雷火灸配合盆底生物反馈电刺激治疗前列腺增生术后尿失禁临床研究
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R694+.54;R699.8

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温州市科技局项目(Y2023961)


Clinical Study on Thunder-Fire Moxibustion Combined with Pelvic Floor Biofeedback Electric Stimulation Therapy for Urinary Incontinence After Surgery of Prostatic Hyperplasia
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    摘要:

    目的:观察雷火灸配合盆底生物反馈电刺激治疗前列腺增生术后尿失禁的临床疗效及对尿动力学 参数的影响。方法:选择2023年7月—2024年7月浙江中医药大学附属温州市中医院收治的100例前列腺增生 术后尿失禁患者,按照随机数字表法分为对照组和观察组各50例。对照组采用常规盆底生物反馈电刺激治疗, 观察组采用雷火灸配合盆底生物反馈电刺激治疗。2组均治疗8周,比较2组临床疗效,以及治疗前后尿失禁 问卷简表(ICI-Q-SF) 评分、尿失禁生活质量问卷(I-QOL) 评分、盆底肌功能指标[最大收缩力、持续收缩 力、静息肌电值]、尿动力学参数[最大尿流率(Qmax)、膀胱顺应性(BC)、残余尿量(RUV) ]。结果:治疗后, 观察组总有效率为96.00%(48/50),对照组为84.00%(42/50),2组比较,差异有统计学意义(P<0.05)。治 疗后,2组ICI-Q-SF评分均较治疗前降低(P<0.05),且观察组ICI-Q-SF评分低于对照组(P<0.05);2 组 I-QOL评分均较治疗前升高(P<0.05),且观察组I-QOL评分高于对照组(P<0.05)。治疗后,2组盆底最 大收缩力、持续收缩力均较治疗前升高(P<0.05),且观察组盆底肌最大收缩力、持续收缩力均高于对照 组(P<0.05);2组盆底静息肌电值均较治疗前降低(P<0.05),且观察组静息肌电值低于对照组(P<0.05)。 治疗后,2组Qmax、BC水平均较治疗前升高(P<0.05),且观察组Qmax、BC水平高于对照组(P<0.05);2组 RUV水平均较治疗前降低(P<0.05),且观察组RUV水平低于对照组(P<0.05)。结论:雷火灸配合盆底生 物反馈电刺激治疗前列腺增生术后尿失禁可改善患者排尿及尿动力学参数,有效促进盆底肌功能恢复,从而提 高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the combination use of thunder-fire moxibustion and pelvic floor biofeedback electric stimulation therapy on urinary incontinence after surgery of prostatic hyperplasia and its effect on urodynamic parameters. Methods: A total of 100 patients with urinary incontinence after surgery of prostatic hyperplasia admitted to Wenzhou TCM Hospital of Zhejiang Chinese Medical University from July 2023 to July 2024 were selected and divided into the control group and the observation group according to the random number table method,with 50 cases in each group. The control group was treated with comparative pelvic floor biofeedback electrical stimulation, and the observation group was treated with thunder-fire moxibustion combined with pelvic floor biofeedback electrical stimulation. Both groups were treated for eight weeks. The clinical effects, and the scores of International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICI-Q-SF) and Incontinence Quality of Life Questionnaire (I-QOL), pelvic floor muscle function indexes [maximum contractility, continuous contractility and resting electromyography],and urodynamic parameters [maximum urinary flow rate (Qmax), bladder compliance (BC) and residual urine volume (RUV) ] before and after treatment were compared between the two groups. Results: After treatment, the total effective rate was 96.00% (48/50) in the observation group and 84.00% (42/50) in the control group, with a statistically significant difference (P<0.05) . After treatment, the ICI-Q-SF scores in the two groups were reduced when compared with those before treatment (P<0.05), and the ICI-Q-SF score in the observation group was lower than that in the control group (P<0.05) . The I-QOL scores in the two groups were higher than those before treatment (P<0.05), and the I-QOL score in the observation group was higher than that in the control group (P<0.05) . After treatment,the maximum and continuous contractility of pelvic floor muscle in the two groups were elevated when compared with those before treatment (P<0.05),and the maximum and continuous contractility of pelvic floor muscle in the observation group were higher than those in the control group (P<0.05) . The resting electromyography of pelvic floor in the two groups was lower than that before treatment (P<0.05),and the resting electromyography of pelvic floor in the observation group was lower than that in the control group (P<0.05) . After treatment, the levels of Qmax and BC in the two groups were higher than those before treatment (P<0.05),and the above two levels in the observation group were higher than those in the control group (P<0.05) . The RUV levels in the two groups dwindled when compared with those before treatment (P< 0.05),and the RUV level in the observation group was lower than that in the control group (P<0.05) .Conclusion: The combination use of thunder-fire moxibustion and pelvic floor biofeedback electric stimulation can improve the urination and urodynamic parameters of patients with urinary incontinence after surgery of prostatic hyperplasia, effectively promote the recovery of pelvic floor muscle function,and thus improve the quality of life.

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朱琦翔,郑贺彬,叶银梳,周慧慧.雷火灸配合盆底生物反馈电刺激治疗前列腺增生术后尿失禁临床研究[J].新中医,2025,57(14):116-121

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  • 在线发布日期: 2025-07-26
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