电针与盆底肌训练治疗女性单纯压力性尿失禁临床疗效比较

发布时间：2018-06-28 17:34

本文选题：电针 + 压力性尿失禁　；参考：《安徽中医药大学》2016年硕士论文

【摘要】：目的:通过观察电针疗法与盆底肌训练方法对女性单纯压力性尿失禁的临床疗效,探求更适合压力性尿失禁患者的治疗方法。方法:选择2014年5月至2016年2月期间就诊于安徽省针灸医院住院部及门诊符合课题纳入标准的40例女性SUI患者,采用临床研究中央随机系统进行随机化操作,分为电针组和盆底肌训练组,两组各20例。治疗组予以电针双侧中毼、会阳穴,对照组予以盆底肌训练疗法,均治疗8周,每周3次,隔日1次。观察第0周、第4周、第8周各时点两组1h尿垫试验漏尿量、24h尿失禁次数以及尿失禁症状评分,对结果数据进行统计分析,得出结果。结果:电针组在减少1h尿垫试验漏尿量、降低24h尿失禁次数及改善尿失禁症状评分上优于盆底肌训练组(P0.05)。试验组总有效率为90%,对照组总有效率为60%,经统计学分析,两组总有效率有显著差异(P0.05),说明电针疗法对女性单纯性压力性尿失禁有显著疗效,电针组疗效优于盆底肌训练组。结论:电针疗法能有效改善女性压力性尿失禁症状,减少尿失禁次数以及漏尿量,其临床疗效明显优于盆底肌训练。该方法简便有效,安全性高,适用于临床推广。
[Abstract]:Objective: to observe the clinical effect of electroacupuncture therapy and pelvic floor muscle training on female stress urinary incontinence and to explore a more suitable treatment method for stress urinary incontinence. Methods: from May 2014 to February 2016, 40 female SUI patients who were admitted to Anhui Acupuncture and moxibustion Hospital (Acupuncture and moxibustion Hospital) from May 2014 to February 2016 were selected and randomized with the central random system of clinical study. They were divided into electroacupuncture group and pelvic floor muscle training group, 20 cases in each group. The treatment group was treated with electroacupuncture at both sides of Zhongjiao and Huiyang points, while the control group was treated with pelvic floor muscle training therapy for 8 weeks, 3 times a week, once every other day. The time of urinary incontinence and the score of symptoms of urinary incontinence were observed in two groups at each time point of 0 week, 4 week and 8 week. The result data were statistically analyzed and the results were obtained. Results: the electroacupuncture group was superior to the pelvic floor muscle training group in reducing the leakage volume of urine pad test, reducing the 24 h urinary incontinence times and improving the score of urinary incontinence symptom (P0.05). The total effective rate of the experimental group was 90 and the total effective rate of the control group was 60. By statistical analysis, the total effective rate of the two groups was significantly different (P0.05), indicating that electroacupuncture therapy had a significant effect on female simple stress urinary incontinence, and the electroacupuncture group was better than the pelvic floor muscle training group. Conclusion: electroacupuncture can effectively improve the symptoms of female stress urinary incontinence, reduce the number of urinary incontinence and the amount of urine leakage, and its clinical effect is obviously better than that of pelvic floor muscle training. The method is simple, effective, safe and suitable for clinical application.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

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