芒针断续波交替针刺"腹四穴"、"骶四穴"配合缩肛操治疗老年女性压力性尿失禁的临床观察OA
Clinical Observation of Elongated Needle with Intermittent Wave Electroacupuncture at"Abdominal Quadruple Acupoints"and"Sacral Quadruple Acupoints"Combined with Anal Contraction Exercise for Elderly Women with Stress Urinary Incontinence
目的:观察芒针断续波交替针刺"腹四穴"、"骶四穴"配合缩肛操治疗老年女性压力性尿失禁的临床疗效,为老年女性压力性尿失禁的治疗提供新方法.方法:选取 2024 年 2 月—2025 年 2 月张掖市中医医院收治的 100 例老年女性压力性尿失禁(SUI)诊断标准的针灸科门诊及住院患者,随机均分观察组与对照组,每组各 50 例,观察组采用芒针断续波交替针刺"腹四穴"、"骶四穴"配合缩肛操的方式治疗,对照组采取传统针刺方法配合缩肛操治疗,治疗 20 d后,通过国际尿失禁咨询委员会问卷量表(ICIQ-SF)、1 h尿垫试验记录漏尿量,以ICIQ-SF评分改善率及 1 h尿垫试验漏尿改善率作为评价指标.结果:与对照组相比,观察组ICIQ-SF和 1 h尿垫试验记录漏尿量均低于对照组,差异有统计学意义(P<0.05),观察组ICIQ-SF评分改善率及 1 h尿垫试验漏尿改善率均高于对照组,差异有统计学意义,差异有统计学意义(P<0.05).结论:在治疗老年女性压力性尿失禁方面,芒针断续波交替针刺"腹四穴"、"骶四穴"配合缩肛操方式是一种高效简便的方法.
Objective:To observe the clinical efficacy of intermittent wave acupuncture of the"Abdominal Quadruple Acupoints"and"sacral Quadruple Acupoints"combined with anal contraction exercises in the treatment of stress urinary incontinence in elderly women,and to provide a new method for the treatment of stress urinary incontinence in elderly women.Method:A total of 100 outpatients and inpatients from the acupuncture department who met the diagnostic criteria for stress urinary incontinence(SUI)in elderly women and were admitted to Zhangye Hospital of Traditional Chinese Medicine from February 2024 to February 2025 were selected and randomly and equally divided into an observation group and a control group,with 50 cases in each group.The observation group was treated with intermittent wave acupuncture of the"Abdominal Quadruple Acupoints"and"Sacral Quadruple Acupoints"combined with anal contraction exercises.The control group was treated with traditional acupuncture combined with anal contraction exercises.After 20 days of treatment,the amount of urine leakage was recorded through the International Advisory Committee on Urinary Incontinence Questionnaire Scale(ICIQ-SF)and the 1-hour urine pad test.The improvement rate of ICIQ-SF score and the improvement rate of urine leakage in the 1-hour urine pad test were used as evaluation indicators.Result:Compared with the control group,the recorded urine leakage volume in the ICIQ-SF and 1-hour urine pad tests in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The improvement rate of the ICIQ-SF score and the improvement rate of urine leakage in the 1-hour urine pad test in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:In the treatment of stress urinary incontinence in elderly women,alternating acupuncture of the"Abdominal Quadruple Acupoints"and"Sacral Quadruple Acupoints"with intermittent waves of the mang needle,combined with the method of anal contraction exercises,is an efficient and simple approach.
杨于艺;郭燕军
张掖市中医医院 甘肃 张掖张掖市中医医院 甘肃 张掖
芒针腹四穴骶四穴缩肛操压力性尿失禁
Elongated needleAbdominal Quadruple AcupointsSacral Quadruple AcupointsAnal contraction exerciseStress urinary incontinence
《中外医学研究》 2026 (2)
71-73,77,4
甘肃省中医药科研项目(GZKP-2024-56)
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