摘要
目的:观察调肾固本针刺法配合盆底肌功能训练治疗产后尿失禁的临床疗效。方法:将100例产后尿失禁患者按随机数字表法分为观察组和对照组各50例,对照组予盆底肌功能训练,观察组在对照组基础上联合调肾固本针刺法治疗,治疗12周。比较2组中医证候评分、国际尿失禁咨询委员会尿失禁问卷简表(ICF-Q-SF)评分、漏尿量、盆底表面肌电值及生活质量评分,评价2组临床疗效及治疗安全性。结果:观察组总有效率为94.00%,高于对照组80.00%(P<0.05)。治疗后,2组各项中医证候评分、ICF-Q-SF评分、漏尿量较治疗前降低(P<0.05);且观察组各项中医证候评分、ICF-Q-SF评分、漏尿量低于对照组(P<0.05)。治疗后,2组盆底Ⅰ类肌表面肌电电位值和Ⅱ类肌表面肌电电位值较治疗前升高(P<0.05);且观察组盆底Ⅰ类肌表面肌电电位值和Ⅱ类肌表面肌电电位值高于对照组(P<0.05)。治疗后,2组人际关系、敌对、躯体化、精神病性、强迫以及恐怖评分较治疗前降低(P<0.05);且观察组人际关系、敌对、躯体化、精神病性、强迫以及恐怖评分低于对照组(P<0.05)。结论:调肾固本针刺法联合盆底肌功能训练能够缓解尿失禁症状,减少漏尿量,提高盆底肌力,有助于促进产后盆底肌功能恢复,改善膀胱泌尿功能。
Objective:To observe the clinical study on Tiaoshen Guben acupuncture method combined with pelvic floor muscle function training for postpartum incontinence.Methods:A total of 100 cases of patients with postpartum incontinence were divided into the observation group and the control group according to the random number table method,with 50 cases in each group.The control group was treated with pelvic floor muscle function training,and the observation group was additionally treated with Tiaoshen Guben acupuncture method based on the treatment of the control group.Both groups were treated for 12 weeks.The traditional Chinese medicine(TCM)syndrome scores,International Consultation on Incontinence Questionnaire Short Form(ICI-Q-SF)scores,leakage volume of urine,surface electromyography of pelvic floor muscle,and scores of quality of life were compared between the two groups.The clinical effects and treatment safety were evaluated in the two groups.Results:The total effective rate was 94.00% in the observation group, higher than that of 80.00% in the control group (P<0.05). Aftertreatment, TCM syndrome scores, ICF- Q- SF scores, and leakage volume of urine in the two groupswere decreased when compared with those before treatment (P<0.05);the TCM syndrome score,ICFQ-SF score, and leakage volume of urine in the observation group were lower than those in the controlgroup (P<0.05). After treatment, values of surface electromyography in class Ⅰand Ⅱmuscles of pelvicfloor in the two groups were increased when compared with those before treatment (P<0.05),and valuesof surface electromyography in class Ⅰand Ⅱmuscles of pelvic floor in the observation group were higherthan those in the control group (P<0.05). After treatment, the scores of interpersonal relationships,hostility, somatization, psychosis, compulsion, and terror in the two groups were decreased whencompared with those before treatment (P<0.05),and the scores of interpersonal relationships,hostility,somatization, psychosis, compulsion, and terror in the observation group were lower than those in thecontrol group (P<0.05). Conclusion: Tiaoshen Guben acupuncture method combined with pelvic floormuscle function training can alleviate urinary incontinence symptoms, reduce urine leakage, improvepelvic muscle strength, help promote postpartum recovery of pelvic floor muscle function, and improveurinary bladder function.
出处
《新中医》
CAS
2023年第11期182-187,共6页
New Chinese Medicine
关键词
产后尿失禁
调肾固本针刺法
盆底肌功能训练
国际尿失禁咨询委员会尿失禁问卷简表
生活质量
盆底肌力
Postpartum incontinence
Tiaoshen Guben acupuncture method
Pelvic floor muscle function training
International Consultation on Incontinence Questionnaire Short Form
Quality of life
Pelvic muscle strength
