电针神经刺激疗法治疗急迫性尿失禁的疗效观察

[Observation on therapeutic effect of electroacupuncture neurostimulation therapy for urge urinary incontinence].

作者信息

Lu Jing

机构信息

Department of TCM Orthopaedics and Traumatology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu Province, China.

出版信息

Zhongguo Zhen Jiu. 2012 Aug;32(8):691-5.

PMID:23072083

Abstract

OBJECTIVE

To assess the clinical effect of electroacupuncture neurostimulation therapy for urge urinary incontinence (UUI) and to search for an effective acupuncture therapy.

METHODS

Forty-eight patients with UUI were treated by electroacupuncture neurostimulation therapy. Four abdominal acupoints and four sacral acupoints were selected, and electroacupuncture was added at these points after the insertion of needles toward a specific direction to excite the pudendal nerve and the iliohypogastric and ilioinguinal nerves. The symptom scores before treatment, after treatment and when followed up (1 year after treatment) were recorded and the clinical effect was assessed.

RESULTS

There was significant difference not only between before treatment and after treatment (11.98 +/- 5.18 vs 3.04 +/- 3.76, P < 0.01) but also between before treatment and when followed up (11.98 + 5.18 vs 4.40-4.27, P < 0.01). The effective rate was 81.3% (39/48) after treatment and 66.7% (32/48) when followed up, with no significant difference between them (P > 0.05). In addition, it was found that both the symptom scores and the improvement rates after treatment and when followed up had significant regression trend. The linear regression equations were Y = 0.978X + 1.400 (P < 0.01, R2 = 0.753) and Y = 0.975X-0.106 (P < 0.01, R2 = 0.695), respectively.

CONCLUSION

Electroacupuncture neurostimulation therapy has preferable short-term and long-term therapeutic effects for UUI, and there are significant positive correlations between short-term and long-term therapeutic effect.

摘要

目的

评估电针神经刺激疗法治疗急迫性尿失禁（UUI）的临床疗效，寻找有效的针刺治疗方法。

方法

对48例UUI患者采用电针神经刺激疗法进行治疗。选取腹部4个穴位和骶部4个穴位，针刺入特定方向后在这些穴位上加用电针，以激发阴部神经及髂腹下神经和髂腹股沟神经。记录治疗前、治疗后及随访时（治疗后1年）的症状评分，并评估临床疗效。

结果

治疗前与治疗后比较差异有统计学意义（11.98±5.18 vs 3.04±3.76，P<0.01），治疗前与随访时比较差异也有统计学意义（11.98+5.18 vs 4.40-4.27，P<0.01）。治疗后有效率为81.3%（39/48），随访时有效率为66.7%（32/48），两者比较差异无统计学意义（P>0.05）。此外，发现治疗后及随访时症状评分及改善率均有显著的回归趋势。线性回归方程分别为Y = 0.978X + 1.400（P<0.01，R2 = 0.753）和Y = 0.975X-0.106（P<0.01，R2 = 0.695）。