Chu Ting-Ting, Gao Ming, Wang Si-You, Lv Jian-Wei
College of Acupuncture-Moxibustion and Tuina, Shanghai University of TCM, Shanghai 201203, China; Department of TCM, Xinzhuang Community Health Service Center of Minhang District, Shanghai 201199.
College of Acupuncture-Moxibustion and Tuina, Shanghai University of TCM, Shanghai 201203, China.
Zhongguo Zhen Jiu. 2023 Jul 12;43(7):756-61. doi: 10.13703/j.0255-2930.20220720-k0006.
To compare the clinical therapeutic effect between electroacupuncture at "four points of sacral region" and transurethral Erbium laser in treatment of moderate to severe stress urinary incontinence after radical prostatectomy.
A total of 68 patients of moderate to severe stress urinary incontinence after radical prostatectomy were divided into an electroacupuncture group (34 cases) and an Erbium laser group (34 cases, 3 cases dropped off) according to the settings. In the electroacupuncture group, electroacupuncture was applied at "four points of sacral region", i.e. points of 0.5 beside bilateral sacrococcygeal joints and bilateral Huiyang (BL 35), with continuous wave, 2 Hz in frequency, 60 min each time, once every other day, 3 times a week, 12 times as one course of treatment. In the Erbium laser group, transurethral Erbium laser technology was given, once every 4 weeks as one course of treatment. Both groups were treated for 5 courses. The scores of the International Consultation on Incontinence questionnaire-short form (ICI-Q-SF) and the incontinence quality of life questionnaire (I-QOL) were observed before treatment, after each course of treatment and in follow-up after 1 and 2 months of treatment completion, respectively, and the clinical efficacy was evaluated after treatment in the two groups.
Compared with those before treatment, the ICI-Q-SF scores were decreased while the I-QOL scores were increased after 5 courses of treatment and in follow-up after 1, 2 months of treatment completion in the two groups (<0.01). The ICI-Q-SF score in follow-up after 2 months of treatment completion were higher than that after 5 courses of treatment in the Erbium laser group (<0.05). After 3, 4, 5 courses of treatment and in follow-up after 1 and 2 months of treatment completion, the ICI-Q-SF scores in the electroacupuncture group were lower than those in the Erbium laser group (<0.05, <0.01); after 2, 3, 4, 5 courses of treatment and in follow-up after 1 and 2 months of treatment completion, the I-QOL scores in the electroacupuncture group were higher than those in the Erbium laser group (<0.01). The change ranges of ICI-Q-SF score and I-QOL score between before treatment and after each course of treatment in the electroacupuncture group were lager than those in the Erbium laser group (<0.01, <0.05). The total effective rate was 61.8% (21/34) in the electroacupuncture group, which was superior to 19.4 (6/31) in the Erbium laser group (<0.01).
Both electroacupuncture at "four points of sacral region" and transurethral Erbium laser can improve the clinical symptoms and the quality of life in patients of moderate to severe stress urinary incontinence after radical prostatectomy. The short-term efficacy and long-term efficacy of electroacupuncture are superior to the Erbium laser technology.
比较“骶部四点”电针与经尿道铒激光治疗前列腺癌根治术后中重度压力性尿失禁的临床疗效。
将68例前列腺癌根治术后中重度压力性尿失禁患者按设定分为电针组（34例）和铒激光组（34例，脱落3例）。电针组采用“骶部四点”电针，即双侧骶尾关节旁开0.5寸及双侧会阳（BL 35），连续波，频率2Hz，每次60分钟，隔日1次，每周3次，12次为1个疗程。铒激光组采用经尿道铒激光技术，每4周1次为1个疗程。两组均治疗5个疗程。分别于治疗前、各疗程治疗后及治疗结束后1、2个月随访时观察国际尿失禁咨询委员会简表（ICI-Q-SF）评分及尿失禁生活质量问卷（I-QOL）评分，并评价两组治疗后的临床疗效。
与治疗前比较，两组治疗5个疗程后及治疗结束后1、2个月随访时ICI-Q-SF评分降低，I-QOL评分升高（P<0.01）。铒激光组治疗结束后2个月随访时ICI-Q-SF评分高于治疗5个疗程后（P<0.05）。治疗3、4、5个疗程后及治疗结束后1、2个月随访时，电针组ICI-Q-SF评分低于铒激光组（P<0.05，P<0.01）；治疗2、3、4、5个疗程后及治疗结束后1、2个月随访时，电针组I-QOL评分高于铒激光组（P<0.01）。电针组治疗前与各疗程治疗后ICI-Q-SF评分及I-QOL评分的变化幅度大于铒激光组（P<0.01，P<0.05）。电针组总有效率为61.8%（21/34），优于铒激光组的19.4%（6/31）（P<0.01）。
“骶部四点”电针与经尿道铒激光均可改善前列腺癌根治术后中重度压力性尿失禁患者的临床症状及生活质量。电针的近期疗效及远期疗效均优于铒激光技术。
