發(fā)布時(shí)間：2018-06-28 17:34

  本文選題：電針 + 壓力性尿失禁　； 參考：《安徽中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:通過(guò)觀察電針療法與盆底肌訓(xùn)練方法對(duì)女性單純壓力性尿失禁的臨床療效,探求更適合壓力性尿失禁患者的治療方法。方法:選擇2014年5月至2016年2月期間就診于安徽省針灸醫(yī)院住院部及門(mén)診符合課題納入標(biāo)準(zhǔn)的40例女性SUI患者,采用臨床研究中央隨機(jī)系統(tǒng)進(jìn)行隨機(jī)化操作,分為電針組和盆底肌訓(xùn)練組,兩組各20例。治療組予以電針雙側(cè)中毼、會(huì)陽(yáng)穴,對(duì)照組予以盆底肌訓(xùn)練療法,均治療8周,每周3次,隔日1次。觀察第0周、第4周、第8周各時(shí)點(diǎn)兩組1h尿墊試驗(yàn)漏尿量、24h尿失禁次數(shù)以及尿失禁癥狀評(píng)分,對(duì)結(jié)果數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,得出結(jié)果。結(jié)果:電針組在減少1h尿墊試驗(yàn)漏尿量、降低24h尿失禁次數(shù)及改善尿失禁癥狀評(píng)分上優(yōu)于盆底肌訓(xùn)練組(P0.05)。試驗(yàn)組總有效率為90%,對(duì)照組總有效率為60%,經(jīng)統(tǒng)計(jì)學(xué)分析,兩組總有效率有顯著差異(P0.05),說(shuō)明電針療法對(duì)女性單純性壓力性尿失禁有顯著療效,電針組療效優(yōu)于盆底肌訓(xùn)練組。結(jié)論:電針療法能有效改善女性壓力性尿失禁癥狀,減少尿失禁次數(shù)以及漏尿量,其臨床療效明顯優(yōu)于盆底肌訓(xùn)練。該方法簡(jiǎn)便有效,安全性高,適用于臨床推廣。
[Abstract]:Objective: to observe the clinical effect of electroacupuncture therapy and pelvic floor muscle training on female stress urinary incontinence and to explore a more suitable treatment method for stress urinary incontinence. Methods: from May 2014 to February 2016, 40 female SUI patients who were admitted to Anhui Acupuncture and moxibustion Hospital (Acupuncture and moxibustion Hospital) from May 2014 to February 2016 were selected and randomized with the central random system of clinical study. They were divided into electroacupuncture group and pelvic floor muscle training group, 20 cases in each group. The treatment group was treated with electroacupuncture at both sides of Zhongjiao and Huiyang points, while the control group was treated with pelvic floor muscle training therapy for 8 weeks, 3 times a week, once every other day. The time of urinary incontinence and the score of symptoms of urinary incontinence were observed in two groups at each time point of 0 week, 4 week and 8 week. The result data were statistically analyzed and the results were obtained. Results: the electroacupuncture group was superior to the pelvic floor muscle training group in reducing the leakage volume of urine pad test, reducing the 24 h urinary incontinence times and improving the score of urinary incontinence symptom (P0.05). The total effective rate of the experimental group was 90 and the total effective rate of the control group was 60. By statistical analysis, the total effective rate of the two groups was significantly different (P0.05), indicating that electroacupuncture therapy had a significant effect on female simple stress urinary incontinence, and the electroacupuncture group was better than the pelvic floor muscle training group. Conclusion: electroacupuncture can effectively improve the symptoms of female stress urinary incontinence, reduce the number of urinary incontinence and the amount of urine leakage, and its clinical effect is obviously better than that of pelvic floor muscle training. The method is simple, effective, safe and suitable for clinical application.
【學(xué)位授予單位】：安徽中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.3

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