Department of Acupuncture and Moxibustion, the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Clinical Research Section, Shanghai Research Institute of Acupuncture and Meridian, Shanghai, China.
Acupunct Med. 2021 Oct;39(5):522-528. doi: 10.1177/0964528420968846. Epub 2020 Dec 17.
To examine the impact of electroacupuncture (EA) at the 'four sacral points' on urge urinary incontinence (UUI).
Twenty-five patients diagnosed with UUI or urgency-predominant mixed urinary incontinence (MUI) were treated by EA at the 'four sacral points'. EA was performed in the sacrococcygeal region using disposable sterile 0.40-mm-diameter acupuncture needles that were either 100 or 125 mm in length. Treatments were delivered once every other day. Before and after treatment, a questionnaire measuring symptom severity and quality of life associated with UUI was administered.
The median total score (interquartile range) from the severity of symptoms and the quality of life questionnaire (Q-score) of the participants was significantly reduced from 12 (7.5, 15) before treatment to 3 (0, 6) after 6 (6, 12) EA treatments. The Q-score of urgency-predominant MUI and UUI was 8 (5, 14.5) and 12.5 (11, 15), respectively, before treatment; after treatment these were reduced to 2 (0, 7.5) and 4.5 (2, 6), respectively. There was no statistically significant difference in the Q-score between urgency-predominant MUI and UUI before and after treatment. Upon treatment completion, seven patients (28%) were 'cured' (improvement rate 100%). Treatments were considered 'markedly effective' (improvement rate 75% to <100%) in four patients (16%), 'effective' (improvement rate 50% to <75%) in eight patients (32%), 'minimally effective' (improvement rate 25% to <50%) in three patients (12%), and 'ineffective' (improvement rate <25%) in three patients (12%). The overall success rate (comprising 'cured', 'markedly effective' and 'effective' categories) was 76%, and no adverse effects associated with acupuncture treatment were reported.
EA at the 'four sacral points' was associated with statistically significant improvements in UUI.
探讨电针“骶四穴”治疗急迫性尿失禁（UUI）的效果。
25 例 UUI 或以急迫性症状为主的混合性尿失禁（MUI）患者接受电针“骶四穴”治疗。采用一次性无菌 0.40mm 直径针灸针，针长 100mm 或 125mm，在骶尾部进行电针治疗。隔天治疗 1 次。治疗前后，采用问卷评估 UUI 严重程度和生活质量相关的症状。
治疗前参与者的症状严重程度和生活质量问卷（Q 评分）总分中位数（四分位距）为 12（7.5，15），治疗 6（6，12）次后降为 3（0，6）。治疗前以急迫性症状为主的 MUI 和 UUI 的 Q 评分分别为 8（5，14.5）和 12.5（11，15），治疗后分别降为 2（0，7.5）和 4.5（2，6）。治疗前后以急迫性症状为主的 MUI 和 UUI 的 Q 评分差异无统计学意义。治疗结束时，7 例患者（28%）治愈（改善率 100%）。4 例（16%）治疗效果显著（改善率 75%至<100%），8 例（32%）有效（改善率 50%至<75%），3 例（12%）轻度有效（改善率 25%至<50%），3 例（12%）无效（改善率<25%）。总有效率（治愈、显著有效和有效）为 76%，无针灸治疗相关不良反应。
电针“骶四穴”可显著改善 UUI。
