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[不同疗程电针治疗女性压力性尿失禁的疗效观察]

[Effective observation of electroacupuncture with different courses for female stress urinary incontinence].

作者信息

He Enhui, Chen Yinxi, Tian Hongfang, Zhao Jiping

出版信息

Zhongguo Zhen Jiu. 2016 Apr;36(4):351-4.

PMID:27352489
Abstract

OBJECTIVE

To verify the effect of electroacupuncture (EA) for female stress urinary incontinence (SU).

METHODS

Forty-two patients were randomly divided into an observation group(20 cases) and a control group (22 cases). EA at Zhongliao (BL 33) and Huiyang (BL 35) was used in the observation group. Sham acupuncture at non meridian points, one can beside Zhongliao (BL 33) and Huiyang (BL 35), was applied, and placebo EA was adopted in the control group. Treatment with needle retained for 30 min a time was given once every other day and three times a week for continuous six weeks in the two groups. Urinary and reproductive simple score (UDI),visual analogue scale (VAS) and the frequency of nocturnal enuresis were observed before treatment, at the second, forth and sixth week of treatment in the two groups, and the efficacy was compared.

RESULTS

The effective rates of the observation group were 80.0% (16/20), 95.0% (19/20) and 95.0% (19/20), which were better than 40.9% (9/22), 31.8% (7/22) and 27.3% (6/22) of the control group at the second, forth and sixth week of treatment. The differences were statistically significant between the two groups (all P < 0.05). After treatment in the observation group, the results of UDI, VAS and frequency of nocturnal enuresis were improved compared with those before treatment (all P < 0.05). Along with treatment, all indices were gradually improved, and the change at the sixth week was the most obvious in observation group. The results of the observation group were better than those of the control group at all times (all P < 0.05).

CONCLUSION

EA achieves obvious effect for female SUI, and effectively improves the lower urinary trace symptoms, the degree of urinary incontinence and the frequency of nocturnal enuresis. The effect becomes increasingly better along with treatment within six weeks.

摘要

目的

验证电针治疗女性压力性尿失禁(SU)的效果。

方法

42例患者随机分为观察组(20例)和对照组(22例)。观察组采用中髎(BL 33)和会阳(BL 35)电针治疗。对照组采用非经非穴针刺,即在中髎(BL 33)与会阳(BL 35)旁开1寸处针刺,并采用安慰电针。两组均隔日治疗1次,每周3次,连续治疗6周,每次留针30分钟。观察两组治疗前、治疗第2、4、6周时的泌尿生殖系统简易评分(UDI)、视觉模拟评分(VAS)及夜间遗尿次数,并比较疗效。

结果

观察组治疗第2、4、6周时的有效率分别为80.0%(16/20)、95.0%(19/20)、95.0%(19/20),均优于对照组的40.9%(9/22)、31.8%(7/22)、27.3%(6/22)。两组比较差异均有统计学意义(均P < 0.05)。观察组治疗后UDI、VAS及夜间遗尿次数结果均较治疗前改善(均P < 0.05)。随着治疗进行,观察组各项指标逐渐改善,第6周变化最明显。观察组各时间点结果均优于对照组(均P < 0.05)。

结论

电针治疗女性压力性尿失禁效果显著,能有效改善下尿路症状、尿失禁程度及夜间遗尿次数,6周内随治疗时间延长效果越来越好。

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