热敏灸联合Kegel锻炼疗法治疗女性压力性尿失禁疗效观察

发布时间：2018-01-12 17:35

本文关键词：热敏灸联合Kegel锻炼疗法治疗女性压力性尿失禁疗效观察　出处：《针刺研究》2017年04期 　论文类型：期刊论文

【摘要】：目的:比较热敏灸联合Kegel锻炼疗法和单纯Kegel锻炼疗法治疗女性压力性尿失禁的临床疗效差异。方法:将45例女性压力性尿失禁患者随机分为治疗组23例和对照组22例。两组均采用Kegel锻炼疗法,治疗组在Kegel锻炼疗法基础上在中极、气海、次毼、肾俞加用热敏灸治疗,1次/日,连续治疗10次后,隔日治疗1次,10次为一疗程,共5个疗程。于治疗前后观察两组患者1h尿垫试验、国际尿失禁咨询委员会问卷量表(ICIQ-SF)及漏尿次数变化,评价临床疗效。结果:对照组治愈率、总有效率分别为18.18%(4/22)、63.64%(14/22),治疗组治愈率、总有效率分别为43.48%(10/23)、95.65%(22/23),治疗组均优于对照组(P0.05)。与治疗前相比,两组在治疗后1h尿垫试验、ICIQ-SF量表症状评分均明显降低,漏尿次数明显减少(P0.01)。与对照组相比,治疗组1h尿垫试验、ICIQ-SF量表评分均明显降低,漏尿次数明显减少(P0.01)。结论:热敏灸联合Kegel锻炼疗法治疗女性压力性尿失禁疗效优于单纯Kegel锻炼疗法,热敏灸能提高治疗女性压力性尿失禁的临床疗效。
[Abstract]:Objective: to compare the clinical efficacy of heat sensitive moxibustion combined with Kegel exercise therapy and Kegel exercise therapy in the treatment of female stress urinary incontinence. Forty-five female patients with stress urinary incontinence were randomly divided into treatment group (n = 23) and control group (n = 22). Both groups were treated with Kegel exercise therapy. The treatment group was treated with heat sensitive moxibustion once a day on the basis of Kegel exercise therapy in the middle pole, air and sea, and kidney Yu plus heat sensitive moxibustion. After 10 times of continuous treatment, 10 times of treatment were taken as a course of treatment every other day. Before and after the treatment, the changes of 1 hour urine pad test, ICIQ-SF and leakage times of urinary incontinence were observed. Results: the cure rate of the control group was 18.18% and the total effective rate was 18.18%. The cure rate of the treatment group was 63.64%. The total effective rates were 43.48 / 10 / 23 / 95.65 / 22 / 23, respectively. The treatment group was superior to the control group (P 0.05). The symptom scores of ICIQ-SF scale in both groups were significantly decreased at 1 h after treatment, and the number of urine leakage was significantly decreased (P 0.01). Compared with the control group, the treatment group had 1 hour urine pad test. The scores of ICIQ-SF were significantly decreased. Conclusion: Thermosensitive moxibustion combined with Kegel exercise therapy is better than Kegel exercise therapy in the treatment of female stress urinary incontinence. Thermosensitive moxibustion can improve the clinical effect of female stress urinary incontinence.
【作者单位】：江西中医药大学附属医院国家中医药管理局热敏灸重点研究室国家中医药管理局腧穴敏化三级实验室;
【基金】：江西省卫生计生委中医药科研基金项目(No.2015A098) 国家自然科学基金课题(No.81573815) 国家重点基础研究发展计划(“973”计划)项目(No.2015CB 554503)
【分类号】：R246.3
【正文快照】： 压力性尿失禁是一种由于尿道括约肌松弛,咳嗽、打喷嚏或运动等腹内压增高时,尿液不自主从尿道外口溢出的女性常见疾病,对女性患者的生活质量、社交活动有着严重的影响,同时限制患者行为,易导致患者抑郁等心理障碍。据报道[1],在全球范围内女性尿失禁的患病率为27.6%,其中高达5

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