摘要
目的:探究浮针配合再灌注活动治疗压力性尿失禁(stress urinary incontinence,SUI)的临床效果。方法:选择赣州市立医院2020年5月—2022年6月收治的女性SUI患者84例为观察对象,按照随机数字表法分成两组。对照组(n=42)予以普通针刺治疗,观察组(n=42)则予以浮针配合再灌注活动治疗,均持续治疗4周。对比分析两组治疗前、治疗后1个月的尿失禁严重程度、盆底肌肌力、性生活质量,并观察两组康复治疗效果。结果:治疗后1个月,两组国际尿失禁咨询委员会尿失禁问卷简表(international consulation on incontinence questionnaire short form,ICI-Q-SF)评分较治疗前均降低,且观察组较对照组更低,差异均有统计学意义(P<0.05);治疗后1个月,两组Ⅰ、Ⅱ类肌纤维肌电较治疗前均升高,且观察组较对照组均更高,差异均有统计学意义(P<0.05);治疗后1个月,两组盆腔脏器脱垂/尿失禁性功能问卷(pelvic organ prolapse/urinary incontinence sexual function questionnaire-12,PISQ-12)评分较治疗前均升高,且观察组较对照组更高,差异均有统计学意义(P<0.05);观察组的总有效率[85.71%(36/42)]高于对照组[61.90%(26/42)],差异有统计学意义(P<0.05)。结论:SUI患者予以浮针配合再灌注活动治疗具有显著效果,能更好地促进尿失禁症状改善,还能强化患者盆底肌肌力,提升患者性生活质量。
Objective:To explore the clinical effect of subcutaneous needle combined with reperfusion activity in the treatment of stress urinary incontinence(SUI).Method:A total of 84 female SUI patients admitted to Ganzhou Municipal Hospital from May 2020 to June 2022 were selected as the observation objects and divided into two groups according to random number table method.The control group(n=42)was treated with ordinary acupuncture,and the observation group(n=42)was treated with subcutaneous needle combined with reperfusion activity,both of which lasted for 4 weeks.The urinary incontinence severity,pelvic floor muscle strength and sexual life quality of the two groups were compared before and 1 month after treatment,and the effect of rehabilitation treatment of the two groups were observed.Result:1 month after treatment,the scores of the international consulation on incontinence questionnaire short form(ICI-Q-SF)were lower in both groups than those before treatment,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).1 month after treatment,the myoelectricity of typeⅠandⅡmuscle fibers in two groups were higher than those before treatment,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).1 month after treatment,the pelvic organ prolapse/urinary incontinence sexual function questionnaire-12(PISQ-12)scores were increased in both groups than those before treatment,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group[85.71%(36/42)]was higher than that of the control group[61.90%(26/42)],the difference was statistically significant(P<0.05).Conclusion:In SUI patients,subcutaneous needle combined with reperfusion activity has a significant effect,which can better promote the improvement of urinary incontinence symptoms,strengthen the pelvic floor muscle strength,and improve the sexual life quality of the patient.
作者
杨晓林
魏文
李志欣
郭全福
董振林
YANG Xiaolin;WEI Wen;LI Zhixin;GUO Quanfu;DONG Zhenlin(Ganzhou Municipal Hospital,Jiangxi Province,Ganzhou 341000,China;不详)
出处
《中国医学创新》
CAS
2023年第32期66-70,共5页
Medical Innovation of China
基金
赣州市指导性科技计划项目(GZ2019ZSF305)。
关键词
压力性尿失禁
浮针
再灌注活动
盆底肌肌力
性生活质量
Stress urinary incontinence
Subcutaneous needle
Reperfusion activity
Pelvic floor muscle strength
Sexual life quality
