Volume 21 Issue 12
Dec.  2023
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CAI Qun, GUO Qin, HE Kelin, NIU Xuekang, GUO Fangfang, YUAN Kangni. linical study on the treatment of urinary incontinence after prostatectomy with thunder fire moxibustion[J]. Chinese Journal of General Practice, 2023, 21(12): 2133-2136. doi: 10.16766/j.cnki.issn.1674-4152.003307
Citation: CAI Qun, GUO Qin, HE Kelin, NIU Xuekang, GUO Fangfang, YUAN Kangni. linical study on the treatment of urinary incontinence after prostatectomy with thunder fire moxibustion[J]. Chinese Journal of General Practice, 2023, 21(12): 2133-2136. doi: 10.16766/j.cnki.issn.1674-4152.003307

linical study on the treatment of urinary incontinence after prostatectomy with thunder fire moxibustion

doi: 10.16766/j.cnki.issn.1674-4152.003307
Funds:

 2021ZA081

  • Received Date: 2023-05-04
  •   Objective  To compare the clinical effect of thunder fire moxibustion (TFM) combined with pelvic floor muscle training and pelvic floor muscle training alone in the treatment of urinary incontinence after prostate surgery and its influence on patients' quality of life.  Methods  A total of 66 patients with urinary incontinence after prostate surgery were recruited from the outpatient department of the Third Affiliated Hospital of Zhejiang Chinese Medicine University from 1 January 1, 2021 to November 30, 2022, and divided into observation and control groups by the random envelope method, with 33 cases in each group. The observation group used TFM combined with pelvic floor muscle training, while the control group only received pelvic floor muscle training. The healing effect of traditional Chinese medicine, the degree of incontinence questionnaire-urinary incontinence short form (ICI-Q-SF), the urinary incontinence quality of life (I-QOL) and the pelvic floor function of the two groups were compared before and after treatment and 8 weeks after treatment.  Results  The efficacy rate of traditional Chinese medicine (TCM) in observation group was 96.97%(32/33), higher than that in the control group [81.82% (27/33)], and the difference was statistically significant (P<0.05).After treatment and 8 weeks after treatment, the degree of urinary incontinence in the observation group was significantly reduced compared with the control group, and the difference was statistically significant (all P<0.05). After treatment and 8 weeks after treatment, the ICI-Q-SF scores of the observation group were (5.67±3.33) points and (4.15±1.12) points respectively, which were lower than those of the control group [(7.70±3.57) points and (6.52±2.50) points], and the differences were statistically significant (all P<0.05).  Conclusion  TFM combined with pelvic floor muscle training and simple pelvic floor muscle training can improve the degree of urinary incontinence and the quality of life in patients after prostate surgery. Moreover, combined treatment is better than pelvic floor muscle training alone at improving the level of urinary incontinence and patients' quality of life.

     

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