Kim Jung Hyo, Nam Dongwoo, Park Mi Kyung, Lee Eun Sook, Kim Sung Hoon
Chosun Nursing College, 375 Seosuk-dong, Dong-gu, Gwangju 501-759, Korea.
Acupunct Electrother Res. 2008;33(3-4):179-92. doi: 10.3727/036012908803861122.
This study was designed to evaluate the effect of Hand acupuncture treatment on the stress urinary incontinence of 52 women randomly assigned to Experimental hand acupuncture treatment group (n = 25) and Control group (n = 27). 11 hand acupuncture points were established as a basic treatment formula. Among them, 5 points on the midline of the palm represent the major acupoints of external genitals, bladder, abdominal aorta, stomach and heart, while the other 6 points were applied as supplementary ones (2 points on the mid line of the palm for adrenal glands and heart, 2 points near the wrist for kidneys and 2 points on the back of the hand for bladder). This basic treatment formula was applied to all subjects in the Experimental group. Additional treatments were given to the subjects with tenderness at ST27, CV4 or SP15, while no treatment to the subjects in Control group for 12 weeks. Assessment was made before and after 12 weeks of clinical study. In the present study, Hand acupuncture treatment significantly reduced the frequency of urinary incontinence compared to Control group. Similarly, the prevalence score of urinary incontinence was significantly reduced up to 37% of Control group in Experimental group. Furthermore, vaginal contraction pressure of the Experimental group was significantly increased 1.6 fold compared to Control group. In addition, Hand acupuncture treatment significantly improved the scores of making friends, sexual life and social community in Experimental group compared to Control group. Overall, these findings suggest that Hand acupuncture can be a potent alternative therapy for stress urinary incontinence.
本研究旨在评估手针治疗对52名女性压力性尿失禁的影响，这些女性被随机分配到实验性手针治疗组（n = 25）和对照组（n = 27）。确定了11个手针穴位作为基本治疗配方。其中，手掌中线的5个穴位分别代表外生殖器、膀胱、腹主动脉、胃和心脏的主要穴位，另外6个穴位作为辅助穴位（手掌中线2个穴位用于肾上腺和心脏，手腕附近2个穴位用于肾脏，手背2个穴位用于膀胱）。该基本治疗配方应用于实验组的所有受试者。对在ST27、CV4或SP15处有压痛的受试者给予额外治疗，而对照组的受试者12周内不进行治疗。在临床研究的12周前后进行评估。在本研究中，与对照组相比，手针治疗显著降低了尿失禁的频率。同样，实验组尿失禁的患病率得分显著降低，降至对照组的37%。此外，与对照组相比，实验组的阴道收缩压显著提高了1.6倍。此外，与对照组相比，手针治疗显著改善了实验组在交友、性生活和社会交往方面的得分。总体而言，这些发现表明手针可以成为治疗压力性尿失禁的一种有效替代疗法。
