仿生物电刺激治疗不同中医证型女性压力性尿失禁的疗效评价
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摘要
目的探究仿生物电刺激治疗不同中医证型女性压力性尿失禁的疗效。方法 302例女性压力性尿失禁患者,结合患者中医证型将其分为肾气亏虚型组(100例),气血亏虚型组(112例)和湿热下注型组(90例)。对其均实施仿生物电刺激治疗,观察三组患者的临床疗效、生活质量评分。结果气血亏虚型组患者总有效率为97.32%,显著高于肾气亏虚型组及湿热下注型组的88.00%、87.78%,差异具有统计学意义(P<0.05);但肾气亏虚型组和湿热下注型组患者总有效率比较,差异无统计学意义(P>0.05)。治疗后,三组患者生活质量评分均较治疗前显著改善,且气血亏虚型组患者的改善程度显著优于其他两组,差异具有统计学意义(P<0.05);而肾气亏虚型组和湿热下注型组患者治疗后生活质量评分比较,差异无统计学意义(P>0.05)。结论仿生物电刺激治疗不同中医证型女性压力性尿失禁可取得较显著的疗效。
Objective To investigate curative effect by biomimetic electrical stimulation in the treatment of female stress incontinence with different syndromes of traditional Chinese medicine. Methods A total of 302 female patients with stress incontinence were divided by their syndromes of traditional Chinese medicine into deficiency of kidney qi type group(100 cases), deficiency of qi and blood type group(112 cases) and downward flow of damp-heat type group(90 cases). They all received biomimetic electrical stimulation for treatment. Observation was made on clinical effects and quality of life scores in the three groups. Results The deficiency of qi and blood type group had obviously higher total effective rate as 97.32% than 88.00% and 87.78% in the deficiency of kidney qi type group and the downward flow of damp-heat type group, and their difference had statistical significance(P<0.05), while there was no statistically significant difference of total effective rate between the deficiency of kidney qi type group and the downward flow of damp-heat type group(P>0.05). After treatment, all the three groups had obviously improved quality of life scores, comparing with those before treatment. The deficiency of qi and blood type group had much better improvement than the other two groups, and their difference had statistical significance(P<0.05), while there was no statistically significant difference of total effective rate quality of life score after treatment between the deficiency of kidney qi type group and the downward flow of damp-heat type group(P>0.05). Conclusion Implement of biomimetic electrical stimulation provides excellent curative effect in the treatment of female stress incontinence with different syndromes of traditional Chinese medicine
Objective To investigate curative effect by biomimetic electrical stimulation in the treatment of female stress incontinence with different syndromes of traditional Chinese medicine. Methods A total of 302 female patients with stress incontinence were divided by their syndromes of traditional Chinese medicine into deficiency of kidney qi type group(100 cases), deficiency of qi and blood type group(112 cases) and downward flow of damp-heat type group(90 cases). They all received biomimetic electrical stimulation for treatment. Observation was made on clinical effects and quality of life scores in the three groups. Results The deficiency of qi and blood type group had obviously higher total effective rate as 97.32% than 88.00% and 87.78% in the deficiency of kidney qi type group and the downward flow of damp-heat type group, and their difference had statistical significance(P<0.05), while there was no statistically significant difference of total effective rate between the deficiency of kidney qi type group and the downward flow of damp-heat type group(P>0.05). After treatment, all the three groups had obviously improved quality of life scores, comparing with those before treatment. The deficiency of qi and blood type group had much better improvement than the other two groups, and their difference had statistical significance(P<0.05), while there was no statistically significant difference of total effective rate quality of life score after treatment between the deficiency of kidney qi type group and the downward flow of damp-heat type group(P>0.05). Conclusion Implement of biomimetic electrical stimulation provides excellent curative effect in the treatment of female stress incontinence with different syndromes of traditional Chinese medicine
引文
[1]周燕飞,祖月娥,林蓓蓓,等.仿生物电刺激治疗不同中医证型女性压力性尿失禁的疗效分析.中国妇幼保健,2015,30(12)1938-1940.
[2]苏金玉.生物反馈监控电针阴部神经刺激疗法治疗女性压力性尿失禁疗效观察.中国实用神经疾病杂志,2014,17(3):104-105.
[3]李红芹,吴大威,赵小明,等.女性压力性尿失禁患者疾病认知及就诊情况临床分析.中国妇幼保健,2015,30(11):1686-1687.
[4]刘婷婷.南宁市女性压力性尿失禁发病因素及干预治疗的研究.广西中医药大学,2014.
[5]张彩丽.TVT-O治疗压力性尿失禁的临床效果研究.郑州大学2014.
[6]易建平,赵锦秀,徐瑶,等.TVT-O手术治疗对妇女尿失禁患者性功能影响的临床研究.中国性科学,2015,24(11):48-50.
[7]刘佶.生物电刺激治疗联合阴道哑铃锻炼对于女性压力性尿失禁的临床观察.广西医科大学,2013.
[8]陈松宁,余刚,陶勇,等.尿道中段悬吊术联合盆底仿生物电治疗压力性尿失禁的近期疗效.泸州医学院学报,2016,39(3):256-259.
[9]王慧.仿生物电刺激在压力性尿失禁中的应用.母婴世界,2016(10):59-60.
[10]罗晓梅,杨静,谢冬华,等.个体化仿生物理疗法联合补中益气丸治疗子宫全切术后压力性尿失禁52例.湖南中医杂志,2015,31(8):1-4.
[11]高艳梅,刘苗,李兆艾.中医治疗产后压力性尿失禁的临床经验分析.山西医药杂志,2016,45(17):2058-2059.
[12]魏俊英,郑志攀,张彪,等.女性压力性尿失禁中医渊源探微.中医研究,2009,22(2):14-15.
[13]陈卓.地黄饮子对复发性中风肝肾亏虚型尿失禁的临床研究.河南中医学院,2012.
[14]潘家骅,徐灵,吕坚伟,等.上海地区2410例女性压力性尿失禁流行病学研究.上海交通大学学报(医学版),2012,32(4):419-422.
[15]朱红艳,熊永红.女性压力性尿失禁患者生活质量的影响因素分析.护士进修杂志,2012,27(15):1416-1417.
[16]史玉林,沈妍妹,张晨.电刺激及生物反馈治疗女性压力性尿失禁.中外妇儿健康(学术版),2011(1):36.
[17]何程炜.电刺激联合盆底肌锻炼治疗女性产后压力性尿失禁综述.中外医疗,2009,28(15):173-174.
[18]娄俊.仿生物反馈法治疗产后女性压力性尿失禁疗效评价.南昌大学,2013.
[2]苏金玉.生物反馈监控电针阴部神经刺激疗法治疗女性压力性尿失禁疗效观察.中国实用神经疾病杂志,2014,17(3):104-105.
[3]李红芹,吴大威,赵小明,等.女性压力性尿失禁患者疾病认知及就诊情况临床分析.中国妇幼保健,2015,30(11):1686-1687.
[4]刘婷婷.南宁市女性压力性尿失禁发病因素及干预治疗的研究.广西中医药大学,2014.
[5]张彩丽.TVT-O治疗压力性尿失禁的临床效果研究.郑州大学2014.
[6]易建平,赵锦秀,徐瑶,等.TVT-O手术治疗对妇女尿失禁患者性功能影响的临床研究.中国性科学,2015,24(11):48-50.
[7]刘佶.生物电刺激治疗联合阴道哑铃锻炼对于女性压力性尿失禁的临床观察.广西医科大学,2013.
[8]陈松宁,余刚,陶勇,等.尿道中段悬吊术联合盆底仿生物电治疗压力性尿失禁的近期疗效.泸州医学院学报,2016,39(3):256-259.
[9]王慧.仿生物电刺激在压力性尿失禁中的应用.母婴世界,2016(10):59-60.
[10]罗晓梅,杨静,谢冬华,等.个体化仿生物理疗法联合补中益气丸治疗子宫全切术后压力性尿失禁52例.湖南中医杂志,2015,31(8):1-4.
[11]高艳梅,刘苗,李兆艾.中医治疗产后压力性尿失禁的临床经验分析.山西医药杂志,2016,45(17):2058-2059.
[12]魏俊英,郑志攀,张彪,等.女性压力性尿失禁中医渊源探微.中医研究,2009,22(2):14-15.
[13]陈卓.地黄饮子对复发性中风肝肾亏虚型尿失禁的临床研究.河南中医学院,2012.
[14]潘家骅,徐灵,吕坚伟,等.上海地区2410例女性压力性尿失禁流行病学研究.上海交通大学学报(医学版),2012,32(4):419-422.
[15]朱红艳,熊永红.女性压力性尿失禁患者生活质量的影响因素分析.护士进修杂志,2012,27(15):1416-1417.
[16]史玉林,沈妍妹,张晨.电刺激及生物反馈治疗女性压力性尿失禁.中外妇儿健康(学术版),2011(1):36.
[17]何程炜.电刺激联合盆底肌锻炼治疗女性产后压力性尿失禁综述.中外医疗,2009,28(15):173-174.
[18]娄俊.仿生物反馈法治疗产后女性压力性尿失禁疗效评价.南昌大学,2013.