| 赵怡颖,陈珍珍,蔡劲,吴欢,陈苏夏,郭德超.盆底超声在电针治疗压力性尿失禁精准治疗中的作用研究[J].浙江中西医结合杂志,2023,33(4): |
| 盆底超声在电针治疗压力性尿失禁精准治疗中的作用研究 |
| The study on the role of pelvic floor ultrasound in the precise treatment of stress urinary incontinence by electroacupuncture |
| 投稿时间：2022-05-18 修订日期：2023-02-09 |
| DOI： |
| 中文关键词: 压力性尿失禁 盆底超声 电针治疗 盆底肌肉训练 |
| 英文关键词:stress urinary incontinence pelvic floor ultrasound electroacupuncture treatment pelvic floor muscle training |
| 基金项目:浙江省中医药科技计划项目2022ZB199 |
|
| 摘要点击次数: 562 |
| 全文下载次数: 7 |
| 中文摘要: |
| 目的 探究盆底超声在电针精准治疗压力性尿失禁(SUI)中的作用。方法 选择2021年1月至2022年4月期间我院收治的70例女性压力性尿失禁患者作为研究对象。采用随机方法将70例患者分为治疗组和对照组各35例。对照组采用Kegal训练进行盆底肌肉训练治疗,治疗组在对照组的基础上联合电针刺激进行治疗。治疗18周后根据两组患者的漏尿症状对其临床疗效进行评价,分别于治疗前、治疗后6周、12周、18周记录两组患者的24h漏尿次数,1h尿垫试验漏尿量,同时对两组患者进行盆底超声检查。结果 治疗组患者的总有效率为91.43%,明显高于对照组的71.43%,差异比较有统计学意义(P<0.05)。两组在治疗前的24h漏尿次数、1h漏尿量和ICIQ-SF评分比较无统计学意义(P>0.05)；两组在治疗后6周、12周和18周的24h漏尿次数、1h漏尿量和ICIQ-SF评分均明显低于同组治疗前,治疗组在治疗后6周、12周和18周的24h漏尿次数、1h漏尿量和ICIQ-SF评分均明显低于同期对照组,差异有统计学意义(P<0.05)。两组在治疗前的膀胱颈移动度、尿道旋转角、膀胱尿道后角以及在静息、缩肛和Valsalva动作时的肛提肌裂孔面积上未见显著差异(P>0.05)；两组在治疗后6周、12周和18周的膀胱颈移动度、尿道旋转角、膀胱尿道后角以及在静息、缩肛和Valsalva动作时的肛提肌裂孔面积均明显低于同组治疗前,治疗组在治疗后6周、12周和18周的膀胱颈移动度、尿道旋转角、膀胱尿道后角以及在静息、缩肛和Valsalva动作时的肛提肌裂孔面积均明显低于同期对照组,差异有统计学意义(P<0.05)。结论 电针“骶四穴”联合盆底肌肉训练能够显著改善SUI患者的临床症状,效果显著。利用盆底超声能够实时、清晰地对SUI患者的盆底结构变化和功能恢复进行观察,实现了对SUI患者的精准化治疗,可将其作为评价SUI患者临床治疗效果的重要参考依据在临床上积极推广。 |
| 英文摘要: |
| Objective To research the role of pelvic floor ultrasound in the precise treatment of stress urinary incontinence (SUI) by electroacupuncture. Method 70 female patients with stress urinary incontinence treated in our hospital from January 2021 to April 2022 were selected as the research objects. 70 patients were randomly divided into treatment group and control group with 35 cases in each group. The control group was treated with Kegal training for pelvic floor muscles, while the treatment group was treated with electroacupuncture stimulation on the basis of the control group. After 18 weeks of treatment, the clinical efficacy of the two groups was evaluated according to the symptoms of urine leakage. Before treatment, 6 weeks, 12 weeks and 18 weeks after treatment, the 24-hour urine leakage times and the 1-hour urine leakage volume of the two groups were recorded, and pelvic floor ultrasound was performed in both groups. Result The total effective rate of the treatment group was 91.43%, which was significantly higher than that of the control group (71.43%, P<0.05). There was no significant difference between the two groups in 24-hour urine leakage, 1-hour urine leakage and ICIQ-SF score before treatment (P > 0.05). The 24-hour leakage, 1-hour leakage and ICIQ-SF score of the two groups after 6, 12 and 18 weeks of treatment were significantly lower than those of the same group before treatment. The 24-hour leakage, 1-hour leakage and ICIQ-SF score of the treatment group after 6, 12 and 18 weeks of treatment were significantly lower than those of the control group, and the difference was statistically significant (P<0.05). There was no significant difference between the two groups in the mobility of bladder neck, urethral rotation angle, posterior angle of bladder and urethra, and levator ani"s hiatus area during resting, anal contraction and Valsalva movements (P > 0.05). After 6 weeks, 12 weeks and 18 weeks of treatment, the mobility of bladder neck, rotation angle of urethra, posterior angle of bladder and urethra, and levator ani"s hole area at rest, anal contraction and Valsalva movements in the two groups were significantly lower than those before treatment in the same group. The mobility of bladder neck, rotation angle of urethra, posterior angle of bladder and urethra and levator ani"s hole area at rest, anal contraction and Valsalva movements in the treatment group were significantly lower than those in the control group at the same period. Conclusion Electroacupuncture combined with pelvic floor muscle training can significantly improve the clinical symptoms of SUI patients. Pelvic floor ultrasound can be used to observe the structural changes and functional recovery of pelvic floor of SUI patients in real time and clearly, thus realizing the precise treatment of SUI patients. It can be used as an important reference to evaluate the clinical treatment effect of SUI patients and actively promoted in clinic. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
