首页|隔姜温和灸联合盆底肌训练及生物反馈电刺激治疗产后压力性尿失禁33例

隔姜温和灸联合盆底肌训练及生物反馈电刺激治疗产后压力性尿失禁33例

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目的 观察隔姜温和灸联合盆底肌训练及生物反馈电刺激治疗产后压力性尿失禁(PSUI)的疗效.方法 选取2021年6月—2022年6月于福建中医药大学附属人民医院整合盆底医学中心就诊的PSUI患者66例,采用SPSS 26.0软件生成随机序列和信封法分为对照组和观察组,每组33例.对照组进行盆底肌训练、生物反馈电刺激和健康教育,观察组在对照组治疗基础上联合八髎穴隔姜温和灸,每次30 min,隔日1次,2组均连续干预10次.比较2组治疗前后1 h漏尿量、尿道内口漏斗形成率和泌尿生殖障碍量表简表(UDI-6)评分,比较2组治疗前后和治疗后1个月尿失禁生活质量问卷(I-QOL)评分.结果 与治疗前比较,2组治疗后1 h漏尿量、UDI-6评分均明显降低(P＜0.05),治疗后和治疗后1个月I-QOL评分明显升高(P＜0.05);观察组治疗后尿道内口漏斗形成率明显降低(P＜0.05).与对照组比较,观察组治疗后1 h漏尿量和UDI-6评分均明显降低(P＜0.05),治疗后和治疗后1个月I-QOL评分明显升高(P＜0.05).结论 隔姜温和灸能有效改善PSUI患者漏尿量,减轻尿失禁症状,提高生活质量,促进产后盆底功能康复.
Ginger-Separated Mild Moxibustion Combined with Pelvic Floor Muscle Training and Biofeedback Electrical Stimulation in Treatment of Postpartum Stress Urinary Incontinence in 33 Cases
Objective:To observe the therapeutic efficacy of ginger-separated mild moxibustion combined with pelvic floor mus-cle training and biofeedback electrical stimulation in treatment of postpartum stress urinary incontinence(PSUI).Methods:A total of 66 PSUI patients admitted to the center for pelvic floor medicine of the Affiliated People's Hospital of Fujian University of Tradi-tional Chinese Medicine from June 2021 to June 2022 were selected and randomly divided into control group and observation group,with 33 cases in each group.The control group received pelvic floor muscle training,biofeedback electrical stimulation,and health education.The observation group was treated Baliao acupoint with ginger-separated mild moxibustion for 30 minutes each time,once every other day,in addition to the treatment received by the control group.Both groups received 10 consecutive interventions.The 1-h urine leakage volume,the occurrence rate of internal urethral orifice funnel,and the urogenital disorders inventory-6(UDI-6)scores were observed between the two groups before and after treatment,as well as the incontinence quality of life questionnaire(I-QOL)scores before and after treatment and one month after treatment.Results:Compared with those before treatment,the 1-hour urine leakage volume and UDI-6 scores significantly decreased in both groups after treatment(P<0.05),while the I-QOL scores sig-nificantly increased after treatment and 1 month after treatment(P<0.05);the occurrence rate of internal urethral orifice funnel in the observation group significantly decreased after treatment(P<0.05).Compared with the control group,the 1-hour urine leakage volume and UDI-6 scores significantly decreased in the observation group after treatment(P<0.05),while the I-QOL scores significantly increased after treatment and 1 month after treatment(P<0.05).Conclusion:Ginger-separated mild moxibustion can effectively improve urinary leakage volume in PSUI patients,alleviate urinary incontinence symptoms,improve quality of life,and promote rehabilitation of postpartum pelvic floor function.

postpartum stress urinary incontinenceginger-separated mild moxibustionpelvic floor muscle trainingbiofeed-backelectrical stimulationpelvic floor function

黄惠榕、余真铃、刘磊、刘晴、郑赛玉、李静、黄锦华

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福建中医药大学附属人民医院,福建 福州 350004

福建医科大学附属漳州市医院,福建 漳州 363000

福建中医药大学护理学院,福建 福州 350122

产后压力性尿失禁 隔姜温和灸 盆底肌训练 生物反馈 电刺激 盆底功能

福建省科技厅引导性项目福建中医药大学整合盆底医学中心开放课题

2020Y00472020003-平台

2024

10.13260/j.cnki.jfjtcm.2024.05003

福建中医药
福建省中医药学会　福建中医药大学

福建中医药

影响因子：0.518
ISSN：1000-338X
年,卷(期)：2024.55(5)
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