【作者】 王磊；

【导师】 徐战平；

【作者基本信息】 广州中医药大学 ， 中西医结合临床（专业学位）， 2025， 硕士

【摘要】 目的:采用随机对照临床试验,观察腧穴电生理技术治疗前列腺增生术后压力性尿失禁患者的临床疗效和安全性。方法:采用随机对照临床研究设计,根据纳入、排除标准,筛选符合入组条件的前列腺增生术后压力性尿失禁患者。根据1:1的比例,随机分为治疗组和对照组。治疗组采用腧穴电生理技术联合盆底肌训练治疗,对照组采用盆底肌训练治疗,疗程均为4周。观察两组患者在治疗前后1h尿垫量、ICI-Q-SF评分、中医症候积分和生活质量评分的变化,并观察两组患者在治疗过程中的不良反应。采用SPSS27.0对两组数据进行分析。结果:纳入前列腺增生术后压力性尿失禁患者72例,后剔除9例,最终纳入63例,其中治疗组31例,对照组32例。1.治疗组和对照组在治疗后均能降低1h尿垫量、ICI-Q-SF评分、中医症候积分,但治疗组下降更显著,且两组组间对比差异具有统计学意义(P<0.05)。治疗组和对照组均能提高生活质量评分,但治疗组提高更显著,且两组组间对比差异具有统计学意义(P<0.05)2.治疗后,治疗组的总有效率为96.78%,显著高于对照组的68.75%,且两组组间对比差异具有统计学意义(P<0.05)。3.在安全性方面,治疗组仅1例出现轻微肌肉跳动,自觉疼痛不适,经过处理后症状可得到缓解。对照组未出现不良反应。结论:腧穴电生理技术联合盆底肌训练治疗前列腺增生术后压力性尿失禁具有协同增效作用,其临床疗效显著优于单纯盆底肌训练,且安全性良好。与单纯盆底肌训练相比,腧穴电生理技术联合盆底肌训练能更显著地降低1h尿垫量、ICI-Q-SF评分、以及改善患者症状和提高患者生活质量。更多还原

【Abstract】 ObjectiveA randomized controlled clinical trial was conducted to observe the clinical efficacy and safety of acupoint electrophysiology techniques combined with pelvic floor muscle training in the treatment of patients with stress urinary incontinence after transurethral enucleation of the prostate.MethodsA randomized controlled clinical study design was used to screen patients with postoperative stress urinary incontinence after BPH surgery who met the enrollment criteria according to the inclusion and exclusion criteria.According to the ratio of 1:1,they were randomly divided into treatment group and control group.The treatment group was treated with electrophysiologic technology combined with pelvic floor muscle training,and the control group was treated with pelvic floor muscle training,and the treatment course was 4weeks.Observe the changes of 1h urinary pad volume,ICI-Q-SF score,TCM symptom score and quality of life score of the two groups before and after the treatment.SPSS27.0was used to analyze the data of the two groups.ResultsA total of 72 patients with stress urinary incontinence after benign prostatic hyperplasia surgery were included,and 9 were excluded,leaving 63 patients in the final analysis,including 31 in the treatment group and 32 in the control group.1.Both the treatment group and the control group were able to reduce the 1h urinary pad volume,ICI-Q-SF score,and TCM symptom score after treatment,but the decrease was more significant in the treatment group,and the difference was statistically significant when comparing between the two groups(P<0.05).Both the treatment group and the control group could improve the quality of life scores,but the improvement was more significant in the treatment group,and the difference between the two groups was statistically significant(P<0.05).2.After treatment,the overall effective rate in the treatment group was 96.78%,significantly higher than the 68.75%observed in the control group.This difference between the groups was statistically significant(P<0.05).3.Regarding safety,only one patient in the treatment group experienced mild skin twitching and self-reported pain and discomfort,which were relieved after treatment.No adverse reactions were observed in the control group.ConclusionThe combination of acupoint electro-physiological technology and pelvic floor muscle training in the treatment of postoperative stress urinary incontinence after benign prostatic hyperplasia surgery has a synergistic effect.Its clinical efficacy is significantly better than that of pelvic floor muscle training alone,and it is safe.Compared with pelvic floor muscle training alone,the combination of acupoint electro-physiological technology and pelvic floor muscle training can more significantly reduce the 1-hour pad weight,ICI-Q-SF score,and improve the symptoms and quality of life of patients.更多还原