国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2013年
5期
391-393
,共3页
压力性尿失禁%电刺激疗法%治疗频次%临床疗效
壓力性尿失禁%電刺激療法%治療頻次%臨床療效
압력성뇨실금%전자격요법%치료빈차%림상료효
Stress urinary incontinence%Pudendal nerve electrical stimulation%Treatment frequencies%Clinical therapeutic effect
目的 观察不同治疗频次的阴部电针神经刺激疗法对女性压力性尿失禁(stress urinaryincontinence,SUI)的影响.方法 收集2009年5月至2010年12月上海针灸经络研究所与上海中医药大学附属岳阳医院排尿障碍门诊SUI女性患者60例,按治疗频次分为每周3次组和每周2次组各30例.两组患者均采用阴部电针神经刺激疗法治疗,均治疗12次观察治疗前后的总体疗效和症状评分情况.结果 ①临床疗效比较:每周3次组临床治愈率为63.3％ (19/30),总有效率为90.0％ (27/30);每周2次组临床治愈率为36.7％ (11/30),总有效率为76.7％ (23/30).两组临床治愈率比较差异有统计学意义(x2＝4.267,P＜0.05)；总有效率比较差异无统计学意义(x2=1.920,P＞0.05).②症状及生活质量总分比较:两组治疗后临床症状评分均较同组治疗前改善(t每周3次=7.972,t每周2次=9.520,P均＜0.01),其中每周3次组症状评分的改善情况优于每周2次组(P＜0.01).结论 阴部电针神经刺激疗法治疗女性SUI有效,每周治疗3次的疗效优于每周2次.
目的 觀察不同治療頻次的陰部電針神經刺激療法對女性壓力性尿失禁(stress urinaryincontinence,SUI)的影響.方法 收集2009年5月至2010年12月上海針灸經絡研究所與上海中醫藥大學附屬嶽暘醫院排尿障礙門診SUI女性患者60例,按治療頻次分為每週3次組和每週2次組各30例.兩組患者均採用陰部電針神經刺激療法治療,均治療12次觀察治療前後的總體療效和癥狀評分情況.結果 ①臨床療效比較:每週3次組臨床治愈率為63.3％ (19/30),總有效率為90.0％ (27/30);每週2次組臨床治愈率為36.7％ (11/30),總有效率為76.7％ (23/30).兩組臨床治愈率比較差異有統計學意義(x2＝4.267,P＜0.05)；總有效率比較差異無統計學意義(x2=1.920,P＞0.05).②癥狀及生活質量總分比較:兩組治療後臨床癥狀評分均較同組治療前改善(t每週3次=7.972,t每週2次=9.520,P均＜0.01),其中每週3次組癥狀評分的改善情況優于每週2次組(P＜0.01).結論 陰部電針神經刺激療法治療女性SUI有效,每週治療3次的療效優于每週2次.
목적 관찰불동치료빈차적음부전침신경자격요법대녀성압력성뇨실금(stress urinaryincontinence,SUI)적영향.방법 수집2009년5월지2010년12월상해침구경락연구소여상해중의약대학부속악양의원배뇨장애문진SUI녀성환자60례,안치료빈차분위매주3차조화매주2차조각30례.량조환자균채용음부전침신경자격요법치료,균치료12차관찰치료전후적총체료효화증상평분정황.결과 ①림상료효비교:매주3차조림상치유솔위63.3％ (19/30),총유효솔위90.0％ (27/30);매주2차조림상치유솔위36.7％ (11/30),총유효솔위76.7％ (23/30).량조림상치유솔비교차이유통계학의의(x2＝4.267,P＜0.05)；총유효솔비교차이무통계학의의(x2=1.920,P＞0.05).②증상급생활질량총분비교:량조치료후림상증상평분균교동조치료전개선(t매주3차=7.972,t매주2차=9.520,P균＜0.01),기중매주3차조증상평분적개선정황우우매주2차조(P＜0.01).결론 음부전침신경자격요법치료녀성SUI유효,매주치료3차적료효우우매주2차.
Objective To investigate the effect of different frequencies of pudendal electrical nerve stimulation on female stress urinary incontinence.Methods 60 SUI female patients from Shanghai Research Institute of Acupuncture and Meridian affiliated Yue Yang Hospital were enrolled in a three-times-per-week treatment group (30 paients) and a twice-per-week treatment group (30 patients).Both groups were treated by pudendal nerve electrical stimulation for twelve times.The change of therapeutic effect,symptoms index were observed in both groups before and after the treatment.Results ① Comparison of clinical efficacy:The therapeutic rate of three-times-per-week treatment group was 63.3％ (19/30),the total effective rate was 90.0％ (27/30); the therapeutic rate of twice-per-week treatment group was 36.7％ (11/30),the total effective rate was 76.7％ (23/30).The therapeutic rate showed significant differences between the two groups (x2=4.267,P＜ 0.05); The total effective rate showed no differences between the two groups (x2 =l.920,P＞0.05).② Comparison of clinical symptom score and life quality score:the post-treatment clinical symptom scores of the both groups improved significantly compared with the pre-treatment (tthee-times-prt-week=7.972,ttwice-per-week=9.520,both P＜0.01).Clinical symptom score of three-times-per-week treatment group improved better than twice-per-week treatment group (P＜0.01).Conclusion Three-times-per-week of pudendal nerve electrical stimulation has a better effect on treating female SUI patients.
