【作者】 陈煖林；

【导师】 赵仓焕；

【作者基本信息】 暨南大学 ， 中西医结合临床， 2007， 硕士

【摘要】 目的：压力性尿失禁(SUI)虽不直接危及生命，但它严重影响患者的生活质量。许多患者对本病认识不足或由于害羞而难于启齿，大约只有1.5％-6％的女性尿失禁患者寻求正确的治疗。相当多的SUI患者常因难以启齿而延误治疗，患者情绪消沉自卑，社会交际活动减少，并且性欲往往低下，导致严重的身心疾患，其严重地影响了女性的身心健康、生活及工作，研究SUI的治疗具有非常重要的意义。因此，本课题的目的就是观察艾灸配合中药治疗妇女SUI的临床疗效。方法：将60例门诊诊断为SUI的女性患者，随机分为治疗组和对照组两组。治疗组用艾条行温和灸法交替灸气海、关元、足三里、三阴交和脾俞、肾俞、次髎两组穴位，在灸法应用同时配合服用补脾益肾方中药；对照组只服用补脾益肾方中药。各组均连续治疗30天，观察了患者治疗前后尿失禁程度、伴随症状、漏尿量、尿失禁发作频率等指标，并按照疗效标准评价治疗效果。同时观察了两组治疗对不同中医证型的疗效。结果：两组患者治疗前后比较，均能够显著减轻尿失禁程度、减少漏尿量(P<0.01)；减轻尿失禁伴随症状(P<0.01)；降低尿失禁发作频率(P<0.01)；且治疗组临床疗效优于对照组(P<0.05)。两组治疗对不同中医证型的疗效之间无显著性差异(P>0.05)。结论：艾灸配合补脾益肾方中药和单用补脾益肾方中药均对女性SUI患者有治疗效果，但艾灸配合补脾益肾方中药能够提高治疗女性SUI的效果。更多还原

【Abstract】 Objective: To investigate moxibustion and Chinese medicine for treatment of stress urinary incontinence(SUI) in women in the clinical efficacy. Even though the SUI is not a dangerous illness, it makes a big influence in the daily life of women. Usually most of women they hesitate to being a treatment because they feel ashamed. It is only 1.5%-6% of SUI women to find a right treatment, that means most of the SUI women are shy to take any therapy. It at last makes them nervous and embarrassed to meet people or attend any social meeting, it is also even affecting their sex life or severe affect their health. Consideration of the therapy of the women’ SUI is very important and meaningful, I start to study and try to find a best and safe treatment for it.Methods: 60 cases of women’s stress urinary incontinence clinic patients were randomly divided into two groups. The trial group moxibustion alternately the two sets of Points by moxibustion: Qihai(RN6),Guanyuan(RN4), Zusanli(ST36), Sanyinjiao(SP6) and Pishu(BL20), Shenshu(BL23), Ciliao(BL32), and given a decoction at the same time. The control group was only given this medicine. The leak volume, associated symptoms, and incontinence episode frequency were observed.Results: The two groups were able to significantly reduce the amount of leakage of urine(P<0.01), the associated symptoms(P<0.01), and episodes of incontinence reduced P<0.01), the trial group were better than the control group(P<0.05).Conclusion: The synergistic combination of the moxibustion and drug could significantly improve the treatment results for female stress urinary incontinence.更多还原