摘要
目的:观察三伏天针刺、龟板灸联合盆底肌训练治疗女性压力性尿失禁的临床效果。方法:将71例患者随机分为2组,观察组(36例)采用针刺中极、子宫、尺泽等穴,并于神阙穴施行龟板灸,联合盆底肌训练治疗;对照组(35例)单纯采用盆底肌训练方法。观察两组症状疗效,并采用国际尿失禁咨询委员会问卷简表(ICI-Q-SF)和健康调查简表(SF-36)对治疗前后进行积分评估,并与正常组(35例)进行SF-36积分比较。结果:观察组总有效率为91.7%,高于对照组的77.1%(P<0.05);压力性尿失禁患者SF-36各维度值明显低于正常组(均P<0.05);观察组和对照组治疗后,ICI-Q-SF评分均明显降低,SF-36积分明显升高;在生理功能、身体疼痛、活力、社会功能和情感职能方面,观察组改善更为显著(均P<0.05)。结论:女性压力性尿失禁患者可能存在生活质量低下;三伏天针刺、龟板灸联合盆底肌训练改善尿失禁症状的同时,可提高患者生活质量。
Objective To observe the clinical effect of dog-day acupuncture and tortoise-shell moxibustion combined with pelvic floor muscle exercises for treatment of female stress urinary incontinence. Methods Seventy one cases were randomly divided into two groups. Thirty six cases in the observation group were treated with acupuncture on Zbongji （CV3）, Zigong （EX-CA1）, Cbize （LU5） combined with pelvic floor muscle exercises; while thirty five etc. and tortoise-shell moxibustion on Shenque （CV8） cases in the control group were treated with only pelvic floor muscle exercises. The scores of the International Consultation Committee on Incontinence Questionnaire Short Form （ICI-Q-SF） and the Medical Outcomes Survey Short Form-36 （SF-36） were evaluated before and after treatment, and the scores of SF-36 were also compared with 35 cases in normal group. Results The total effective rate of 91.7% in the observation group was higher than that of 77.1% in the control group （P〈0.05）. The dimensions of SF-36 of stress urinary incontinence patients were remarkably lower than those of normal group （all P〈0.05）. The scores of ICI Q-SF were decreased while the scores of SF-36 were increased obviously after treatment in both the observation group and the control group, there were pronounced improvements on physiological function, pain, physical activity, social function and affection＇function in the observation group （all P〈0.05）. Conclusion The quality of life for female stress urinary incontinence patients may be poor, however the dog-day acupuncture and tortoiseshell moxibustion combined with pelvic floor muscle exercises can improve the symptoms of urinary incontinence and increase the quality of life of patients.
出处
《中国针灸》
CAS
CSCD
北大核心
2009年第11期879-883,共5页
Chinese Acupuncture & Moxibustion
关键词
尿失禁
压力性
针灸疗法
时间因素
自体锻炼
Urinary Incontinence, Stress
Acupuncture-Moxibustion
Time Factors
Autogenic Training
