摘要
目的:观察补肾健脾法针刺联合低频电刺激在老年女性压力性尿失禁(stress urinary incontinence, SUI)(脾肾两虚证)中的应用效果。方法:本研究为前瞻性分析,纳入我院2022年8月至2024年8月期间收治的90例老年女性脾肾两虚证SUI,采用随机数字表法分为单一干预组(接受低频电刺激,n=45)和联合干预组(接受补肾健脾法针刺联合低频电刺激,n=45)。对比两组排尿相关指标、尿失禁生活质量量表(incontinence quality of life, I-QOL)评分、国际尿失禁咨询委员会尿失禁问卷简表(international consultation on incontinence questionnaire-short form, ICI-Q-SF)评分、尿动力学参数、盆底肌力。结果:与单一干预组干预14 d后相比,联合干预组最大排尿量更多,24 h总排尿次数、24 h尿失禁次数更少,ICI-Q-SF评分更低,I-QOL评分、腹压漏尿点压(abdominal leak-point pres-sure, ALPP)、最大尿道闭合压(max urethral closure pressure, MUCP)和膀胱顺应性(bladder compliance, BC)更高(P<0.05)。联合干预组干预14 d后盆底肌力的改善效果优于单一干预组(P<0.05)。结论:补肾健脾法针刺联合低频电刺激可有效改善老年女性脾肾两虚证SUI的临床症状,改善尿动力学参数和盆底肌力。
Objective:To observe the application effect of Tonifying Kidney and Invigorating Spleen acupuncture combined with low-frequency electrical stimulation in elderly women with stress urinary incontinence(SUI)(Spleen kidney deficiency syndrome).Method:This study was a prospective analysis,90 elderly women with Spleen Kidney Deficiency Syndrome SUI who were admitted to our hospital from August 2022 to August 2024 were included,and they were divided into single intervention group(received low-frequency electrical stimulation,n=45)and combined intervention group(received Tonifying Kidney and Invigorating Spleen acupuncture combined with low-frequency electrical stimulation,n=45)by random number table method.The urinary related indicators,incontinence quality of life(I-QOL)score,international consultation on incontinence questionnaire-short form(ICI-Q-SF)score,urodynamic parameters and pelvic floor muscle strength were compared between the two groups.Result:Compared with single intervention group at 14 d after intervention,the combined intervention group had more maximum urination volume,fewer total urination times within 24 h,fewer urinary incontinence times within 24 h,lower ICI-Q-SF score,higher I-QOL score,abdominal leak-point pres-sure(ALPP),max urethral closure pressure(MUCP)and bladder compliance(BC)(P<0.05).The improvement effect of pelvic floor muscle strength in the combined intervention group at 14 d after intervention was better than that in the single intervention group(P<0.05).Conclusion:Tonifying Kidney and Invigorating Spleen acupuncture combined with low-frequency electrical stimulation in elderly women with Spleen Kidney Deficiency Syndrome SUI can effectively improve the clinical symptoms,and improve the urodynamic parameters and pelvic floor muscle strength.
作者
曹伟苹
闫冬冬
赵莉亚
来青青
朱民
CAO Wei-ping;YAN Dong-dong;ZHAO Li-ya;LAI Qing-qing;ZHU Min(Department of Rehabilitation,Qingpu District Zhujiajiao People's Hospital of Shanghai,Shanghai,201713,China)
出处
《现代生物医学进展》
2025年第21期3471-3477,3449,共8页
Progress in Modern Biomedicine
基金
上海市青浦区卫生健康委员会科研课题(W2019-21)。
关键词
补肾健脾法
针刺
低频电刺激
老年女性
压力性尿失禁
脾肾两虚证
Tonifying Kidney and Invigorating Spleen
Acupuncture
Low-frequency electrical stimulation
Elderly women
Stress urinary incontinence
Spleen kidney deficiency syndrome
