透刺法结合滞针术治疗女性压力性尿失禁

目的:观察基于经筋理论的透刺法结合滞针术治疗女性轻、中度压力性尿失禁(stress urinary incontinence,SUI)的临床疗效。方法:77例轻、中度SUI女性患者随机分为观察组38例,对照组39例。观察组使用透刺法,并施以滞针术;对照组使用普通针刺法;两组均配合盆底肌训练(pelvic floor muscle training,PFMT)。于治疗前后记录24 h漏尿事件发生次数,于治疗前及治疗期间的第4周、第8周、第12周进行尿失禁影响问卷简版(incontinence impact questionnaire short form,IIQ-7)、国际尿失禁咨询委员会尿失禁问卷简表(international consultation committee on incontinence questionnaire short form,ICI-Q-SF)调查。结果:治疗12周后,观察组及对照组的漏尿事件发生次数均显著低于治疗前(P<0.01),且观察组漏尿事件发生次数均显著低于对照组(P<0.05)。观察组和对照组的IIQ-7评分、ICI-Q-SF评分在治疗4周、8周、12周逐渐降低,且与各组治疗前比较,差异均有统计学意义(P<0.01);在治疗第8周和第12周时,观察组和对照组比较,差异有统计学意义(P<0.01)。观察组有效率为94.74%,对照组有效率为74.36%,两组比较,差异有统计学意义(P<0.05)。结论:基于经筋理论的透刺法结合滞针术治疗轻、中度女性压力性尿失禁临床疗效显著,可显著降低漏尿事件发生次数,降低IIQ-7评分、ICI-Q-SF评分。

Treatment of Female Stress Urinary Incontinence with Penetration Needling Method Combined with Needle Sticking Technique

Objective:To observe the clinical efficacy of penetration needling method based on the meridian theory and needle sticking technique in the treatment of women with mild and moderate stress urinary incontinence(SUI).Methods:There were 77 female patients with mild and moderate female SUI,including 38 cases in the observation group and 39 cases in the control group.The observation group was treated with penetration needling method and needle sticking technique;the control group was treated with ordinary acupuncture;both groups were combined with pelvic floor muscle training(PFMT).The frequency of 24-hour urinary leakage events was recorded before and after treatment.The incontinence impact questionnaire short form(IIQ-7)and international consultation committee on incontinence questionnaire short form(ICI-Q-SF)were conducted before treatment and at the 4 th,8 th and 12 th weeks of treatment.Results:After 12 weeks of treatment,the number of urinary leakage events in the observation group and the control group was significantly lower than that before treatment(P<0.01),and the number of urinary leakage events in the observation group was significantly lower than that in the control group(P<0.05).The IIQ-7 score and ICI-Q-SF score of the observation group and the control group decreased gradually at 4 weeks,8 weeks and 12 weeks after treatment,and the differences were statistically significant compared with those before treatment(P<0.01);at the 8 th and 12 th week of treatment,the difference between the observation group and the control group was statistically significant(P<0.01).The effective rate of the observation group was 94.74%,and that of the control group was 74.36%.The difference was statistically significant(P<0.05).Conclusion:Through penetration needling method combined with needle sticking technique based on the meridian theory has a significant clinical effect in the treatment of mild to moderate female stress urinary incontinence.It can significantly reduce the number of urinary leakage events,reduce IIQ-7 score and ICI-Q-SF score.