补中益气颗粒联合督脉熏蒸辅助治疗压力性尿失禁临床研究
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R694+.54

基金项目:


Clinical Study on Buzhong Yiqi Granules Combined with Fumigation at Governor Vessel in the Adjuvant Treatment of Stress Incontinence
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察补中益气颗粒联合督脉熏蒸辅助治疗压力性尿失禁的临床疗效。方法:回顾性分析压 力性尿失禁患者78 例,根据治疗方法不同分为对照组与观察组各39 例。对照组采用盆底康复训练进行干预, 观察组在对照组基础上加用补中益气颗粒联合督脉熏蒸辅助治疗。比较2 组临床疗效,以及治疗前后中医证候 积分、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF) 评分、尿流动力学水平和盆底功能。结果:观察 组总有效率为94.87%,对照组为74.36%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组神疲、气 短、懒言、自汗等中医证候评分及总分均较治疗前降低(P<0.05),且观察组上述各项评分均低于对照 组(P<0.05)。治疗后,2 组ICI-Q-SF 量表中漏尿次数、漏尿量、生活质量评分及总分均较治疗前降低(P< 0.05),且观察组上述各项评分均低于对照组(P<0.05)。治疗后,2 组最大膀胱容量、充盈期逼尿肌压力、最 大尿道闭合压、最大尿流率均较治疗前升高(P<0.05),残余尿量较治疗前减少(P<0.05);且观察组最大膀 胱容量、充盈期逼尿肌压力、最大尿道闭合压、最大尿流率均高于对照组(P<0.05),残余尿量少于对照 组(P<0.05)。治疗后,2 组Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力、阴道动态压力均较治疗前升高(P<0.05); 且观察组上述各项指标均高于对照组(P<0.05)。结论:补中益气颗粒联合督脉熏蒸辅助治疗压力性尿失禁, 能进一步提高治疗效果,有效减轻患者临床症状,改善其膀胱、尿道功能,从而提高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of Buzhong Yiqi Granules combined with fumigation at governor vessel on the adjuvant treatment of stress incontinence. Methods:A total of 78 patients with stress incontinence were given retrospective analysis and divided into the control group and the observation group, with 39 cases in each group. The control group was given pelvic floor rehabilitation training, and the observation group was additionally treated with Buzhong Yiqi Granules combined with fumigation at governor vessel based on the treatment of the control group. The clinical effects in the two groups were compared,and the traditional Chinese medicine (TCM) syndrome scores, International Consultation on Incontinence- Questionnaire Urinary Incontinence- Short Form (ICI Q- SF), urinary fluidity indexes and pelvic floor function were also compared before and after treatment. Results: The total effective rate was 94.87% in the observation group and 74.36% in the control group, the difference being significant (P<0.05). After treatment,the scores and total scores of TCM syndromes such as mental fatigue,shortness of breath,laziness to speak and spontaneous sweating in the the two groups were decreased when compared with those before treatment (P<0.05), and the above scores in the observation group were lower than those in the control group (P<0.05). After treatment,the urine leakage times,urine leakage volume,quality of life scores and total scores in ICI- Q- SF in the two groups were decreased when compared with those before treatment (P<0.05),and the above scores in the observation group were lower than those in the control group (P<0.05). After treatment, the maximum bladder volume,detrusor pressure,maximum urethral closure pressure and maximum urine flow rate in the two groups were increased when compared with those before treatment (P<0.05), and the residual urine volume in the two groups was decreased when compared with that before treatment (P<0.05); the improvement of the above indexes in the observation group was more significant than that in the control group (P<0.05). After treatment, type Ⅰ muscle fiber strength, type Ⅱ muscle fiber strength and dynamic vaginal pressure in the two groups were increased when compared with those before treatment (P<0.05),and the above indexes in the observation group were higher than those in the control group (P< 0.05). Conclusion:The application of Buzhong Yiqi Granules combined with fumigation at governor vessel in the adjuvant treatment of stress incontinence can further improve the therapeutic effect,effectively reduce the clinical symptoms of patients, enhance the function of bladder and urethra, so as to improve the quality of life.

    参考文献
    相似文献
    引证文献
引用本文

于小红.补中益气颗粒联合督脉熏蒸辅助治疗压力性尿失禁临床研究[J].新中医,2023,55(12):71-75

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-06-27
  • 出版日期:
文章二维码