Clinical study on repeated transcranial acupuncture stimulation combined with medication in the treatment of female stress urinary incontinence of kidney yang deficiency type
经颅重复针刺刺激结合药物治疗肾阳虚型女性压力性尿失禁的临床研究

摘要

目的 本研究旨在探讨经颅重复针刺刺激（rTAS）结合体针针刺刺激在治疗女性轻至中度压力性尿失禁（SUI）中的临床效果。方法 本研究纳入了60名SUI患者，并通过随机数字表法将患者随机分为两组，每组各30名。实验组接受了经颅重复针刺刺激和体针针刺治疗，并辅以口服缩泉丸。对照组则未接受上述治疗。研究前后，我们对两组患者的尿失禁问卷简表（ICIQ-SF）评分以及1小时尿垫试验的漏尿量进行了评估和比较。结果 治疗前及治疗后4周，2组ICIQ-SF评分、1 h尿垫试评分均较治疗前改善（P＜0.05），且治疗组上述指标均优于对照组（P＜0.05）。治疗组临床疗效优于对照组（P＜0.05）。结论 基于经颅重复针刺刺激结合体针针刺与药物可改善女性轻中度SUI的临床症状，有效地缓解了尿失禁症状，疗效明显优于单纯体针针刺的疗效。

Abstract

Objective To observe the clinical efficacy of repetitive transcranial acupuncture stimulation (rTAS) and body acupuncture stimulation in the treatment of mild to moderate stress urinary incontinence (SUI) in women.
Methods Sixty patients with SUI were randomly divided into a treatment group (n=30) and a control group (n=30) according to the random number table method. The treatment group received rTAS and body acupuncture combined with oral administration of Suquan Pills. The control group received rTAS and body acupuncture combined with oral administration of Suquan Pills. The changes in the scores of the Incontinence Questionnaire-Short Form (ICIQ-SF) and the scores of urine leakage in the 1-hour urine pad test were compared between the two groups before and after treatment.
Results Before treatment and 4 weeks after treatment, the scores of ICIQ-SF and 1-hour urine pad test in the two groups were improved compared with those before treatment (P＜0.05), and the above indicators in the treatment group were better than those in the control group (P＜0.05). The clinical efficacy of the treatment group was better than that of the control group (P＜0.05).
Conclusion  s Transcranial repetitive acupuncture combined with body acupuncture and medication can improve the clinical symptoms of mild to moderate SUI in women and effectively relieve the symptoms of urinary incontinence, with a significantly better therapeutic effect than simple body acupuncture.