热敏灸加腹针疗法联合盆底肌训练法治疗女性压力性尿失禁28例临床观察

发布时间：2018-03-03 23:25

本文选题：压力性尿失禁　切入点：热敏灸　出处：《中医杂志》2017年19期 　论文类型：期刊论文

【摘要】：目的观察热敏灸加腹针疗法结合盆底肌训练法治疗女性压力性尿失禁的临床疗效。方法 56例女性压力性尿失禁患者随机分为治疗组和对照组各28例。对照组采用盆底肌训练法加腹针疗法治疗,治疗组在对照组治疗基础上加用热敏灸治疗。热敏灸每日2次(上午、下午各1次),每次45 min~2 h不等,共治疗5天,第6天起每日1次,再治疗25次;腹针疗法每日1次,每次留针25 min,共治疗30天;Kegel锻炼每日3次,每次15~30 min,治疗30天。观察两组患者治疗前后1 h尿垫试验漏尿量、漏尿次数及国际尿失禁咨询委员会问卷量表(ICIQ-SF)总分,并评价临床疗效。结果治疗组临床疗效总有效率为96.43%,对照组为75.00%,治疗组优于对照组(P0.05)。与治疗前比较,两组患者治疗后1 h尿垫试验漏尿量、漏尿次数及ICIQ-SF总分明显降低(P0.01);与对照组治疗后比较,治疗组1 h尿垫试验漏尿量、漏尿次数及及ICIQ-SF总分降低显著(P0.05)。结论热敏灸加腹针疗法结合盆底肌训练法治疗女性压力性尿失禁,可显著改善女性尿失禁的漏尿症状,提高其生活质量。
[Abstract]:Objective to observe the clinical effect of heat sensitive moxibustion plus abdominal acupuncture combined with pelvic floor muscle training in the treatment of female stress urinary incontinence. Methods 56 cases of female stress urinary incontinence were randomly divided into treatment group (n = 28) and control group (n = 28). Pelvic floor muscle training and abdominal acupuncture therapy were used. The treatment group was treated with heat sensitive moxibustion twice a day (morning, afternoon, 45 min~2 / h), once a day from the 6th day, 25 times a day, abdominal acupuncture once a day, the treatment group was treated with heat sensitive moxibustion on the basis of the treatment of the control group, and the treatment group was treated with heat sensitive moxibustion twice a day (morning, afternoon, 1 time each time for 45 min~2 / h). A total of 30 days Kegel exercise 3 times a day, 15 minutes and 30 minutes per day for 30 days were used to observe the urine leakage volume, leakage times and ICIQ-SF score of 1 hour pad test before and after treatment in the two groups, and the ICIQ-SF total score of ICIQ-SF in the questionnaire of the International Advisory Committee on urinary Incontinence (ICIQ-SF). Results the total effective rate was 96.43 in the treatment group and 75.00 in the control group, which was superior to that in the control group (P 0.05). The number of urine leakage and the total score of ICIQ-SF decreased significantly compared with those of the control group, the urine leakage volume of the treatment group was 1 h after the treatment, and the total score of ICIQ-SF was significantly lower than that of the control group. Conclusion Thermosensitive moxibustion combined with abdominal acupuncture combined with pelvic floor muscle training for female stress urinary incontinence can significantly improve the symptoms of urinary leakage and improve the quality of life of female urinary incontinence.
【作者单位】：江西中医药大学附属医院;江西省乐平市中医院;
【基金】：国家自然科学基金(81573835) 江西中医药大学自然科学研究课题(2014ZR028) 江西省卫生计生委中医药科研课题(2015A098)
【分类号】：R246.3

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