| Objective:The clinical effect of acupuncture therapy combined with oral Chinese medicine on the patients with menopause stress urinary incontinence of kidney yang deficiency type women was observed.It provides a feasible method for the treatment of this disease.Method:According to the diagnostic criteria,inclusion criteria and exclusion criteria,64 subjects were included in this study according to the criteria of diagnosis,inclusion criteria and exclusion criteria,which were divided into two groups randomly.The traditional Chinese medicine group had not been followed up on time 1 cases,the actual Chinese medicine group was 31 cases,and the combination group was afraid of acupuncture pain.2 cases were pain shedding and 30 cases were combined with actual acupuncture and drug combination group.The patients in the Chinese medicine group were given oral administration of Chinese medicine plus and minus right GUI pills,1 days in the morning,and 300ml decocted in water 2 times in the morning and evening.After 3 months of continuous medication,the drug stopped.In case of menstrual period,suspend treatment and take medication for 3 months.Patients in acupuncture plus Chinese medicine group were treated with oral medicine and Chinese medicine group.Acupuncture point selection:four Shen Cong,Baihui,Qi Hai,Guanyuan,middle pole.Operation:Taking 1.5 inch needle acupuncture point,connecting electrode to the needle handle respectively after gas,selecting the density wave,frequency 20HZ,slowly adjusting the current to the patient's feeling of micro pain,leaving the needle for 30 minutes.Every other day,such treatment for 3 months,in case of menstrual period,suspension of acupuncture and Chinese medicine treatment,treatment postponed,so treated for 3 months,to determine the curative effect.The scores of TCM syndromes,serum estradiol,follicular stimulating hormone,luteinizing hormone,urinary incontinence questionnaire and 1 hpadding test were observed before and after treatment in 2 groups.The results were analyzed and the curative effect of the two groups was observed.Result:1.Compared with the international urinary incontinence questionnaire,the scores of international urinary incontinence questionnaire were lower than those before treatment,and the difference had significant statistical significance(P<0.01).After the treatment,the international urinary incontinence questionnaire was better than the Chinese medicine group in improving the international urinary incontinence questionnaire(P<0.01).2.The results of the 1 hour urine cushion test were compared:the amount of leakage urine of the two groups after 1 hours was lower than that before the treatment,and the difference was statistically significant(P<0.01).After 1 hours after treatment,the leakage urine volume in the urine cushion test was better than that of the traditional Chinese medicine group(P<0.05)in the improvement of the 1 hour urine cushion test.3.Traditional Chinese medicine symptom score comparison:two groups after treatment of TCM symptom score decreased compared with before treatment,the difference has significant statistical significance(P<0.01);after treatment of TCM symptom score group comparison,acupuncture and medicine combination group in improving TCM symptoms is better than the Chinese medicine group(P<0.05).4.Comparison of hormone level:follicle stimulating hormone level:the level of follicle stimulating hormone in the two groups was lower than that before treatment.There was no significant difference before and after treatment in the Chinese medicine group(P>0.05),and there was no significant difference before and after treatment(P>0.05)in the combination group of acupuncture and medicine(P>0.05).The difference was significant(P>0.05).The level of serum estradiol was compared:the level of serum estradiol in the two groups was higher than that before treatment.There was significant difference between the traditional Chinese medicine group and the combination group before and after treatment(P<0.01).There was no significant difference between the group of Chinese medicine and the combination group(P>0.05)after treatment.The comparison of luteinizing hormone levels:there was no significant difference between the two groups before and after treatment(P>0.05),and there was no significant difference between the two groups after the treatment(P>0.05).5.The curative effect of stress urinary incontinence was compared:the total effective rate of Chinese medicine group was 67.74%,and the total effective rate of combined acupuncture and medicine group was 93.33%.The curative effect of acupuncture combined with Chinese medicine group was better than that of Chinese medicine group(P<0.05).6.Comparison of TCM symptom scores:the total effective rate of the Chinese medicine group was 74.19%,and the total effective rate of the combined acupuncture and medicine group was 93.33%,The curative effect of acupuncture combined with Chinese medicine group was better than that of Chinese medicine group(P<0.05).Conclusion:Chinese medicine group and acupuncture combined with medicine group have definite curative effect in treating perimenopausal stress urinaryincontinence due to kidney yang deficiency.And the curative effect of thecombination group of acupuncture and medicine is better. |
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