Improvement Effects of Buzhong Yiqi Decoction Combined with Biofeedback Electrical Stimulation on Mild to Moderate Stress Urinary Incontinence in Middle-Aged and Elderly Women
OBJECTIVE:To probe into the improvement effects of Buzhong Yiqi decoction combined with biofeedback electrical stimulation on mild to moderate stress urinary incontinence in middle-aged and elderly women.METHODS:A total of 132 middle-aged and elderly women with mild to moderate stress urinary incontinence admitted into the hospital from May 2021 to Mar.2023 were divided into control group and combination group via random number table method,with 66 cases in each group.The control group was treated with mild to moderate stress urinary incontinence,the combination group was given Buzhong Yiqi decoction based on the control group.After 8 weeks of continuous treatment,the clinical efficacy,the scores of incontinence questionnaire short form(ICI-Q-SF)and incontinence quality of life scale(I-QOL),results of 1h urine pad test,urodynamic indicators and surface myoelectricity of pelvic floor muscle before and after treatment were compared between two groups,and the incidences of adverse drug reactions were recorded.RESULTS:The total effective rate of the combination group was 95.45%(63/66),higher than 80.30%(53/66)of the control group,with statistically significant difference(P<0.05).After treatment,the ICI-Q-SF scores,volumes and frequencies of urine leakage with 1 h,residual urine volumes,muscle voltages in pre-resting stage and post-resting stage of both groups were lower than those before treatment;the I-QOL score,bladder compliance,maximum urinary flow rate and maximum urethral closure pressure,muscle voltages in fast muscle(type Ⅱ muscle fibers)stage and slow muscle(type Ⅰ muscle fibers)stage of both groups were higher than those before treatment,with statistically significant differences(P<0.05).After treatment,the ICI-Q-SF score,1 h volumes and frequencies of urine leakage,residual urine volumes,muscle voltages in pre-resting stage and post-resting stage of the combination group were lower than those of the control group;the I-QOL score,bladder compliance,maximum urinary flow rate and maximum urethral closure pressure,muscle voltages in fast muscle(typeⅡ muscle fibers)stage and slow muscle(type Ⅰ muscle fibers)stage of the combination group were higher than those of the control group,with statistically significant differences(P<0.05).No adverse drug reactions occurred in either group during treatment.CONCLUSIONS:For middle-aged and elderly female patients with mild to moderate stress urinary incontinence,the treatment effects of Buzhong Yiqi decoction combined with biofeedback electrical stimulation is significant,which can improve patients'incontinence status,quality of life,urodynamic parameters and pelvic floor muscle function,with good safety.
Buzhong Yiqi decoctionBiofeedback electrical stimulationMiddle-aged and elderly womenMild to moderate stress urinary incontinenceUrodynamic
万方数据
维普
