1.上海中医药大学附属第七人民医院针灸科(上海 200137)
张小晋,女,硕士,主治医师,主要从事针灸治疗妇科疾病的临床研究工作
金珠,副主任医师,硕士研究生导师;E-mail:112706196@qq.com
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张小晋, 范轶斌, 王秋月, 等. 电针阴部神经刺激疗法与常规电针疗法治疗产后压力性尿失禁的疗效比较[J]. 上海中医药杂志, 2021,55(9):45-49.
Xiaojin ZHANG, Yibin FAN, Qiuyue WANG, et al. Efficacy comparison between electroacupuncture pudendal nerve stimulation and normal electroacupuncture in treating postpartum stress urinary incontinence[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(9):45-49.
张小晋, 范轶斌, 王秋月, 等. 电针阴部神经刺激疗法与常规电针疗法治疗产后压力性尿失禁的疗效比较[J]. 上海中医药杂志, 2021,55(9):45-49. DOI: 10.16305/j.1007-1334.2021.2011116.
Xiaojin ZHANG, Yibin FAN, Qiuyue WANG, et al. Efficacy comparison between electroacupuncture pudendal nerve stimulation and normal electroacupuncture in treating postpartum stress urinary incontinence[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(9):45-49. DOI: 10.16305/j.1007-1334.2021.2011116.
目的,2,比较电针阴部神经刺激疗法与常规电针疗法治疗产后压力性尿失禁的临床疗效。,方法,2,将75例产后压力性尿失禁患者随机分为对照组、试验一组、试验二组,每组25例。对照组给予单纯盆底肌训练,试验一组给予盆底肌训练联合常规电针疗法,试验二组给予盆底肌训练联合电针阴部神经刺激疗法,各组疗程均为8周。疗程结束后,比较3组患者尿失禁问卷简表(ICI-Q-SF)评分、1 h尿垫试验漏尿量、盆底肌力变化情况及临床疗效。,结果,2,①治疗4周、治疗8周与治疗前比较,3组患者ICI-Q-SF评分差异均具有统计学意义(,P,<,0.05);治疗4周和治疗8周,试验一组、试验二组与对照组比较,ICI-Q-SF评分差异具有统计学意义(,P,<,0.05);治疗8周,试验二组与试验一组比较,ICI-Q-SF评分差异具有统计学意义(,P,<,0.05)。②治疗4周、治疗8周与治疗前比较,3组患者1 h尿垫试验漏尿量差异均具有统计学意义(,P,<,0.05);治疗8周,试验一组、试验二组与对照组比较,1 h尿垫试验漏尿量差异具有统计学意义(,P,<,0.05);治疗8周,试验二组与试验一组比较,1 h尿垫试验漏尿量差异具有统计学意义(,P,<,0.05)。③治疗4周、治疗8周与治疗前比较,3组患者盆底Ⅰ、Ⅱ类肌纤维肌力差异均具有统计学意义(,P,<,0.05);治疗8周,试验一组、试验二组与对照组比较,盆底Ⅰ、Ⅱ类肌纤维肌力差异具有统计学意义(,P,<,0.05);治疗4周和治疗8周,试验二组与试验一组比较,盆底Ⅰ、Ⅱ类肌纤维肌力差异无统计学意义(,P,>,0.05)。④对照组、试验一组、试验二组总有效率分别为40.0%、72.0%、88.0%;组间临床疗效比较,试验一组、试验二组优于对照组(,P,<,0.05),试验二组优于试验一组(,P,<,0.05)。,结论,2,电针阴部神经刺激疗法结合盆底肌训练对产后压力性尿失禁的治疗效果优于常规电针疗法结合盆底肌训练以及单纯盆底肌训练。
Objective,2,To compare the clinical efficacy between electroacupuncture pudendal nerve stimulation and normal electroacupuncture in treating postpartum stress urinary incontinence (SUI).,Methods,2,A total of 75 patients with postpartum SUI were randomly divided into three groups with treatments of Kegel exercises (control group), normal electroacupuncture combined with Kegel exercises (therapy group 1), and electroacupuncture pudendal nerve stimulation combined with Kegel exercises (therapy group 2), respectively. The treatment course was 8 weeks in each group. After the treatment, the scores of International Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF), 1 h urine pad tests, pelvic muscle strength and clinical efficacy were observed.,Results,2,①After 4 weeks and 8 weeks treatment, compared with before treatment, there were statistically significant differences in ICI-Q-SF scores among 3 groups (,P,<,0.05); after 4 weeks and 8 weeks treatment, compared with control group, there were statistically significant differences in ICI-Q-SF score in therapy group 1 and therapy group 2 (,P,<,0.05); after 8 weeks treatment, there was a statistically significant difference in ICI-Q-SF score between therapy group 1 and therapy group 2 (,P,<,0.05). ②After 4 weeks and 8 weeks treatment, compared with before treatment, there were statistically significant differences in 1 h urine leakage among 3 groups (,P,<,0.05); after 8 weeks treatment, compared with control group, there were statistically significant differences in 1 h urine leakage in therapy group 1 and therapy group 2 (,P,<,0.05); after 8 weeks treatment, there was a statistically significant difference in 1 h urine leakage between therapy group 1 and therapy group 2 (,P,<,0.05). ③After 4 weeks and 8 weeks treatment, compared with before treatment, there were statistically significant differences in Ⅰand Ⅱ type pelvic muscle strength among 3 groups (,P,<,0.05); after 8 weeks treatment, compared with control group, there were statistically significant differences inⅠand Ⅱ type pelvic muscle strength in therapy group 1 and therapy group 2 (,P,<,0.05); after 4 weeks and 8 weeks treatment, there was no significant difference in Ⅰand Ⅱ type pelvic muscle strength between therapy group 1 and therapy group 2 (,P,>,0.05). ④The total effective rate of the control group, therapy group 1 and therapy group 2 were 40.0%, 72.0%, 88.0% respectively, and the clinical efficacy of therapy group 1 and therapy group 2 were better than that of control group (,P,<,0.05), in addition, the clinical efficacy of therapy group 2 was better than that of therapy group 1(,P,<,0.05)., Conclusion,2,Electroacupuncture pudendal nerve stimulation combined with Kegel exercises was better than normal electroacupuncture combined with Kegel exercises and simple Kegel exercises in treating postpartum SUI.
产后压力性尿失禁电针阴部神经刺激疗法电针疗法盆底肌训练临床试验
postpartum stress urinary incontinenceelectroacupuncture pudendal nerve stimulationelectroacupunctureKegel exercisesclinical trials
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