针刺疗法配合盆底电生理治疗压力性尿失禁临床研究

目的:观察针刺疗法配合盆底电生理治疗压力性尿失禁的疗效以及对盆底功能的影响。方法:选取压力性尿失禁患者92例,采用随机数字表法分为观察组和对照组各46例。对照组采用盆底电生理治疗,观察组在对照组基础上采用针刺疗法进行治疗。比较2组临床疗效,评价治疗前后盆底功能及国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分。结果:观察组总有效率为97.83%,高于对照组73.91%,差异有统计学意义(P<0.05)。治疗前,2组ICI-Q-SF评分比较,差异无统计学意义(P>0.05)。治疗后,2组ICI-Q-SF评分较治疗前下降,且观察组ICI-Q-SF评分低于对照组,差异有统计学意义(P<0.05)。治疗前,2组Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力、阴道动态压力比较,差异均无统计学意义(P>0.05)。治疗后,2组Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力、阴道动态压力较治疗前升高,且观察组各项指标均高于对照组,差异均有统计学意义(P<0.05)。结论:针刺疗法配合电生理治疗压力性尿失禁效果显著,可以改善患者盆底功能及尿失禁症状。

Clinical Study on Acupuncture Combined with Pelvic Floor Electrophysiology for Stress Incontinence

Objective: To observe the curative effect of the therapy of acupuncture combined with pelvic floor electrophysiology on stress incontinence and its effect on pelvic floor function. Methods:A total of 92 patients with stress incontinence were selected and divided into the observation group and the control group according to the random number table method,46 cases in each group. The control group was treated with pelvic floor electrophysiology,and the observation group was additionally treated with acupuncture based on the treatment of the control group. The therapeutic effect was compared between the two groups,and the pelvic floor function and the scores of International Consultation Incontinence Questionnaire-Short Form(ICI-Q-SF) were evaluated before and after treatment. Results: The total effective rate was97.83% in the observation group,higher than that of 73.91% in the control group,the difference being significant(P<0.05).Before treatment, there was no significant difference in the comparison of IC-Q-SF scores between the two groups(P > 0.05). After treatment, the IC-Q-SF scores in the two groups were decreased when compared with those before treatment,and the IC-Q-SF score in the observation group was lower than that in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference in the comparison of the levels of strength of type I muscle fibers,type II muscle fibers and vaginal dynamic pressure between the two groups(P>0.05). After treatment,the levels of strength of type I muscle fibers,type II muscle fibers and vaginal dynamic pressure were increased when compared with those before treatment, and the above levels in the observation group were higher than those in the control group,differences being significant(P<0.05). Conclusion:The therapy of acupuncture combined with pelvic floor electrophysiology is effective in treating stress incontinence, which can improve the pelvic floor function and incontinence symptoms of patients.