举元固摄汤结合芒针断续波交替针刺“腹四穴、骶四穴”对女性压力性尿失禁患者影响研究被引量：4

Study on the Influence of Juyuan Gu’se Decoction Combined with Aengneedling Intermittent Wave Alternately Acupuncture at “Four Abdominal Points and Four Sacral Points” for Female Patients with Stress Urinary Incontinence

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摘要目的:观察举元固摄汤结合芒针断续波交替针刺“腹四穴、骶四穴”对女性压力性尿失禁患者影响。方法:研究纳入97例女性压力性尿失禁患者(2020年1月~2021年6月收治),以随机数字表法将患者分成两组,予以对照组患者(48例)盆底肌训练及常规干预,观察组患者(49例)在对照组基础上结合举元固摄汤及芒针断续波交替针刺“腹四穴、骶四穴”干预,比较各组患者临床疗效、治疗前后1h尿垫试验漏尿量及漏尿次数、中医证候积分(小便失禁、小腹坠胀、腰膝酸软、腰痛如折、肢冷畏寒等)变化、阴道静息压及阴道收缩压变化、尿动力学指标(排尿时间、最大尿道关闭压、功能性尿道长度)变化、尿失禁问卷简表评分(ICI-Q-SF)变化及尿失禁生活质量量表评分(I-QOL)变化。结果:与对照组(83.33%)比较,观察组有效率(95.92%)更高(P<0.05);治疗前,两组患者1h尿垫试验漏尿量及漏尿次数、中医证候积分(小便失禁、小腹坠胀、腰膝酸软、腰痛如折、肢冷畏寒等)变化、阴道静息压及阴道收缩压、尿动力学指标(排尿时间、最大尿道关闭压、功能性尿道长度)、ICI-Q-SF及I-QOL评分比较(P>0.05),治疗后各组患者1h尿垫试验漏尿量及漏尿次数、中医证候积分(小便失禁、小腹坠胀、腰膝酸软、腰痛如折、肢冷畏寒等)变化、阴道静息压及阴道收缩压、尿动力学指标(排尿时间、最大尿道关闭压、功能性尿道长度)、ICI-Q-SF及I-QOL评分均改善,观察组治疗后1h尿垫试验漏尿量及漏尿次数、中医证候积分(小便失禁、小腹坠胀、腰膝酸软、腰痛如折、肢冷畏寒等)变化、阴道静息压及阴道收缩压、尿动力学指标(排尿时间、最大尿道关闭压、功能性尿道长度)、ICI-Q-SF及I-QOL评分优于对照组(P<0.05)。结论:举元固摄汤结合芒针断续波交替针刺“腹四穴、骶四穴”对女性压力性尿失禁患者具有积极影响,患者疗效提升,症状改善,生活质量提升,值得应用。 Objective:To explore the influence of Juyuan Gu’se Decoction combined with aengneedling intermittent wave alternately acupuncture at“four abdominal points and four sacral points”on female patients with stress urinary incontinence.Methods:A total of 97 female patients with stress urinary incontinence(admitted from January 2020 to June 2021)were included in this study.The patients were divided into two groups by the random number table method.The controlled group(48 cases)received pelvic floor muscle training and routine intervention.The observation group(49 cases)on the basis of the control group combined with Juyuan Gu’se Decoction and aogang needle intermittent wave alternately acupuncture at“four abdominal points and four sacral points”intervention,comparing groups of patients before and after the clinical curative effect,treatment 1 h urine pad test and leakage of urine leakage,TCM syndrome integral number(urinary incontinence,alvine object bilge,lumbar debility,waist pain,such as folding,limb cold chills,etc.),vaginal resting pressure and vaginal systolic blood pressure changes,urine dynamics index(micturition time,maximum urethral closure pressure and functional urethral length)change,incontinence questionnaire profile score(ICI-Q-SF)and incontinence quality of life scale score(I-QOL).Results:Compared with the controlled group(83.33%),the effective rate of the observation group(95.92%)was higher,P<0.05.Before the treatment,the two groups of patients with 1 h urine pad test and leakage of urine leakage,TCM syndrome integral number(urinary incontinence,alvine object bilge,lumbar debility,waist pain,such as folding,limb cold chills,etc.)change,vaginal resting pressure and vaginal systolic blood pressure,urine dynamics index time,maximum urethral closure pressure(urinate,functional urethral length),ICI-Q-SF,and I-QOL score comparison,P>0.05,groups of patients after treatment 1 h urine pad test and leakage of urine leakage,TCM syndrome integral number(urinary incontinence,alvine object bilge,lumbar debility,waist pain,such as folding,limb cold chills,etc.)change,vaginal resting pressure and vaginal systolic blood pressure,urine dynamics index time,maximum urethral closure pressure(urinate,functional urethral length),ICI-Q-SF,and I-QOL scores were improving,The observation group of patients after treatment 1 h urine pad test and leakage of urine leakage,TCM syndrome integral number(urinary incontinence,alvine object bilge,lumbar debility,waist pain,such as folding,limb cold chills,etc.)change,vaginal resting pressure and vaginal systolic blood pressure,urine dynamics index time,maximum urethral closure pressure(urinate,functional urethral length),ICI-Q-SF,and I-QOL score was better than that of the controlled group,P<0.05.Conclusion:Juyuan Gu’Se Decoction combined with aengneedling intermittent wave alternately acupuncture at“four abdominal points and four sacral points”has a positive effect on female patients with stress urinary incontinence.The patients’curative effect is improved,symptoms are improved,and the quality of life is improved.It is worth using.

作者衡婧张菊税方冯文 HENG Jing;ZHANG Ju;SHUI Fang(Wound Stoma Clinic,Suining Municipal Central Hospital,Suining Sichuan 629000,China)

机构地区遂宁市中心医院伤口造口门诊

出处《四川中医》 2022年第12期101-105,共5页 Journal of Sichuan of Traditional Chinese Medicine

关键词女性压力性尿失禁举元固摄汤芒针断续波交替针刺“腹四穴、骶四穴” 疗效尿动力学指标 Female stress incontinence Juyuan Gu’se Decoction “Four abdominal points and four sacral points”were alternately acupunctured by elongated needle with intermittent wave Curative effect Urodynamic index

分类号 R246.3 [医药卫生—针灸推拿学]