Department of Surgery, Ningbo Municipal Hospital of TCM Affiliated Hospital of Zhejiang Chinese Medicine University, Ningbo, China.
Department of Nursing, Ningbo Municipal Hospital of TCM Affiliated Hospital of Zhejiang Chinese Medicine University, Ningbo, China.
Ann Palliat Med. 2021 Jul;10(7):7786-7793. doi: 10.21037/apm-21-1382.
Stress urinary incontinence is a common and widespread problem among women that can significantly reduce the quality of life of those affected and potentially result in limitations to the lives and activities of their friends and family members. We aimed to observe the effect of floating needle therapy combined with acupuncture point embedding in the treatment of female stress urinary incontinence after childbirth.
A total of 64 postpartum female stress urinary incontinence patients who were treated and hospitalized in the Urology Clinic of the Ningbo Traditional Chinese Medicine Hospital of the Zhejiang Province from September 2020 to August 2021 were randomly allocated to the experimental group and the control group, each with 32 cases. The control group was treated with the drug midodrine combined with Kegel training, and the experimental group was treated with floating needle therapy combined with acupoint embedding. After 8 weeks of continuous treatment, the pelvic floor muscle strength, urinary incontinence score, and the improvement of urine leakage in the 1 h pad test were observed. We then evaluated the clinical efficacy of the 2 groups and the state of urinary incontinence at 3 months and 6 months as assessed by telephone follow-up.
After treatment, the pelvic floor muscle strength of the 2 groups had significantly increased, and both the urinary incontinence score and the urine leakage volume of the 1 h pad test were significantly reduced. The pelvic floor muscle strength of the experimental group was significantly higher than that of the control group after treatment, the urinary incontinence score and the amount of urine leakage of the 1 h pad test were significantly lower than those of the control group. The total effective rate of the experimental group was 90.63% (27/32), which was higher than that of the control group (71.88%, 23/32).
With the benefits of being both convenient and efficient, floating needle therapy combined with press-needle acupoint embedding is effective in treating female stress urinary incontinence after childbirth.
Chinese Clinical Trial Registry ChiCTR2100047558.
压力性尿失禁是一种常见且广泛存在于女性中的问题,它会显著降低受影响者的生活质量,并可能导致其朋友和家人的生活和活动受限。我们旨在观察浮针疗法结合穴位埋线治疗产后女性压力性尿失禁的效果。
选取 2020 年 9 月至 2021 年 8 月在浙江省宁波市中医院泌尿外科治疗和住院的 64 例产后女性压力性尿失禁患者,随机分为实验组和对照组,每组 32 例。对照组采用米多君联合凯格尔训练治疗,实验组采用浮针疗法结合穴位埋线治疗。连续治疗 8 周后,观察两组患者盆底肌肌力、尿失禁评分及 1 h 尿垫试验漏尿量的改善情况,并评估两组患者的临床疗效,以及电话随访 3 个月和 6 个月时的尿失禁状态。
治疗后,两组患者的盆底肌肌力均明显增强,尿失禁评分和 1 h 尿垫试验漏尿量均明显降低。治疗后,实验组的盆底肌肌力明显高于对照组,尿失禁评分和 1 h 尿垫试验漏尿量明显低于对照组。实验组总有效率为 90.63%(27/32),高于对照组的 71.88%(23/32)。
浮针疗法结合穴位埋线治疗产后女性压力性尿失禁方便高效,疗效确切。
中国临床试验注册中心 ChiCTR2100047558。