摘要
目的观察"老十针"加减方对中老年女性轻中度压力性尿失禁的临床疗效。方法采用随机数字表法将64例中老年女性压力性尿失禁患者分为针灸组和盆底肌训练组各32例。针灸组予"老十针"加减方治疗,取上脘、中脘、下脘、气海、天枢、足三里、内关、水道、蠡沟,每周针刺2次;盆底肌训练组予盆底肌训练,15min为1组,每日3组。2组均连续治疗12周。观察2组临床疗效,比较2组治疗前后1h尿垫试验及国际尿失禁咨询委员会答卷简表(ICI-Q-SF)评分。结果共63例完成研究。针灸组总有效率为51.6%(16/31),盆底肌训练组为21.9%(7/32),针灸组疗效明显优于盆底肌训练组(P<0.05)。与本组治疗前比较,针灸组治疗后1h尿垫试验漏尿量明显下降(P<0.05);2组治疗后比较,针灸组1h尿垫试验漏尿量明显低于盆底肌训练组(P<0.05)。与本组治疗前比较,针灸组ICI-Q-SF各项评分及总分均明显降低(P<0.05);2组治疗后比较,针灸组ICI-Q-SF漏尿次数、生活影响程度评分及总分均低于盆底肌训练组(P<0.05)。结论针刺"老十针"加减方治疗中老年女性轻中度压力性尿失禁临床疗效较好,可改善患者临床症状,减少漏尿量。
Objective To verify the clinical efficacy of modified acupuncture at "experienced ten acupoint" for mild to moderate stress urinary incontinence on middle-aged and elderly females. Methods Totally 64 patients with stress urinary incontinence were randomly divided into acupuncture group and pelvic floor muscle exercises(PFME) group, with 32 cases in each group. In the acupuncture group, modified "experienced ten acupoint" therapy was applied;acupoints included Shangwan(CV 13), Zhongwan(CV 12), Xiawan(CV 10), Qihai(CV 6), Tianshu(ST 25), Zusanli(ST 36), Neiguan(PC 6), Shuidao(ST 28), Ligou(LR 5) received acupuncture, twice a week. In the PFME group, pelvic floor muscle exercise applied for 3 times a day, each time exercised for 15 mins. Both groups lasted for 12 weeks. The clinical efficacy of both was observed. The 1 hour urinary pad test and the International Consultation on Incontinence questionnaire short form(ICI-Q-SF) score before and after treatment were completed. Results Totally 63 cases completed the studied. The total effective rate was 51.6%(16/31) in the acupuncture group, which was higher than 21.9%(7/32) in the PFME group(P<0.05). Compared with before treatment, the urine leakage of the 1 hour urine pad test of the acupuncture group was significantly lower after treatment(P<0.05);after the treatment, the urine leakage of the 1 hour urine pad test in the acupuncture group was significantly lower than that of the PFME group(P<0.05). Compared with before treatment, the scores and total scores of ICI-Q-SF in the acupuncture group were significantly reduced(P<0.05);after the treatment, the number leakage, life impact score and the total score of ICI-Q-SF in the acupuncture group were lower than the PFME group(P<0.05). Conclusion Modified acupuncture at "experienced ten acupoints" for mild to moderate stress urinary incontinence of middle-aged and elderly females has confirmed efficacy, which can improve patients’ clinical symptoms and reduce urine leakage.
作者
王燕丽
位珍珍
王麟鹏
WANG Yanli;WEI Zhenzhen;WANG Linpeng(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)
出处
《中国中医药信息杂志》
CAS
CSCD
2021年第6期100-103,共4页
Chinese Journal of Information on Traditional Chinese Medicine
基金
全国名老中医药专家传承工作室建设项目(2018年)。
关键词
压力性尿失禁
中老年女性
老十针
针刺
stress urinary incontinence
middle-aged and elderly females
experienced ten acupoints
acupuncture
