督灸联合康复训练治疗产后压力性尿失禁的疗效观察OACSTPCD

Objective To observe the clinical efficacy of ginger and garlic moxibustion on Governor Vessel plus Kegel exercises for postpartum stress urinary incontinence(SUI).Method One hundred and two patients with postpartum SUI were enrolled and allocated,using the random number table,to a training group(51 cases)and a combination group(51 cases).The training group did Kegel exercises and the combination group received ginger and garlic moxibustion on Governor Vessel in addition.The clinical therapeutic effects were compared between the two groups.The TCM syndrome score,urine leakage volume by 1-hour pad test,pelvic floor function indicators(static and contractive pressures)and urethral dynamic indicators[the maximum urethral closure pressure(MUCP)and abdominal leak point pressure(ALPP)]were observed in the two groups before and after treatment.Result The total efficacy rate was 94.1%in the combination group,which was higher than 78.4%in the training group,with a statistically significant difference(P＜0.05).After treatment,the TCM syndrome score and urine leakage volume by 1-hour pad test decreased in the two groups compared with before(P＜0.05)and were lower in the combination group than those in the training group(P＜0.05).After treatment,pelvic floor static and contractive pressures,MUCP and ALPP increased in the two groups compared with before treatment(P＜0.05)and were higher in the combination group than in the training group(P＜0.05).Conclusion Ginger and garlic moxibustion on Governor Vessel plus Kegel exercises is more effective than Kegel exercises alone in treating postpartum SUI.It can more markedly improve pelvic floor function and urodynamics and relieve the symptoms and urine leakage.