling and heat sensation felt during the acupuncture treatment period(T0-T5)were also recorded on a scale of 1 to 10.Results:Intra-session group statistical analyses of the different time points in the HPA treatment session group demonstrates that ST36 local skin temperature remained relatively stable between T1 B and T0,increased significantly between T0 and T5 and decreased significantly between T5 and T5 A.For intersession group statistical analysis of all treatment session groups,the increase in local skin temperature of ST36 acupoint between T0 and T5 in the HPA treatment session group was significantly higher than those of the NAHPA treatment session group(P<0.01),Norm treatment session group(P<0.01)and Sham treatment session group(P<0.01).The decrease in local skin temperature of ST36 acupoint between T5 and T5 A in the HPA treatment session group was also significantly more than those of NAHPA treatment session group(P<0.05),Norm treatment session group(P<0.01)and Sham treatment session group(P<0.001).Conclusion:Our study provides evidence that HPA treatment performed significantly better than the other three treatments in elevating the local skin temperature of ST36 acupoint temporarily.Our results also align with those of many previous clinical studies on HPA and related acupuncture manipulations.展开更多
文摘目的:探讨八髎穴烧山火针刺联合补中益气汤治疗脾肾虚型轻、中度女性压力性尿失禁的临床疗效。方法:按随机数字表法将2021年1月-2023年12月重庆市中医院妇科收治的60例压力性尿失禁患者分为对照组和治疗组,每组30例。对照组予以补中益气汤加减治疗,治疗组加用八髎穴烧山火针刺法,两组患者均连续治疗8周。比较两组临床疗效、尿失禁评分、临床相关指标和生活质量、安全性。结果:治疗后,治疗组总有效率高于对照组,总漏尿次数、总排尿次数均少于对照组,总排尿量大于对照组,综合评分低于对照组,差异均有统计学意义(均P<0.05)。治疗后,治疗组1 h尿垫试验漏尿量少于对照组,膀胱颈移动度、膀胱尿道后角均小于对照组,盆膈裂孔左右径、前后径及面积均小于对照组,差异均有统计学意义(均P<0.05)。治疗后,治疗组生活质量测定量表(Quality of Life-Brief Scale,QOL-BREF)各项评分均高于对照组,差异有统计学意义(P<0.05)。两组治疗期间均未见明显不良反应。结论:脾肾虚型轻、中度女性压力性尿失禁患者采用八髎穴烧山火针刺联合补中益气汤治疗疗效显著,有助于增强患者盆底肌力,减轻尿失禁各临床症状,提高患者生活质量,对促进患者预后恢复具有重要作用,值得推广应用。
文摘Objective:This clinical study was performed to examine the influence of heat-producing acupuncture(HPA)treatment on the local skin temperature of Zusanli(足三里ST36)acupoint in healthy participants.Methods:30 healthy participants received four successive sessions of heat-producing acupuncture(HPA),non-acupoint HPA(NAHPA),normal stable acupuncture(Norm)and non-invasive sham acupuncture(Sham)on the ST36 acupoint in random order.Within each treatment session,the local skin temperature of ST36 acupoint and basal body temperature of each participant were measured at 1 min before needle insertion(T1 B),just after needle insertion and manipulation(T0),5 min after needle insertion(T5)and 5 min after needle removal(T5 A).Visual Analogue Scale(VAS)scores of the participants’perceived needling and heat sensation felt during the acupuncture treatment period(T0-T5)were also recorded on a scale of 1 to 10.Results:Intra-session group statistical analyses of the different time points in the HPA treatment session group demonstrates that ST36 local skin temperature remained relatively stable between T1 B and T0,increased significantly between T0 and T5 and decreased significantly between T5 and T5 A.For intersession group statistical analysis of all treatment session groups,the increase in local skin temperature of ST36 acupoint between T0 and T5 in the HPA treatment session group was significantly higher than those of the NAHPA treatment session group(P<0.01),Norm treatment session group(P<0.01)and Sham treatment session group(P<0.01).The decrease in local skin temperature of ST36 acupoint between T5 and T5 A in the HPA treatment session group was also significantly more than those of NAHPA treatment session group(P<0.05),Norm treatment session group(P<0.01)and Sham treatment session group(P<0.001).Conclusion:Our study provides evidence that HPA treatment performed significantly better than the other three treatments in elevating the local skin temperature of ST36 acupoint temporarily.Our results also align with those of many previous clinical studies on HPA and related acupuncture manipulations.
