| 摘要: |
| 目的:分析针灸联合生物反馈对压力性尿失禁患者尿流动力学的影响。探讨其在压力性尿失禁治疗中的潜在临床作用机制。方法:将 65例 SUI患者随机分为两组，对照组 32例采用生物反馈治疗，观察组 33例在此基础上给予针灸治疗，观察两组治疗前后尿流动力学参数改变情况。结果:与治疗前比较，治疗后对照组的尿流率( Qmax)、达峰时间( TQmax)、排尿时间( VT)、尿量( VV)、残余尿量( PVR)、咳嗽时腹压漏尿点压力( CPLL)、最大尿道闭合压( MUCP)、膀胱收缩指数( BCI)及 Qmax时的逼尿肌压力( Pdet.Qmax)显著优于治疗前，差异均有统计学意义( P<0.05)，观察组不仅上述指标有改善，同时初次尿感容量( FS)、强烈尿感容量( SS)、膀胱顺应性( BC)也显著优于治疗前，差异均有统计学意义(P<0.05)。与对照组比较，治疗后观察组 Qmax、TQmax、RUV、ND、SD、CLPP、Pdet-Qmax、MUCP、BC指标显著改善，差异均有统计学意义( P<0.05)。结论:针灸联合生物反馈改善 SUI临床疗效机制与协调膀胱逼尿肌和尿道括约肌功能和提高尿道闭合压密切相关。 |
| 关键词: 针灸 生物反馈 压力性尿失禁 尿流动力学 机制研究 |
| DOI：10.3969/j.issn.1007-6948.2020.01.018 |
| 投稿时间：2019-04-07 |
| 基金项目:2016年江苏省高层次卫生人才“六个一工程”项目(LGY2016027) |
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| YE He-song, CHEN Jia-jia, ZHU Hong, et al. |
|
| of Traditional Chinese Medicine, Nanjing 210000, China |
| Abstract: |
| Objective To analyze the effect of acupuncture combined with biofeedback on urodynamics in patients with stress urinary incontinence,(SUI) and to explore its potential clinical mechanism in the treatment of stress urinary incontinence. Methods Totally 65 patients with SUI were randomly divided into two groups, 32 patients in the control group were treated with biofeedback therapy, and 33 patients in the observation group were treated with acupuncture and moxibustion on this basis. The changes of urodynamic parameters before and after treatment were observed in the two groups. Results Compared with before treatment, the changes of urinary flow rate parameters (Qmax, TQmax, RUV), bladder pressure volume parameters (CPLL), urethral pressure parameters (Pdet-Qmax, MUCP) in the control group after treatment were signi.cantly better than those before treatment, and the differences were statistically signi.cant (all P<0.05). The treatment group not only had the above indexes, but also ND, SD and BC were signi.cantly better than those before treatment, and the differences were statistically significant (all P<0.05). The improvement of the above indexes in the treatment group was significantly better than that in the control group, and the difference was statistically significant (all P<0.05). Compared with the control group, the improvement of Qmax, TQmax, RUV, ND, SD, CLPP, Pdet-Qmax, MUCP and BC in the treatment group was signi.cantly better than that in the control group, with statistical signi.cance (all P<0.05). Conclusion The mechanism of acupuncture combined with biofeedback to improve the clinical efficacy of SUI is closely related to coordinating the function of detrusor and urethral 通 sphincter and improving urethral closure pressure. |
| Key words: Acupuncture and moxibustion biofeedback stress urinary incontinence urodynamics mechanism research |
