电针治疗混合性尿失禁的临床研究

摘要

Objective:To observe the clinical efficacy and safety of electro -acupuncture for treating mixed uri-nary incontinence ( MUI).Methods:MUI patients who met the inclusion criteria were randomly divided into an experimental group (32 cases) treated by electro -acupuncture and 33 cases in the control group given oral tolterodine hydrochloride combined with pelvic floor muscle training and bladder training.The volume of urine leakage for 1 hour,the frequency of urinary incontinence for 24 hours,ICIQ-SF scores,total effective rate as the observation index,the efficacy and safety were evaluated after four weeks 'treatment.Results:Compared with the control group,the experimental group could significantly reduce MUI patients'volume of urine leakage for 1 hour (P<0.05)and reduce the frequency of urinary incontinence for 24 hours (P <0.01).Moreover,it could significantly reduce the ICIQ -SF scores ( P<0.01 ),and improve the patients 'quality of life.The total effective rate of the experimental group was 87.50%,which was significantly higher than that of the control group with 60.61%( P<0.05 ),and there was no obvious adverse reactions.Conclusion:The electro-acu-puncture has a good clinical efficacy and safety for treating MUI.%目的:观察电针治疗混合性尿失禁( MUI)的临床疗效和安全性.方法:将符合纳入标准的MUI患者按入组先后随机分为试验组32例,予以电针治疗,对照组33例,予以盐酸托特罗定口服配合盆底肌群训练和膀胱训练治疗,以1 h漏尿量、24 h尿失禁发作次数、ICIQ-SF评分、总有效率等为观察指标,治疗4周后进行疗效和安全性评定.结果:与对照组相比,试验组能明显著降低MUI患者1 h漏尿量(P<0.05),减少24 h尿失禁发作次数(P <0.01),同时还可以显著降低ICI -Q-SF评分(P <0.01 ),提高患者生活治疗.试验组总有效率达87.50%,明显高于对照组的60.61%( P<0.05 ),且未出现明显不良反应.结论:电针治疗MUI具有较好的临床疗效和安全性.