电针治疗女性中重度混合性尿失禁的随机对照试验

摘要

Objective:To evaluate the effectiveness of electro-acupuncture for moderate or severe female mixed urinary incontinence,and to provide an effective treatment for this kind of disease.Methods:50 patients were randomly divided into the observation group (n =23) and the control group (22);the observation group was given electro-acupuncture,and the control group was treated with the combination of pelvic floor muscle training and Solifenacin.The length of the treatment was 12w in the observation group and 36w in the control group.72h urinary leakage,ICIQ-SF score,and urine leakage of lh urine pad test were observed for analysis.Results:It showed that the effect of the observation group was equal to that of the control group,in terms of 72h urinary leakage,ICIQ-SF score,and urine leakage of lh urine pad test.Conclusion:The therapy of electro-acupuncture can relieve the symptoms of moderate or severe female mixed urinary incontinence,and improve life quality of the patients,which has the same effect as the combination of pelvic floor muscle training and Solifenacin.%目的:通过评估电针对女性中重度混合性尿失禁患者的有效性及生活质量,为治疗混合性尿失禁患者提供有效的治疗方法.方法:50名受试者符合纳入标准,进行中央随机后,平均分配到电针组和对照组(药物联合盆底肌训练组),因脱落5例,最终电针组23例,对照组22例.电针组治疗12周,对照组应用索利那新配合盆底肌训练治疗36周.应用72 h漏尿次数、ICIQ-SF评分、1h尿垫试验漏尿量对结果进行评价,并对数据进行统计与分析.结果:72 h漏尿次数、ICIQ-SF评分、1h尿垫试验漏尿量的各时期统计学分析说明,电针组与对照组治疗效应基本相当.结论:电针能改善女性中重度混合性尿失禁症状,且与盆底肌训练联合索利那新治疗疗效相当,并能改善受试者生活质量.