升肝舒郁汤加减联合磁电生物反馈疗法治疗女性压力性尿失禁的临床研究OA
Clinical Study of Modified Shenggan Shuyu Decoction Combined with Magnetoelectric Biofeedback Therapy in the Treatment of Female Stress Urinary Incontinence
目的:探究升肝舒郁汤加减联合磁电生物反馈疗法治疗女性压力性尿失禁(SUI)的临床疗效.方法:选取符合纳入标准的108例SUI患者,依据简单随机方法随机分组.最终纳入观察组52例,对照组53例.对照组接受磁电生物反馈疗法治疗,每周2次;观察组在对照组治疗基础上口服升肝舒郁汤加减方治疗,每日1剂,分早晚两次饭后服用.两组患者均连续治疗8周.比较两组治疗前后盆底肌Ⅰ类肌、Ⅱ类肌的纤维肌力及肌电值;采用1 h尿垫试验、改良牛津评分评估SUI改善情况,比较临床疗效;采用尿失禁影响问卷简表(ⅡQ-7)评估患者生活质量;记录治疗期间不良反应发生情况.结果:治疗后,观察组Ⅰ类、Ⅱ类肌纤维肌力和肌电值均高于对照组(P<0.05).治疗后,观察组1 h漏尿量低于对照组,改良牛津评分高于对照组(P<0.05).观察组的治疗总有效率为92.31%(48/52),高于对照组的75.47%(40/53)(P<0.05).治疗后,观察组ⅡQ-7评分低于对照组,治疗前后ⅡQ-7评分差值高于对照组(P<0.05).两组患者不良反应总发生率比较差异无统计学意义(P>0.05).结论:升肝舒郁汤加减联合磁电生物反馈疗法治疗女性SUI疗效确切,能减轻患者临床症状,提高盆底肌肌力,改善盆底功能,提高生活质量.
Objective:To investigate the clinical efficacy of modified Shenggan Shuyu Decoction(SSD)combined with magnetoelectric biofeedback therapy in the treatment of female stress urinary incontinence(SUI).Methods:A total of 108 patients with SUI who met the inclusion criteria were randomly divided into observation group and control group according to simple random method,with 54 cases in each group.The control group received magnetoelectric biofeedback therapy twice a week;while observation group was treated with the same plus modified SSD,1 dose a day,divided into two times,once after breakfast,and once after supper,and both groups were treated for 8 weeks.The fibromuscular strength and electromyography values of Class I and Class Ⅱ pelvic floor muscles before and after treatment were compared between the two groups.The 1-hour urine pad test and modified Oxford score were used to evaluate the improvement of SUI,and the clinical efficacy was compared.The quality of life of the patients was assessed by using the urinary incontinence impact questionnaire(IQ-7).The occurrence of adverse reactions during treatment was recorded.Results:3 patients dropped out and 105 patients were eventually included in the study,including 52 patients in the observation group and 53 patients in the control group.After treatment,muscle strength and muscular electricity values of types I and Ⅱ muscle fibers in the observation group were higher than those in the control group(P<0.05).One hour urine leakage volume of the observation group was smaller than that of the control group,and modified Oxford score was higher than that of the control group(P<0.05).The total treatment effective rate in the observation group was higher than that in the control group(92.31%(48/52)vs.75.47%(40/53),P<0.05).ⅡQ-7 score of the observation group was lower than that of the control group,and the difference of ⅡQ-7 score before and after treatment was greater than that of the control group(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the groups(P>0.05).Conclusion:Modified Shenggan Shuyu Decoction combined with magnetoelectric biofeedback therapy is effective in the treatment of female SUI,which can relieve clinical symptoms and improve pelvic floor muscle strength and pelvic floor function,thus can improve the quality of life.
杜文霞;王占利;张毅远
河南省中医院,河南 郑州 450000河南中医药大学第三附属医院,河南 郑州 450000
女性压力性尿失禁升肝舒郁汤磁刺激电刺激生物反馈疗法
Female stress urinary incontinenceShenggan Shuyu DecoctionMagnetic stimulationElectrical stimulationBiofeedback therapy
《中医药信息》 2024 (004)
61-65 / 5
河南省中医药科学研究专项课题(20-21ZY2217)
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