益气固脱方联合生物反馈电刺激对脾肾亏虚型轻中度压力性尿失禁的临床疗效观察

发布时间：2018-03-01 22:24

本文关键词： 益气固脱方生物反馈电刺激压力性尿失禁脾肾亏虚型　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过观察患者平均24h尿失禁次数、1h尿垫试验漏尿量、ICIQ-SF量表、中医证候评分、盆底肌力的变化,探讨益气固脱方联合生物反馈电刺激治疗脾肾亏虚型轻中度压力性尿失禁的临床效果。方法:选择确诊为轻中度压力性尿失禁,同时符合中医脾肾亏虚证型的患者59例,随机分为试验组30例,对照组29例,试验过程中对照组脱落1例。试验组给予益气固脱方联合生物反馈电刺激治疗1个疗程,对照组给予单一生物反馈电刺激同样治疗1个疗程。分别对两组治疗前后的各疗效指标进行自身前后比较和组间比较。结果:治疗后试验组总有效率为90.00%,对照组为67.86%,差异有统计学意义(P0.05);两组治疗后平均24h尿失禁次数均较治疗前明显减少(P0.05),其中试验组减少幅度显著高于对照组(P0.05);在减少1h尿垫试验漏尿量方面,两组治疗后均较治疗前明显减少,其中试验组减少量明显高于对照组(P0.05);在降低ICIQ-SF量表积分方面,两组无显著差异(P0.05),在改善中医证候评分方面试验组明显优于对照组(P0.05);盆底肌力评价指标包括最大收缩力与收缩持续时间,经统计分析,两组患者盆底肌最大收缩力及收缩持续时间在治疗后均获得明显改善(P0.05),且试验组改善情况优于对照组(P0.05)。两组试验过程中均无不良反应及肝损害、肾损害等毒副作用。治疗结束3个月后随访,两组复发率无显著差异。结论:益气固脱方联合生物反馈电刺激治疗脾肾亏虚型轻中度压力性尿失禁疗效显著,并且具有安全、无副作用的优势。
[Abstract]:Objective: to observe the changes of ICIQ-SF scale, TCM syndromes score and pelvic floor muscle strength by observing the average 24 h incontinence times and 1 hour urine pad test leakage volume (ICIQ-SF). To explore the clinical effect of Yiqi Gu Tu Fang combined with biofeedback electric stimulation on mild and moderate stress urinary incontinence of deficiency of spleen and kidney. Methods: 59 patients with mild to moderate stress urinary incontinence were selected. They were randomly divided into experimental group (n = 30), control group (n = 29) and control group (n = 1). The control group was treated with single biofeedback electric stimulation for the same course of treatment. The efficacy indexes before and after treatment in the two groups were compared before and after treatment. Results: after treatment, the total effective rate of the experimental group was 90.005, while that of the control group was 90.00. The average 24 hours urinary incontinence in both groups was significantly lower than that before treatment, and the decrease in the test group was significantly higher than that in the control group (P 0.05). After treatment, both groups were significantly reduced than before, and the decrease in the test group was significantly higher than that in the control group (P 0.05), and in terms of reducing the score of ICIQ-SF scale, there was no significant difference between the two groups. There was no significant difference between the two groups in improving the score of TCM syndromes, the experimental group was better than the control group in improving the score of TCM syndromes, and the evaluation index of pelvic floor muscle strength included the maximum contractility and the duration of contraction, which were statistically analyzed. The maximal contractility and the duration of contraction of pelvic floor muscle in both groups were significantly improved after treatment, and the improvement in the test group was better than that in the control group (P 0.05). There were no adverse reactions and liver damage in both groups. There was no significant difference in recurrence rate between the two groups after 3 months follow-up. Conclusion: Yiqi Gu Tu Fang combined with biofeedback electric stimulation is effective and safe in the treatment of mild and moderate stress urinary incontinence with deficiency of spleen and kidney. Advantages of no side effects.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R711.59

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