头针结合骶四针治疗女性压力性尿失禁临床研究

目的:通过盆底肌电生理检查测定头针结合"骶四针"疗法治疗后盆底表面肌电值,为针刺治疗女性压力性尿失禁(SUI)的临床疗效提供客观依据。方法:选取女性SUI患者62例,按随机数字表法分为研究组32例和对照组30例。对照组采用盆底生物反馈电刺激疗法结合凯格尔训练,研究组在对照组基础上加用头针结合骶四针疗法。治疗4周后比较2组患者的盆底表面肌电值、1h尿垫试验尿失禁量和ICI-Q-SF量表评分。结果:治疗前,2组盆底表面肌电值比较,差异无统计学意义(P>0.05)。治疗后,2组盆底表面肌电值较治疗前升高,且研究组盆底表面肌电值高于对照组,差异均有统计学意义(P<0.05)。治疗前,2组1 h尿垫试验尿失禁量比较,差异无统计学意义(P>0.05)。治疗后,2组1 h尿垫试验尿失禁量较治疗前降低,且研究组1 h尿垫试验尿失禁量小于对照组,差异均有统计学意义(P<0.05)。治疗前,2组ICI-Q-SF量表评分比较,差异无统计学意义(P>0.05)。治疗后,2组ICI-Q-SF量表评分较治疗前降低,研究组ICI-Q-SF量表评分低于对照组,差异均有统计学意义(P<0.05)。结论:在盆底生物反馈电刺激疗法结合凯格尔训练基础上加用头针结合"骶四针"疗法治疗女性SUI,其临床疗效显著优于单纯使用盆底生物反馈电刺激疗法结合凯格尔训练,表明头针结合骶四针疗法治疗SUI效果确切,值得临床推广及应用。

Clinical Study on Scalp Acupuncture Combined with Four Sacral Needles for Female Stress Urinary Incontinence

Objective: To measure the electromyographic values of pelvic floor muscle surface via electrophysiological examination after treatment with scalp acupuncture combined with "four sacral needles" therapy, and provide objective evidence for the clinical effect of acupuncture for female stress urinary incontinence(SUI). Methods: Selected 62 cases of patients with female SUI, and divided them into two groups randomly, 32 cases in the study group and 30 cases in the control group. The control group received biofeedback electric stimulation therapy combined with Kegel exercises,while the study group additionally received scalp acupuncture combined with four sacral needles therapy. The treatment of both groups lasted for 4 weeks. After treatment, compared the electromyographic values of pelvic floor muscle surface, urinary incontinence volume in 1-hour pad test and scores of ICI-Q-SF in both groups. Results:Before treatment,comparing the electromyographic values of pelvic floor muscle surface in both groups,there was no significant difference being found(P >0.05). After treatment, the electromyographic values of pelvic floor muscle surface in both groups were higher than those before treatment,and the electromyographic values of pelvic floor muscle surface in the study group were higher than those in the control group,differences being significant(P < 0.05). Before treatment,comparing the urinary incontinence volume in1-hour pad test in both groups, there was no significant difference being found(P > 0.05). After treatment, the urinary incontinence volume in 1-hour pad test in both groups was lower than that before treatment,and the urinary incontinence volume in 1-hour pad test in the study group was lower than that in the control group,differences being significant(P < 0.05).Before treatment,comparing the scores of ICI-Q-SF in both groups,there was no significant difference being found(P >0.05). After treatment,the scores of ICI-Q-SF in both groups were lower than those before treatment,and scores of ICIQ-SF in the study group were lower than those in the control group,differences being significant(P < 0.05). Conclusion:The additional application of scalp acupuncture combined with "four sacral needles" therapy based on biofeedback electric stimulation therapy combined with Kegel exercises has significantly better clinical effect than the simple application of biofeedback electric stimulation therapy combined with Kegel exercises in treating female SUI. It indicates that scalp acupuncture combined with four sacral needles therapy has exact effect in treating SUI,which is worthy of clinical promotion and application.