世界针灸学会联合会

会员登录

Clinical Observation of the combination of Moxibustion therapy and PFMT in the treatment of female mild and moderate stress urinary incontinence

2018/05/07 10:25
本站原创
369
<p style="text-align: center;">ZHANG Ding, W ANG Xia,&nbsp; AN Jun-ming&nbsp;</p><p style="text-align: center;">(1 Xi’an hospital of traditional Chinese medicine,Department of Acupuncture and Rehabilitation.2Xi’an TCM brain diease hospital.3Xi’an third hospital)</p><p style="text-align: justify;">【Abstract】<strong>Objective</strong>:&nbsp; To compare the clinical efficacy of moxibustion therapy combined with pelvic floor muscle training and simple pelvic floor muscle training in the treatment of female mild and moderate stress urinary incontinence.&nbsp;<strong>Methods</strong>: 65 female patients with mild to moderate stress urinary incontinence were randomly&nbsp; divided into 2 groups:&nbsp; moxibustion&nbsp; therapy&nbsp; combined&nbsp; with&nbsp; pelvic&nbsp; floor&nbsp; muscle&nbsp; training as&nbsp; the treatment&nbsp; group(n=32),&nbsp; and&nbsp; pure&nbsp; pelvic&nbsp; floor&nbsp; muscle&nbsp; training&nbsp; group&nbsp; as&nbsp; the&nbsp; control&nbsp; group(n=33).&nbsp; The moxibustion&nbsp; acupoint&nbsp; selection&nbsp; The&nbsp; treatment&nbsp; group&nbsp; is&nbsp; Qihai(CV6),&nbsp; Guan&nbsp; Yuan(CV4),&nbsp; Zhongji(CV3), bilateral&nbsp; Shenshu(BL23),&nbsp; bilateral&nbsp; Ciliao(BL32),&nbsp; abdominal&nbsp; acupoints&nbsp; and&nbsp; acupoints&nbsp; on&nbsp; back&nbsp; ,&nbsp; they&nbsp; are alternately used on every Monday, Wednesday, Friday.The selection of moxibustion equipment is hundred smile moxibustion, Mild moxibustion was applied on acupoints to induce local skin fever and slight red. The time of Moxibustion treatment is Monday, Wednesday, Friday of every week, and it should last for e ight weeks,a&nbsp; total&nbsp; of&nbsp; 24&nbsp; times&nbsp; of&nbsp; treatment,&nbsp; and&nbsp; Each&nbsp; moxibustion&nbsp; time&nbsp; should&nbsp; be&nbsp; finished&nbsp; with&nbsp; laughing moxibustion per hole and every column. Pelvic floor muscle training method is the same as the control group. The control group of pelvic floor muscle training is according to Kegel method,Take the way of standing, sitting and supine, under the guidance of the researchers, pelvic floor muscle contraction 10s, relax 10s, repeat the&nbsp; above&nbsp; action,&nbsp; lasted&nbsp; 15&nbsp; minutes&nbsp; for&nbsp; a&nbsp; treatment.&nbsp; The&nbsp; treatment&nbsp; is&nbsp; three&nbsp; time s&nbsp; a&nbsp; week&nbsp; on&nbsp; Monday, Wednesday and Friday, each training is divided into early, middle and late training, each time is last for 15 minutes, lasted 8 weeks, a total times are 24 times. Zeroth weeks are the screening period, first weeks to eighth weeks are the treatment period, and ninth weeks and twelfth weeks are all the follow-up period,The evaluation&nbsp; of&nbsp; the&nbsp; change&nbsp; of&nbsp; the&nbsp; table&nbsp; was&nbsp; based&nbsp; on&nbsp; the&nbsp; reduction&nbsp; of&nbsp; the&nbsp; average&nbsp; number&nbsp; of&nbsp; 24&nbsp; hour incontinence&nbsp; episodes&nbsp; and&nbsp; the&nbsp; severity&nbsp; index,the&nbsp; average&nbsp; degree&nbsp; of&nbsp; 24h&nbsp; leakage&nbsp; was&nbsp; the&nbsp; main&nbsp; outcome index; Subjective outcomes, 1H pad test, urine leak volume, and ICIQ-SF scale score are secondary outcome indicators,The&nbsp; differences&nbsp; between&nbsp; the&nbsp; two&nbsp; groups&nbsp; at&nbsp; different&nbsp; evaluation&nbsp; points&nbsp; were&nbsp; observed,&nbsp; and&nbsp; the curative effect of&nbsp; moxibustion and pelvic floor muscle training on female stress&nbsp; urinary&nbsp; incontinence was explored.&nbsp; <strong>Results:</strong> 1. The total effective rate of the treatment group was 90.4% (29/32), and the total effective rate of the control group was 75.3% (24/33), the treatment group was better than that of the control group (P&lt; 0.05). 2. Compared with before treatment, two groups of average 24 hours urinary incontinence severity index value, the decrease in the number of evaluation table changes, the average degree of 24h l eakage of urine&nbsp; and&nbsp; 1H&nbsp; urine&nbsp; pad&nbsp; test&nbsp; leakage&nbsp; variation,&nbsp; ICIQ-SF&nbsp; scale&nbsp; score&nbsp; decreased&nbsp; significantly&nbsp; (P&nbsp; &lt; 0.05). Compared with the control group,&nbsp; &nbsp;an average of 24 hours urinary incontinence severity index value, the decrease in the number of evaluation table changes, the average degree of 24h leakage of urine and 1H urine pad test leakage variation, ICIQ-SF scale score of the treatment group decreased significantly (P&nbsp; &lt; 0.05). 3.After treatment, the subjective efficacy of patients was considered effective (P&nbsp; &lt; 0.05); compared with before treatment, the subjective efficacy of the treatment group was better than that of the control group (P &lt; 0.05).<strong> Conclusion:</strong> moxibustion combined with pelvic floor muscle training is effective in the treatment of female stress urinary incontinence, and the short-term effect and long-term effect are better than those of pure&nbsp; pelvic&nbsp; floor&nbsp; muscle&nbsp; training&nbsp; group.For&nbsp; mild&nbsp; and&nbsp; moderate&nbsp; female&nbsp; patients&nbsp; with&nbsp; stress&nbsp; urinary incontinence, moxibustion therapy combined with pelvic floor muscle training is a better choice.</p><p><br/></p>