摘要
目的 观察补中益气汤联合生物反馈电刺激技术治疗中老年女性压力性尿失禁(FSUI)的疗效。方法 将我院80例中老年FSUI患者随机分为观察组与对照组各40例。对照组采用生物反馈电刺激技术(BEST)治疗,观察组采用补中益气汤联合BEST治疗。测量并比较两组治疗前后的前静息阶段、快肌肌力水平、慢肌肌力水平、后静息阶段指标,评价并比较尿失禁影响问卷简版(ⅡQ-7)、尿失禁Sandvik严重程度指数(Sandvik)评分,膀胱颈移动度、1 h漏尿量。结果 治疗后,观察组总有效率优于对照组(P<0.05);两组前静息阶段(平均值、变异性)、快肌肌力水平(上升时间、恢复时间)、慢肌肌力水平(变异性)、后静息阶段(平均值、变异性)较治疗前下降,两组快肌肌力水平(最大值)、慢肌肌力水平(平均值)高于治疗前,观察组前静息阶段(平均值、变异性)、快肌肌力水平(上升时间、恢复时间)、慢肌肌力水平(变异性)、后静息阶段(平均值、变异性)低于对照组,观察组快肌肌力水平(最大值)、慢肌肌力水平(平均值)高于对照组(P<0.05);两组ⅡQ-7、Sandvik评分低于治疗前,观察组ⅡQ-7、Sandvik评分低于对照组(P<0.05);两组膀胱颈移动度、1 h漏尿量低于治疗前,观察组治膀胱颈移动度、1 h漏尿量低于对照组(P<0.05)。结论补中益气汤联合BEST治疗中老年FSUI效果显著,明显改善盆底肌力,降低尿失禁的影响和严重程度,减少漏尿。
Objective To observe the therapeutic effect of Buzhong Yiqi Decoction combined with biofeedback electrical stimulation technology(BEST)on stress urinary incontinence(FSUI)in middle-aged and elderly women.Methods Eighty middle-aged and elderly FSUI patients were randomly divided into observation group and control group,with 40 patients in each group.Control group was treated with BEST,while observation group was treated with Buzhong Yiqi Decoction on the basis of control group.The fast muscle strength level,slow muscle strength level,and post rest stage indicators of the two groups before and after treatment were measured and compared;the impact of Urinary Incontinence Questionnaire(IIQ-7)and Sandvik Severity Index(Sandvik)scores,the bladder neck mobility and 1-hour urine leakage were evaluated and compared.Results After treatment,the total effective rate of observation group was higher than that in control group(P<0.05);the pre resting stage (mean,variability),fast muscle strength level(rise time,recovery time),slow muscle strength level(variability),and postresting stage(mean,variability)of both groups decreased compared to before treatment,and were lower in observation groupthan control group( P<0.05);the fast muscle strength level(maximum)and slow muscle strength level(average)of both groupswere higher than before treatment,and were lower in observation group than control group( P<0.05);the IIQ-7 and Sandvikscores of both groups were lower than before treatment,and were lower in observation group than control group( P<0.05);thebladder neck mobility and 1-hour urine leakage in both groups were lower than before treatment,and were lower in observationgroup than control group( P<0.05). Conclusion The combination of Buzhong Yiqi Decoction and BEST has a significanteffect on FSUI in middle-aged and elderly patients,significantly improving pelvic floor muscle strength,reducing the impactand severity of urinary incontinence,and reducing urinary leakage.
作者
宋秋瑾
曹晓美
浦婧婧
SONG Qiu-jin;CAO Xiao-mei;PU Jing-jing(Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine,Taicang 215400)
出处
《湖北中医药大学学报》
2023年第6期105-108,共4页
Journal of Hubei University of Chinese Medicine
基金
江苏省太仓市科技计划项目合同财政拨款项目(项目编号:TC2020JCYL22)。
关键词
压力性尿失禁
中老年
女性
补中益气汤
生物反馈电刺激技术
Stress urinary incontinence
Middle aged and elderly
Women
Buzhong Yiqi Decoction
Biofeedback electrical stimulation technology
