"骶四针"疗法治疗女性压力性尿失禁

目的 回顾性对照研究“骶四针”疗法和一般针刺方法治疗女性压力性尿失禁的疗效。方法 治疗组采用“骶四针”疗法,即对骶部四个特定穴位采用特殊针刺方法并加以电刺激直接兴奋阴部神经诱发盆底肌节律性收缩,从而增强盆底肌肉力量来改善控尿能力。对照组采用一般针刺方法,即在辨证分型基础上针刺相应穴位。结果 治疗组31例患者经“骶四针”疗法平均治疗21次（3-63次）后,症状100％改善22例（71．0％）。对照组34例患者经30次治疗后,症状100％改善0例。治疗组的疗效优于对照组（P〈0．05）。治疗组患者的疗效随治疗次数的增加而提高。结论 “骶四针”疗法治疗女性压力性尿失禁的疗效优于一般针刺方法。

Four sacral needles therapy for female stress incontinence

Objective To make a retrospective control study of the curative effects of "Four sacral needles"therapy and conventional acupuncture therapy on female stress incontinence.Methods A treatment group was treated by"Four sacral needles"therapy,in which four sacral points were electroacupunctured with special insertion of needles to excite the pudendal nerve and induce the rhythmic contraction of the pelvic floor muscles,thereby increasing the strength of the pelvic floor muscles and improving ability in urinary continence.A control group was treated by conventional acupuncture therapy,in which corresponding points were acupunctured according to syndrome-based classification.Results In the 31 cases of the treatment group treated by "Foursacral needles"therapy,the cure rate 100% symptom improvement occurred in 22(71.0%) after an average of 21 treatments(3-63 treatments).In the 34 cases of the control group treated by conventional acupuncture therapy,100% symptom improvement occurred in 0 after 30 treatments.The curative effect was better in the treatment group than in the control group(P<0.05).The curative effect improved with an increase in the number of treatments in the treatment group.Conclusion "Four sacral needles"therapy is more effective than conventional acupuncture therapy in treating female stress incontinence.