| Objectives Observing the clinical efficacy and safety of the electroacupuncture stimulate posterior side of the head and the acupoint of zhongliao (BL33)、huiyang (BL9)、 zhonglv (BL29) in treatment of female stress urinary incontinence (SUI), explore its action mechanism, provide specification for acupuncture treatment in the clinical treatment of the disease.Methods Selected 72 patients with SUI from acupuncture physiotherapy outpatient of health service center of baiyun street community of ningbo city from April 2013-April 2014, all the paitents are women, aged 30 to 81 years old, average 58.3 years. Divided into treatment group and control group (n=36), according to random number table method.The baseline characteristics of the two groups have no statistically significante (P> 0.05), comparable.The treatment group:electroacupuncture stimulate posterior side of the head and the acupoint of zhongliao、huiyang、zhonglv, using continuous wave, frequency 80-100 times/min, the degrees of the stimulate strength according to the tolerate capacity of the patients,30min, per day; Pelvic floor muscle training,3～4 times a day, for a period of four weeks. Control group:pure pelvic floor muscle training,3～4 times daily, for a period of four weeks. Recording the 72 hours micturition situation before and after the treatment (including urination, urine output, water quantity, water time, accompanying symptoms, and urinary incontinence time). Using 1 hour urine pad test to record the quantity of urinary incontinence, using international advisory committee of urinary incontinence questionnaire summary table (ICIQ-UI) to record urinary incontinence frequency; using incontinence clinical classification standard to record the degree of SUI,to evaluate and compared the clinical efficacy of two groups; using simple health survey questionnaire (SF-36), diseases of the urogenital system scale 7 (UDI-7) to survey the quality of life before and after treatment.Results(1)The quantity of urinary incontinence:The leak urine volume recorded by the 1 hour urine pad test of the two groups before treatment respectively was (42.85±6.72 mlvs 43.21±7.03ml), the differences have no statistical significance (t=-1.352, P>0.05). The leak urine volume recorded by the 1 hour urine pad test of the two groups after treatment respectively was (8.27±2.86ml vs 19.15±4.83), significantly reduced than that of the before treatment (t=2.893,2.737, P<0.05), the improve situation of the treatment group was better than the control group, the difference has statistical significance (t=2.674, PO.05);(2) The frequency of urinary incontinence in 72h:The frequency of urinary incontinence in 72 h of the two groups before treatment respectively was (5.94±1.22 times vs 6.02±1.24 times), the difference have no statistical significance (t=-1.239, P>0.05). The frequency of urinary incontinence in 72 h of the two groups after treatment respectively was (2.13±0.64 times vs 3.21±0.78 times), they were significantly lower than that of the before treatment (t=2.483, 2.642, P<0.05), the improve situation of the treatment group was better than the control group, the difference has statistical significance (t=2.390, P<0.05);(3)The degree of urinary incontinence:The degree of urinary incontinence of the two groups before treatment have no statistical significance differences (X2= 1.044, P>0.05). The degree of urinary incontinence of the two groups after treatment significantly improved than that of the before treatment (X2=5.256,4.906, P<0.05), the improve the situation of the treatment group was better than the control group, the difference has statistical significance (X2=5.768, P<0.05);(4) The quality of life:The SF-36, UDI-7 score of the two groups before treatment have no statistical significance differences (t=-1.390,-1.283. all P>0.05). The SF-36, UDI-7 score of the two groups after treatment significantly improved than that of the before treatment (t=2.646、2.792.2.647、2.847, P<0.05), the improve the situation of the treatment group was better than the control group, the difference has statistical significance (t=2.653, P<0.05);(5) The clinical curative effect:The total effective rate of treatment group and control group respectively was (97.22%,75.0%), significant efficiency rate respectively was (61.11% v 33.33%), the treatment group were significantly higher than the control group, the difference has statistically significant (X2=4.394,4.203, P<0.05).(6) The adverse effects rate of the treatment group and control group respectively was [11.11%(4/36),0%(0/36)], the difference has no statistically significant (X2=1.203, P>0.05)。Conclusions Electroacupuncture stimulate bilateral foot motor sensory area and the acupoint of zhongliao、huiyang、zhonglv combined with the system pelvic floor muscle training, can obviously improve clinical symptoms and signs of the female patients with SUI, improve clinical curative effect, also improve the patient’s quality of life, has a good prospect of clinical application. |
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