肾经、膀胱经穴位电刺激联合生物反馈疗法对女性压力性尿失禁的临床研究OA

Objective:To explore the clinical efficacy of electrical stimulation of acupoints in the kidney meridian and bladder meridian combined with pelvic floor biofeedback therapy in the treatment of female stress urinary incontinence(SUI).Methods:A totla of 60 female patients with SUI who received treatment at Renhe Hospital Affiliated to China Three Gorges University between January and December 2024 were enrolled and randomly assigned to a control group(n=30)or a treatment group(n=30).The control group received pelvic floor biofeedback electrical stimulation,whereas the treatment group received a combination of biofeedback electrical stimulation and acupoint electrical stimulation at kidney and bladder meridians.After two treatment courses,the two groups were compared in terms of 1 hour pad test leakage volume,modified Oxford pelvic floor muscle strength scores,and patient-reported therapeutic efficacy.Results:After two courses of treatment,the amount of urine leakage in the 1 hour pad test[(1.72±0.21)g vs(2.82±0.42)g]in the treatment group was lower than that of the control group;while the difference in pad weight before and after treatment[(5.28±1.10)g vs(3.59±0.39)g]in the treatment group was significantly greater than that of the control group(both P＜0.05).Type Ⅰ and type Ⅱ pelvic floor muscle fiber strength were significantly higher in the treatment group than in the control group(both P＜0.05).The overall response rate(96.67％vs.66.67％)was also higher in the treatment group(P＜0.05).Conclusion:Electrical stimulation of acupoints in the kidney meridian and bladder meridian combined with pelvic floor biofeedback therapy can synergistically improve symptoms of SUI,providing a reference for clinical diagnosis and treatment.