针刺联合隔附子饼灸治疗老年女性压力性尿失禁临床研究

目的:探讨针刺联合隔附子饼灸治疗老年女性压力性尿失禁(SUI)的疗效。方法:将86例老年女性压力尿失禁患者按随机数字表法分为2组,每组43例,对照组采用针刺神阙、气海、关元、中极、三阴交、足三里、命门、肾俞、膀胱俞治疗,治疗组在对照组治疗基础上采用隔附子饼灸治疗,比较2组治疗前及治疗3周、6周后国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分和漏尿量,并比较6周后2组总有效率。结果:治疗前ICIQ-SF评分和漏尿量组间比较差异无统计学意义(P0.05),治疗3周、6周后2组ICIQ-SF评分均显著降低,漏尿量显著减少,治疗组均优于对照组(P0.01),6周后治疗组治疗总有效率高于对照组(P0.05),差异均有统计学意义。结论:针刺联合隔附子饼灸治疗老年SUI可有效减轻临床症状,改善患者的生活质量,提高临床疗效。

Clinical Study of Acupuncture Combined with Aconite Cake-separated Moxibustion in Treating Senile Female Stress Urinary Incontinence

To observe the effect of acupuncture combined with aconite cake-separated moxibustion on senile female stress urinary incontinence (SUI). Methods: A total of 86 senile female patients with SUI were divided into two groups randomly, with 43 cases in each group. Patients in the control group were treated with acupuncture on Shenque, Qihai, Guanyuan, Zhongji, Sanyinjiao, Zusanli, Mingmen, Shenshu, Pangguangshu, and the study group were treated with aconite cake-separated moxibustion besides acupuncture. International Advisory Committee on urinary incontinence urinary incontinence questionnaire short table (ICIQ-SF) score and urinary leakage rate before treatment and at 3 and 6 weeks after treatment were compared between the two groups, and the total effective rate after 6 weeks of treatment of the two groups were compared. Results: There were no significant difference in the ICIQ-SF score and leakage urine volume between the two groups(P>0.05). The ICIQ-SF score were significantly lower after 3 weeks and 6 weeks of treatment, and the leakage volume had reduced significantly in the two groups, besides, the study group performed better than the control group(P<0.01). The total effective rate of the study group was significantly higher than that of the control group(P<0.05), and the difference was statistically significant. Conclusion: Acupuncture combined with aconite cake-separated moxibustion on senile female SUI can effectively relieve clinical symptoms, improve the quality of life of patients, and improve clinical efficacy.