电针深刺八髎穴治疗女性压力性尿失禁的临床观察

目的:评价电针深刺八髎穴治疗压力性尿失禁的疗效.方法:将60例压力性尿失禁的女性患者按就诊先后顺序分为两组,每组30例.对照组给予盆底肌训练,治疗组给予电针深刺八髎穴(上髎、次髎、中髎和下髎).结果:治疗组总有效率为93.3%,对照组为33.3%,治疗组的总有效率明显高于对照组(P<0.05).治疗后,两组国际尿失禁咨询委员会尿失禁问卷表简表(ICIQ-SF)评分及漏尿量均低于治疗前(均P<0.05),治疗组ICIQ-SF评分及漏尿量均低于对照组(均P<0.05).结论:长针深刺八髎穴能改善压力性尿失禁女性临床症状,疗效优于盆底肌训练.

Clinical observation of deep electroacupuncture at Baliao points for female stress urinary incontinence

Objective:To observe the clinical efficacy of deep electroacupuncture(EA)at Baliao points in treating stress urinary incontinence(SUI).Methods:A total of 60 female patients with SUI were divided into two groups according to the order of consultation,with 30 cases in each group.The control group was treated with pelvic floor muscle training.The treatment group was treated with deep EA at Baliao pointsShangliao(BL 31),Ciliao(BL 32),Zhongliao(BL 33)and Xialiao(BL 34)].Results:The total effective rate was 93.3%in the treatment group,versus 33.3%in the control group,and the total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).After treatment,the scores of international consultation on incontinence questionnaire-short form(ICIQ-SF)and the volume of urinary leakage in both groups were lower than those before treatment(all P<0.05),and the ICIQ-SF score and the volume of urinary leakage in the treatment group were lower than those in the control group(both P<0.05).Conclusion:Deep EA at Baliao points with long needles can improve the clinical symptoms in female patients with SUI,and it has a better curative effect than pelvic floor muscle training.