Department of Acupuncture and Moxibustion, Baicheng Medical College, Baicheng, China.
College of Mathematical Sciences, Shanghai Jiaotong University, Shanghai, China.
Medicine (Baltimore). 2024 Oct 11;103(41):e40127. doi: 10.1097/MD.0000000000040127.
This study provides an in-depth perspective of moxibustion as a treatment option for urinary incontinence (UI), focusing on its clinical efficacy, underlying mechanisms, and potential integration into standard care practices. Moxibustion, rooted in traditional Chinese medicine, involves the targeted application of heat from burning moxa at specific acupoints. Analyzing data from randomized controlled trials and retrospective studies, the study suggests that moxibustion effectively reduces UI symptoms and improves quality of life with minimal adverse effects. The therapeutic benefits are attributed to enhanced blood circulation, improved neurological functions, and hormonal balance, facilitating tissue repair, and urinary system functionality. Despite encouraging outcomes, existing research exhibits limitations, including small sample sizes, and inconsistent methodologies. Future research should aim to address these gaps by conducting larger, standardized multicenter trials to provide more definitive evidence of moxibustion's effectiveness. Additionally, integrating moxibustion into comprehensive treatment strategies for UI and promoting its inclusion in clinical guidelines could enhance its acceptance and application in modern medical practice. This study underscores the potential of moxibustion as a non-alternative in the management of UI, warranting further exploration and validation in clinical settings.
本研究深入探讨了艾灸作为治疗尿失禁（UI）的一种选择，重点关注其临床疗效、潜在机制以及潜在的整合到标准护理实践中的可能性。艾灸源于中医，涉及在特定穴位上用燃烧的艾条产生的热来进行有针对性的应用。通过对随机对照试验和回顾性研究的数据进行分析，该研究表明艾灸可有效减轻 UI 症状，提高生活质量，且副作用极小。治疗效果归因于促进血液循环、改善神经功能和激素平衡，促进组织修复和泌尿系统功能。尽管结果令人鼓舞，但现有研究存在局限性，包括样本量小和方法不一致。未来的研究应旨在通过进行更大规模、标准化的多中心试验来解决这些差距，以提供更确凿的艾灸疗效证据。此外，将艾灸纳入 UI 的综合治疗策略中，并促进其纳入临床指南，可能会提高其在现代医学实践中的接受度和应用。本研究强调了艾灸作为 UI 管理中非替代疗法的潜力，值得在临床环境中进一步探索和验证。
