Tang Chun-lin, Dai De-chun, Zhu Wei-fang, Jin You-you, Mei Lin-feng, Zhao Gui-feng
Department of Acupuncture and Massage, Kunshan Hospital of TCM, Kunshan 215300, China.
Zhongguo Zhen Jiu. 2009 Nov;29(11):879-83.
To observe the clinical effect of dog-day acupuncture and tortoise-shell moxibustion combined with pelvic floor muscle exercises for treatment of female stress urinary incontinence.
Seventy one cases were randomly divided into two groups. Thirty six cases in the observation group were treated with acupuncture on Zhongji (CV 3), Zigong (EX-CA 1), Chize (LU 5) etc. and tortoise-shell moxibustion on Shenque (CV 8) combined with pelvic floor muscle exercises; while thirty five cases in the control group were treated with only pelvic floor muscle exercises. The scores of the International Consultation Committee on Incontinence Questionnaire Short Form (ICI-Q-SF) and the Medical Outcomes Survey Short Form-36 (SF-36) were evaluated before and after treatment, and the scores of SF-36 were also compared with 35 cases in normal group.
The total effective rate of 91.7% in the observation group was higher than that of 77.1% in the control group (P < 0.05). The dimensions of SF-36 of stress urinary incontinence patients were remarkably lower than those of normal group (all P < 0.05). The scores of ICI-Q-SF were decreased while the scores of SF-36 were increased obviously after treatment in both the observation group and the control group, there were pronounced improvements on physiological function, pain, physical activity, social function and affection function in the observation group (all P < 0.05).
The quality of life for female stress urinary incontinence patients may be poor, however the dog-day acupuncture and tortoise-shell moxibustion combined with pelvic floor muscle exercises can improve the symptoms of urinary incontinence and increase the quality of life of patients.
观察三伏针联合隔龟甲灸配合盆底肌训练治疗女性压力性尿失禁的临床疗效。
将71例患者随机分为两组。观察组36例采用针刺中极(CV 3)、子宫(EX-CA 1)、尺泽(LU 5)等穴位及隔龟甲灸神阙(CV 8)配合盆底肌训练;对照组35例仅采用盆底肌训练。治疗前后评估国际尿失禁咨询委员会简表(ICI-Q-SF)及医学结局研究简表36项健康调查(SF-36)评分,并将SF-36评分与35例正常组进行比较。
观察组总有效率为91.7%,高于对照组的77.1%(P < 0.05)。压力性尿失禁患者的SF-36各维度显著低于正常组(均P < 0.05)。观察组和对照组治疗后ICI-Q-SF评分降低,SF-36评分明显升高,观察组生理功能、疼痛、躯体活动、社会功能及情感功能均有显著改善(均P < 0.05)。
女性压力性尿失禁患者生活质量可能较差,但三伏针联合隔龟甲灸配合盆底肌训练可改善尿失禁症状,提高患者生活质量。