摘要
目的探讨热敏灸联合“盆底六针”与Kegel锻炼对产后压力性尿失禁(PSUI)的疗效。方法将2024年2月至2025年6月于北京中医医院顺义医院针灸科及妇产科就诊的PSUI患者60例,采用信封法将其分为对照组(30例)和治疗组(30例)。对照组给予“盆底六针”与Kegel锻炼干预,治疗组给予热敏灸结合“盆底六针”与Kegel锻炼干预,均治疗4周。比较两组治疗前后1 h尿垫试验漏尿量及国际尿失禁咨询委员会答卷简表(ICIQ-SF)、尿失禁影响问卷简表(IIQ-7)、盆腔脏器脱垂-尿失禁患者性功能问卷(PISQ-12)评分。结果治疗后,两组1 h尿垫试验漏尿量、ICIQ-SF评分、IIQ-7评分均较治疗前降低,且治疗组低于对照组(P<0.05);两组PISQ-12评分均较治疗前升高(P<0.05),但两组PISQ-12评分比较,差异无统计学意义(P>0.05)。治疗组临床疗效优于对照组(P<0.05)。结论热敏灸结合“盆底六针”与Kegel锻炼可进一步减少PSUI患者漏尿量、尿失禁程度,提高临床疗效,但对性功能的改善无额外增加。
Objective To explore the efficacy of thermal sensitive moxibustion combined with acupuncture at“pelvic floor six needles”and Kegel training in patients with postpartum stress urinary incontinence(PSUI).Methods From February 2024 to June 2025,60 patients with PSUI attending the Department of Acupuncture and Moxibustion and the Department of Obstetrics and Gynecology in Shunyi Hospital Beijing Traditional Chinese Medicine Hospital were divided into control group(30 cases)and treatment group(30 cases)by the envelope method.The control group was treated with acupuncture at“pelvic floor six needles”and Kegel training,the treatment group was treated with thermal sensitive moxibustion combined with acupuncture at“pelvic floor six needles”and Kegel training,all lasted for four weeks.The urine leakage volume of the 1-hour urine pad test,the scores of the international consultation on incontinence questionnaire-short form(ICIQ-SF),the incontinence impact questionnaire-7(IIQ-7),and the pelvic organ prolapse/urinary incontinence/sexual questionnaire short form(PISQ-12)before and after treatment were compared between the two groups.Results After treatment,the urine leakage volume of the 1-hour urine pad test,ICIQ-SF scores,and IIQ-7 scores in both groups were lower than those before treatment,and the treatment group was lower than the control group(P<0.05);the PISQ-12 scores of both groups were higher than those before treatment(P<0.05),while there was no statistically significant difference in the PISQ-12 scores between the two groups(P>0.05).The clinical efficacy of the treatment group was better than that of the control group(P<0.05).Conclusion Thermal sensitive moxibustion combined with acupuncture at“pelvic floor six needles”and Kegel training can further reduce the urine leakage volume and the degree of urinary incontinence in patients with PSUI,and improve the clinical efficacy,but it does not increase the improvement of sexual function.
作者
沈凌宇
张丽
洪秋阳
毛雪文
邓越
杨怡
刘晓静
SHEN Lingyu;ZHANG Li;HONG Qiuyang;MAO Xuewen;DENG Yue;YANG Yi;LIU Xiaojing(Department of Acupuncture and Moxibustion,Shunyi Hospital Beijing Traditional Chinese Medicine Hospital,Beijing 101399,China;Department of Obstetrics and Gynecology,Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100039,China)
出处
《中国医药导报》
2026年第6期79-84,共6页
China Medical Herald
基金
北京市中医药科技发展资金项目(BJZYQN-2023-13)
北京市海淀区卫生健康发展科研培育计划项目(HP2023-50-102004)。
关键词
产后压力性尿失禁
盆底六针
热敏灸
Kegel训练
随机对照试验
Postpartum stress urinary incontinence
Acupuncture at“pelvic floor six needles”
Thermal sensitive moxibustion
Kegel training
Randomized controlled trial
