首页|磁刺激联合艾灸对女性轻中度膀胱过度活动症及性功能影响的临床观察

磁刺激联合艾灸对女性轻中度膀胱过度活动症及性功能影响的临床观察

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目的:探讨磁刺激联合艾灸对女性轻中度膀胱过度活动症(OAB)及性功能影响的临床观察.方法:收集女性轻中度OAB中医辨证为肾气亏虚型患者80例,随机分为对照组(40例)和试验组(40例).对照组应用磁刺激疗法,试验组应用磁刺激疗法基础上加用艾灸治疗,治疗干预时间均为8周.采用膀胱过度活动症评分(OABSS)、72h排尿日记、国际尿失禁咨询问卷-膀胱过度活动症分问卷(ICIQ-OAB)、女性性功能指数调查量表(FSFI)评分对患者治疗前后的临床疗效进行对比.结果:共77例患者完成研究,其中对照组37例,试验组40例;两组间基线资料比较无显著差异(P>0.05).试验组OABSS[(7.54±1.12)分vs(4.46±0.96)分]、72 h排尿日记[(126.40±46.04)分vs(216.63±38.26)分;(15.55±3.21)分 vs(8.03±1.40)分]、ICIQ-OAB[(10.25±1.15)分vs(6.32±1.07)分]、FSFI[(20.00±12.40)分 vs(33.30±21.00)分]均较治疗前明显改善(P 均<0.05);治疗后组间比较,试验组 OABSS[(4.46±0.96)分 vs(5.59±0.90)分]、72 h 排尿日记[(216.63±38.26)ml vs(173.41±15.55)ml;(8.03±1.40)次vs(9.90±1.49)次]、ICIQ-OAB[(6.32±1.07)分 vs(7.89±0.77)分]、FSFI[(33.30±21.00)分vs(30.40±10.40)分]均明显优于对照组(P均<0.01).结论:磁刺激联合艾灸能够改善女性轻中度膀胱过度活动症症状及提高性功能.
Magnetic stimulation combined with moxibustion improves mild to moderate overactive bladder and sexual function in women
Objective:To investigate the clinical effect of magnetic stimulation combined with moxibustion on mild to moderate overactive bladder(OAB)and sexual function in women.Methods:We enrolled 80 female patients with mild to moderate OAB in this study and equally randomized them into a control and an experimental group,the former treated by magnetic stimulation and the latter by magnetic stimulation combined with moxibustion,both for 8 weeks.We obtained from the patients their OAB syndrome scores(OABSS),72-hour urination diary(72-h UD)scores,International Consultation on Incontinence Questionnaire-Overactive Bladder(ICIQ-OAB)scores and female sexual function indexes(FSFI),and compared them between the two groups before and after interven-tion.Results:A total of 77 patients completed the study,37 in the control and 40 in the experimental group.There were no statisti-cally significant differences in the baseline data between the two groups(P>0.05).Compared with the baseline,the experimental group showed significant improvement after treatment in the OABSS(7.54±1.12 vs 4.46±0.96),72-h urine volume([126.40±46.04]vs[216.63±38.26]ml),urination frequency(15.55±3.21 vs 8.03±1.40),ICIQ-OAB score(10.25±1.15 vs 6.32±1.07)and FSFI(20.00±12.40 vs 33.30±21.00)(all P<0.05),even more significantly than in the control group(OABSS:4.46±0.96 vs 5.59±0.90;72-h urine volume:[216.63±38.26]vs[173.41±15.55]ml;urination frequency:8.03±1.40 vs 9.90±1.49;ICIQ-OAB score:6.32±1.07 vs 7.89±0.77;FSFI:33.30±21.00 vs 30.40±10.40)(all P<0.01).Conclu-sion:Magnetic stimulation combined with moxibustion can improve the symptoms of mild to moderate overactive bladder and improve sexual function in females.

overactive bladdermoxibustionmagnetic stimulationjoint intervention

周丹、王佳尉、王偲婧、史朝亮、施国伟、王阳贇、徐可

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上海城建职业学院健康与社会关怀学院,上海 201415

复旦大学附属上海市第五人民医院泌尿外科,上海 200240

复旦大学附属上海市第五人民医院中医科,上海 200240

膀胱过度活动症 艾灸 磁刺激 联合干预

上海市卫生健康委员会中医药科研项目

ZXXT-202207

2024

中华男科学杂志
南京军区南京总医院

中华男科学杂志

CSTPCD
影响因子:1.052
ISSN:1009-3591
年,卷(期):2024.30(3)