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| 电针联合生物反馈电刺激治疗产后压力性尿失禁的临床体会 | |
| 引用本文： | 李静,曹保利,杜静. 电针联合生物反馈电刺激治疗产后压力性尿失禁的临床体会[J]. 中华针灸电子杂志, 2019, 8(2): 78-80. DOI: 10.3877/cma.j.issn.2095-3240.2019.02.012 |
| 作者姓名： | 李静 曹保利 杜静 |
| 作者单位： | 1. 301636 天津中医药大学研究生院；300381 天津市南开区妇女儿童保健和计划生育服务中心妇女保健科2. 300100 天津市中西医结合医院·南开医院妇科3. 300102 天津市南开区中医医院针灸科 |
| 摘 要： | 女性压力性尿失禁(SUI)指咳嗽、打喷嚏、大笑时出现的尿液不自主流出，是盆底功能障碍性疾病的主要症状，属于尿道控尿机制异常。主要病因是盆底组织松弛，膀胱颈和尿道近端过度下移，尿道内括约肌功能障碍，与妊娠与阴道分娩损伤、绝经后雌激素水平低有关。中医学认为此病属膀胱咳，为脏腑病，病位在膀胱，与肾、肺、脾关系最为密切，发病以虚多见。探讨电针结合生物反馈电刺激的方法治疗产后SUI，针刺对证取穴，并予电针仪以补中益气、固摄止遗、疏通经络；生物反馈电刺激改善局部组织营养，增加肌纤维肌力和反应速度，故可作为临床上治疗SUI的有效疗法。 |
| 关 键 词： | 针刺疗法 电针 尿失禁，压力性 生物反馈电刺激 |
| 收稿时间： | 2019-01-22 |
Clinical experience of acupuncture and electro-acupuncture combined with biofeedback electric stimulation in the treatment of postpartum stress urinary incontinence |
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| Jing Li,Baoli Cao,Jing Du. Clinical experience of acupuncture and electro-acupuncture combined with biofeedback electric stimulation in the treatment of postpartum stress urinary incontinence[J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2019, 8(2): 78-80. DOI: 10.3877/cma.j.issn.2095-3240.2019.02.012 | |
| Authors: | Jing Li Baoli Cao Jing Du |
| Affiliation: | 1. Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301636, China; Women Health Care, Tianjin Nankai District Women and Children Health Care and Family Planning Service Center Tianjin 300381, China2. Department of Gynaecology, Tianjin Hospital of ITCWM Nankai Hospital, Tianjin 300100, China3. Department of Acupuncture, Tianjin Nankai District Hospital of Traditional Chinese Medicine, Tianjin 300102, China |
| Abstract: | Female stress urinary incontinence(SUI)refers to the involuntary outflow of urine when coughing, sneezing and laughing. It is the main symptom of pelvic floor dysfunction and belongs to the abnormal mechanism of urethral control. The main causes are pelvic floor tissue relaxation, excessive downward movement of bladder neck and proximal urethra, and dysfunction of internal urethral sphincter, which are related to pregnancy, vaginal delivery injury and low estrogen level after menopause. Traditional Chinese medicine believes that this disease belongs to bladder cough, which is a disease of viscera and organs. It is located in the bladder and has the closest relationship with kidney, lung and spleen. This article mainly discusses the methodsof acupuncture and electro-acupuncture combined with biofeedback electric stimulation in treating postpartum SUI. Acupuncture points are selected according to the symptoms, together withelectro-acupuncture, toinvigorate spleen-stomach and replenish qi, astringe for preventing enuresis, and dredge channels and collaterals. Biofeedback electric stimulation can improve local tissue nutrition, increase muscle strength and reaction speed of muscle fibers, and the two methods can be used as effective therapies for clinical treatment of SUI. |
| Keywords: | Acupuncture therapy Electroacupuncture Urinary incontinence stress Biofeedback electrical stimulation |
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