首页|雷火灸辅助治疗产后压力性尿失禁的价值

雷火灸辅助治疗产后压力性尿失禁的价值

扫码查看
目的:探讨雷火灸辅助治疗产后压力性尿失禁的价值.方法:选取 2021 年 2 月—2023 年2 月于都县妇幼保健院收治的 78 例产后压力性尿失禁患者作为研究对象,通过病历号数字表抽签法将患者分为观察组(n=39)和对照组(n=39).对照组患者给予盆底康复干预,研究组则在对照组的基础上联合雷火灸辅助治疗.对比两组干预前、干预 2 个月后国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分、漏尿情况(24 h平均漏尿次数和 1 h尿量)、盆底肌功能[子宫颈外口位置(CMP)、膀胱颈位置(BNP)、尿道斜倾角(UTA)和膀胱尿道后角(PUA)]、尿动力学[最大尿道闭合压力(MUCP)、Valsalva漏尿点压(VLPP)、最大逼尿肌压力(MDP)].结果:干预 2 个月后,相较于对照组,观察组ICI-Q-SF评分更低,差异有统计学意义(P<0.05);干预 2 个月后,相较于对照组,观察组 24 h平均漏尿次数和 1 h尿量均更少,差异均有统计学意义(P<0.05);干预 2 个月后,相较于对照组,观察组CMP、BNP均更低,UTA和PUA均更小,差异均有统计学意义(P<0.05);干预 2 个月后,相较于对照组,观察组MUCP、VLPP、MDP均更高,差异均有统计学意义(P<0.05).结论:雷火灸辅助治疗能够明显改善产后压力性尿失禁患者的漏尿症状、盆底功能和尿动力学.
The Value of Thunder-fire Moxibustion in the Adjuvant Treatment of Postpartum Stress Urinary Incontinence
Objective:Exploring the value of thunder-fire moxibustion in the adjuvant treatment of postpartum stress urinary incontinence.Method:A total of 78 patients with postpartum stress incontinence admitted to Yudu County Maternal and Child Health Hospital from February 2021 to February 2023 were selected as the study objects,and the patients were divided into observation group(n=39)and control group(n=39)according to digital table of medical records drawing method.The patients in the control group were given pelvic floor rehabilitation intervention,and the patients in the observation group were treated with thunder-fire moxibustion adjuvant treatment on the basis of the control group.The international consultation committee on incontinence questionnaire short form(ICI-Q-SF)scores,urinary leakage situation(24 h average times of urinary leakage and 1 h urinary volume),pelvic floor muscle function[cervical mouth position(CMP),bladder neck position(BNP),urethral tilt angel(UTA)and posterior urethravesical angel(PUA)],urodynamic[maximum urethral closure pressure(MUCP),Valsalva leak point pressure(VLPP),maximal detrusor pressure(MDP)]were compared between the two groups before intervention and 2 months after intervention.Result:After 2 months of intervention,compared with the control group,the ICI-Q-SF scores of the observation group was lower,the difference was statistically significant(P<0.05).After 2 months of intervention,compared with the control group,the 24 h average times of urinary leakage and 1 h urinary volume in the observation group were lower,the differences were statistically significant(P<0.05).After 2 months of intervention,compared with the control group,CMP and BNP in the observation group were lower,and UTA and PUA in the observation group were smaller,the differences were statistically significant(P<0.05).After 2 months of intervention,compared with the control group,MUCP,VLPP and MDP in observation group were higher,the differences were statistically significant(P<0.05).Conclusion:Thunder-fire moxibustion adjuvant treatment can significantly improve the urinary leakage symptoms,pelvic floor function and urodynamic of patients with postpartum stress incontinence.

PostpartumStress incontinenceThunder-fire moxibustion urodynamic

孙玉芳、尹晔、孙婧、饶文群、肖慧莲、李成秀

展开 >

于都县妇幼保健院产科 江西 于都 342300

信丰县人民医院妇产科 江西 信丰 341600

于都县妇幼保健院盆底与产后康复科 江西 于都 342300

产后 压力性尿失禁 雷火灸 尿动力学

赣州市指导性科技计划项目

20222ZDX8795

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(4)
  • 20