Pelvic floor ultrasound evaluation of the clinical efficacy of floating needle therapy combined with pressing needle and embedding needle at acupoints in the treatment of patients with stress urinary incontinence
Objective To analyze the clinical efficacy of floating needle therapy combined with pressing needle point em-bedding therapy in the treatment of patients with stress urinary incontinence,and to explore the clinical value of evalua-.ting its efficacy through perineal pelvic floor ultrasound.Methods A total of 110 patients with stress urinary inconti-nence admitted to Ningbo Traditional Chinese Medicine Hospital from September 2022 to November 2023 were selected as the study subjects.They were randomly divided into a control group and an experimental group,with 55 cases in each group.The control group was treated with biofeedback electrical stimulation combined with pelvic floor muscle training,and the experimental group was treated with floating needle therapy combined with pressing and embedding acupuncture points.The ultrasound parameters of two groups of patients during resting state and maximum Valsalva maneuver were ob-served,including bladder neck position,detrusor muscle thickness(DWT),urethral inclination angle(UTA),bladder neck movement(BND),posterior angle of bladder urethra(RVA),and urethral rotation angle(URA).The incidence of urethral infundibulum during the maximum Valsalva maneuver was calculated.Results After the treatment,there was no statistically significant difference in the resting bladder neck position,DWT,and RVA between the two groups(P＞0.05),and the UTA in the experimental group was higher than that in the control group(P＜0.05).The BND of both groups of patients significantly decreased during the maximum Valsalva maneuver(P＜0.05),and the BND in the experi-mental group was lower than that in the control group(P＜0.05)after the treatment.There was no statistically significant difference between the two groups of RVA and URA(P＞0.05).The incidence of urethral infundibulum in the experi-mental group was 87.27％(48/55),significantly lower than 100.00％(55/55)in the control group(P＜0.05).Con-clusion The combination of floating needle therapy and pressing needle embedding therapy at acupoints is more effective for patients with stress urinary incontinence,which is more conducive to reducing the incidence of urethral infundibulum.The evaluation of the rehabilitation effect by perineal pelvic floor ultrasound has a certain clinical reference value.
Stress urinary incontinencePelvic floor ultrasoundFloating needle therapyPress the needle and bury the needle at the acupointBiofeedback electrical stimulation
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