摘要
目的:探讨改良TVT-O手术结合针刺八髎穴治疗在女性压力性尿失禁治疗中的价值,为其临床诊治提供参考。方法:选择医院收治的66例女性压力性尿失禁患者作为研究对象,随机分为对照组和观察组各33例。对照组患者给予改良TVT-O手术结合盆底肌训练,观察组患者给予改良TVT-O手术结合盆底肌训练结合针刺八髎穴治疗。比较两组患者治疗前后ICIQ-SF评分、生活质量评分、性生活质量及1h尿垫试验尿失禁量变化。观察两组患者并发症及临床疗效差异。结果:与治疗前相比,两组患者治疗后ICIQ-SF评分及1h尿垫试验尿失禁量均明显降低,社会障碍、心理影响、行为限制及尿失禁生活质量评分均明显升高,且观察组患者上述评分改善更为显著(P<0.05)。观察组患者的不良发应发生率明显低于对照组,主观及客观治疗有效率明显高于对照组(P<0.05)。结论:改良TVT-O手术结合针刺八髎穴治疗女性压力性尿失禁患者,可明显提高盆底神经兴奋性,增强尿道肌张力,改善患者性生活质量、尿失禁生活质量,增强疗效,具有一定的临床应用价值。
Objective:To explore the value of modified TVT-O surgery combined with acupuncture and Baliao points in the treatment of female stress urinary incontinence,and provide reference for its clinical diagnosis and treatment.Methods:66 female patients with stress urinary incontinence who were admitted to hospital were enrolled.The patients were randomly divided into control group and observation group according to the order of treatment,33 cases each.The control group received modified TVT-O surgery combined with pelvic floor muscle training,and the observation group received modified TVT-O surgery combined with pelvic floor muscle training+acupuncture and sputum acupoint treatment.The changes of ICIQ-SF score,quality of life score,sexual quality of life and urinary incontinence in 1 hurine pad test were compared between the two groups.The differences in complications and clinical outcomes between the two groups were observed.Results:Compared with before treatment,ICIQ-SF score and the amount of incontinence in the 1 hpad test of the two groups of patients were significantly reduced after treatment,and the scores of social disorder,psychological influence,behavioral restriction and life quality of incontinence were significantly increased,and these scores were significantly improved in the observation group(P<0.05).The incidence of adverse reactions in the observation group was significantly lower than that in the control group.The effective rate of subjective and objective treatment was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Modified TVT-O operation combined with acupuncture on Baliao points can significantly improve pelvic floor nerve excitability,enhance urethral muscle tension,improve patients’life quality and quality of urinary incontinence,and enhance the curative effect in female patients with pressure-induced incontinence,which has certain clinical application value.
作者
丛宇
王雨燕
张忠平
庞秀宇
韩旭
Cong Yu;Wang Yuyan;Zhang Zhongping;Pang Xiuyu;Han Xu(Department of Acupuncture and Moxibustion,Heilongjiang Academy of Traditional Chinese Medicine,Harbin 150030,China)
出处
《亚太传统医药》
2021年第8期97-101,共5页
Asia-Pacific Traditional Medicine
关键词
改良TVT-O手术
针刺
八髎穴
女性压力性尿失禁
Modified TVT-O Surgery
Acupuncture
Baliao Point
Female Stress Urinary Incontinence
