Paik Sun-Ho, Han Su-Ryun, Kwon Oh-Jun, Ahn Young-Min, Lee Byung-Cheol, Ahn Se-Young
Department of Internal Medicine, College of Korean Medicine, Kyung Hee University, Dongdaemun-gu, Seoul 130-702, Republic of Korea.
Exp Ther Med. 2013 Sep;6(3):773-780. doi: 10.3892/etm.2013.1210. Epub 2013 Jul 9.
The aim of this study was to examine the effects of acupuncture on urinary incontinence and to discuss why these acupoints were selected. Seven databases were searched for any randomized controlled trials (RCTs) that investigated the use of acupuncture or acupressure as a treatment for urinary incontinence, and the Cochrane risk of bias tool was utilized to evaluate the risk of bias in each study. Four RCTs met all the inclusion criteria. The results from the selected RCTs failed to demonstrate any statistically significant improvements in urinary incontinence, although acupuncture or acupressure did exhibit favorable effects on overactive bladder symptoms and quality of life, in comparison with other conventional therapies. There have been limited results supporting acupuncture or acupressure as an effective treatment method for urinary incontinence; therefore, further RCTs are required to confirm the effectiveness of acupuncture or acupressure in the treatment of urinary incontinence.
本研究的目的是探讨针刺对尿失禁的影响,并讨论选择这些穴位的原因。检索了七个数据库,查找任何调查针刺或指压作为尿失禁治疗方法的随机对照试验(RCT),并使用Cochrane偏倚风险工具评估每项研究中的偏倚风险。四项RCT符合所有纳入标准。所选RCT的结果未能显示尿失禁有任何统计学上的显著改善,尽管与其他传统疗法相比,针刺或指压对膀胱过度活动症症状和生活质量确实有积极影响。支持针刺或指压作为尿失禁有效治疗方法的结果有限;因此,需要进一步的RCT来证实针刺或指压在治疗尿失禁方面的有效性。