| 摘要: |
| 目的：观察盆底超声评估经皮穴位电刺激联合盆底肌训练治疗女性压力性尿失禁（stress urinary
incontinence，SUI）的临床疗效。方法：将70 例SUI 患者随机分为治疗组和对照组，每组各35 例。对照组采
用盆底肌训练，治疗组在对照组基础上联合经皮穴位电刺激治疗。比较2 组国际尿失禁咨询委员会尿失禁
问卷简表（International Consultation on Incontinence Questionnaire-Short Form，ICI-Q-SF）评分，1 h 漏尿量，膀
胱颈移动度，瓦尔萨尔瓦动作/ 状态（Valsalva maneuver，VM）下膀胱尿道后角、尿道旋转角的差异，并评价临
床疗效。结果：总有效率治疗组为97.14%（34/35），对照组为77.14%（27/35），2 组比较，差异有统计学意义
（P <0.05）。2 组ICI-Q-S 评分、1 h 漏尿量、膀胱颈移动度、VM 下膀胱尿道后角及尿道旋转角治疗前后组内比
较及治疗后组间比较，差异均有统计学意义（P <0.05 或P <0.01）。结论：经皮穴位电刺激联合盆底肌训练显
著改善了患者尿失禁症状，且能显著降低患者的膀胱颈移动度、膀胱尿道后角、尿道旋转角，表明通过盆底超
声可有效评估SUI 患者治疗前后的盆底肌功能。 |
| 关键词: 压力性尿失禁 肝郁肾虚证 经皮穴位电刺激 盆底肌训练 盆底超声 |
| DOI： |
|
|
| Clinical effect of transcutaneous electrical acupoint stimulation combined with pelvic floor muscletraining in treatment of female stress urinary incontinence with stagnation of liver Qi and kidneydeficiency: An analysis of 35 cases |
| CHANG Ting,CHEN Fang,HOU Zhihui,JIA Hongling |
| (Shandong University of Traditional Chinese Medicine, Jinan 250335, Shandong, China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, Shandong, China) |
| Abstract: |
| Objective: To investigate the clinical effect of transcutaneous electrical acupoint stimulation combined
with pelvic floor muscle training in the treatment of female stress urinary incontinence （SUI） based on pelvic floor ultrasound.
Methods: A total of 70 patients with SUI were randomly divided into treatment group and control group, with 35 patients
in each group. The patients in the treatment group received transcutaneous electrical acupoint stimulation combined with pelvic floor muscle training, while those in the control group received pelvic floor muscle training alone. The two groups
were compared in terms of International Consultation on Incontinence Questionnaire-Short Form （ICI-Q-SF） score,
1-hour urine leakage volume, bladder neck mobility, and posterior urethrovesical angle and urethral rotation angle under
Valsalva maneuver （VM）, and clinical outcome was assessed. Results: There was no significant difference in overall
response rate between the treatment group and the control group ［97.14% （34/35） vs 77.14% （27/35）, P < 0.05］.
After treatment, both groups had significant changes in ICI-Q-SF score, 1-hour urine leakage volume, bladder neck mobility,
and posterior urethrovesical angle and urethral rotation angle under VM, and there were significant differences in
these indicators between the two groups after treatment （P < 0.05 or P < 0.01）. Conclusion: Transcutaneous electrical
acupoint stimulation combined with pelvic floor muscle training significantly improves the symptoms of urinary incontinence
and markedly reduces bladder neck mobility, posterior urethrovesical angle, and urethral rotation angle in patients,
suggesting that pelvic floor ultrasound can effectively evaluate the pelvic floor muscle function of SUI patients before and
after treatment. |
| Key words: stress urinary incontinence syndrome of stagnation of liver Qi and kidney deficiency transcutaneous
electrical acupoint stimulation pelvic floor muscle training pelvic floor ultrasound |
