中国全科医学2026，Vol.29Issue(28)：4141-4146,6.DOI:10.12114/j.issn.1007-9572.2025.0529
基于经筋理论针罐结合治疗绝经后女性压力性尿失禁的随机对照试验
A Randomized Controlled Trial of Sinew Meridian Theory-based Combined Acupuncture and Cupping Therapy for Postmenopausal Women with Stress Urinary Incontinence
摘要
Abstract
Background Stress urinary incontinence(SUI)is a common condition among postmenopausal women that significantly impairs their quality of life.Currently,pelvic floor muscle training(PFMT)is the primary conservative treatment,but it faces issues such as poor patient adherence and limited efficacy.Traditional Chinese Medicine(TCM)Sinew Meridian Theory offers a new perspective for the diagnosis and treatment of SUI.However,relevant clinical research remains insufficient.Objective To evaluate the clinical efficacy of the combined acupuncture and cupping therapy,based on the Sinew Meridian Theory,for the treatment of SUI in postmenopausal women.Methods From September 2021 to December 2024,72 patients with SUI admitted to the Acupuncture Department at Beijing Shijitan Hospital,Capital Medical University,were selected as the study subjects.Using a random number table method,the patients were divided into a treatment group(n=36)and a control group(n=36).The control group received PFMT only,while the treatment group received PFMT plus acupuncture and abdominal moving cupping three times per week.The treatment course for both groups was 8 weeks.The primary outcome measure was the 1-hour pad test leakage weight.Secondary outcome measures included the International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF)score,the Incontinence Quality of Life(I-QOL)questionnaire score,and clinical effective rate.Results During the treatment,3 cases dropped out from each of the treatment group and the control group,resulting in 66 cases actually included,with 33 cases in each group.After 4 and 8 weeks of treatment,the 1-hour pad test leakage weight in the treatment group was significantly lower than that in the control group(all P<0.001).After 8 weeks of treatment,the ICI-Q-SF score in the treatment group was lower than that in the control group,while the I-QOL score was higher than that in the control group(P<0.01).The clinical efficacy rate in the treatment group was 84.8%(28/33),which was higher than that in the control group(45.5%,15/33)(P=0.002).Conclusion The combined acupuncture and cupping therapy based on the Sinew Meridian Theory can effectively improve leakage symptoms and quality of life in postmenopausal women with SUI,demonstrating superior efficacy to PFMT alone with a good safety profile,thus warranting clinical application.关键词
压力性尿失禁/经筋理论/针罐结合/绝经后女性/随机对照试验Key words
Stress urinary incontinence/Sinew meridian theory/Combined acupuncture and cupping therapy/Postmenopausal women/Randomized controlled trial分类
医药卫生引用本文复制引用
石力,周振坤,刘婕,潘国凤..基于经筋理论针罐结合治疗绝经后女性压力性尿失禁的随机对照试验[J].中国全科医学,2026,29(28):4141-4146,6.基金项目
北京市属医院科研培育计划项目(PZ2021010) （PZ2021010）
北京市卫健委高层次公共卫生技术人才建设培养计划(学科骨干-02-35) （学科骨干-02-35）
第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) （国中医药人教函[2022]1号）
