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热敏灸联合凯格尔运动疗法治疗女性压力性尿失禁的临床观察

[Clinical Observation of Heat-sensitive Moxibustion Combined with Kegel Exercise Therapy for Female Stress Urinary Incontinence].

作者信息

Hu Dan, Deng Peng, Jiao Lin, Xiong Jun, Xie Ding-Yi, Chen Ri-Xin

机构信息

Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Key Laboratory of Heat-sensitive Moxibustion of State Administration of Traditional Chinese Medicine, Class Ⅲ Acupoint Sensitive Laboratory of State Administration of Traditional Chinese Medicine, Nanchang 330006, China.

出版信息

Zhen Ci Yan Jiu. 2017 Aug 25;42(4):338-41.

Abstract

OBJECTIVE

To compare the clinical effects of heat-sensitive moxibustion combined with kegel exercise therapy and simple kegel exercise therapy on female stress urinary incontinence.

METHODS

Forty-five female patients with stress urinary incontinence were randomly divided into a treatment group (=23) and a control group (=22). Kegel exercise therapy was applied in the two groups. Heat-sensitive moxibustion was used at Zhongji (CV 3), Qihai (CV 6), Ciliao (BL 32) and Shen-shu (BL 23) in the treatment group, once a day for the first 10 times, and once every other day until 5 sessions were given, 10 times as one session. 1-hour pad test, International Incontinence Advisory Board questionnaire (ICIQ-SF) and the number of urine leakage were observed before and after treatment. And the clinical effect was evaluated.

RESULTS

The curative rate of 43.48%(10/23) and the total effective rate of 95.65%(22/23) in the treatment group were respectively better than those of 18.18% (4/22) and 63.64%(14/22) in the control group (both <0.05). After treatment, 1-hour pad test and ICIQ-SF score were lower than those before treatment in the two groups, and the number of urine leakage decreased (all <0.01). The above three indexes of the treatment group were better than those of the control group (all <0.01).

CONCLUSIONS

Heat-sensitive moxibustion combined with kegel exercise therapy achieves better effect than simple kegel exercise therapy on female stress urinary incontinence.

摘要

目的

比较热敏灸联合凯格尔运动疗法与单纯凯格尔运动疗法治疗女性压力性尿失禁的临床疗效。

方法

将45例女性压力性尿失禁患者随机分为治疗组(n = 23)和对照组(n = 22)。两组均采用凯格尔运动疗法。治疗组在中极(CV 3)、气海(CV 6)、次髎(BL 32)和肾俞(BL 23)进行热敏灸,前10次每天1次,之后隔日1次,共进行5个疗程,10次为1个疗程。观察治疗前后1小时尿垫试验、国际尿失禁咨询委员会问卷(ICIQ-SF)及漏尿量,并评价临床疗效。

结果

治疗组治愈率为43.48%(10/23),总有效率为95.65%(22/23),分别优于对照组的18.18%(4/22)和63.64%(14/22)(均P<0.05)。治疗后,两组1小时尿垫试验及ICIQ-SF评分均低于治疗前,漏尿量减少(均P<0.01)。治疗组上述三项指标均优于对照组(均P<0.01)。

结论

热敏灸联合凯格尔运动疗法治疗女性压力性尿失禁的效果优于单纯凯格尔运动疗法。

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