Volume 22 Issue 6
Jun.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(6): 1047-1050
WANG Shishuai, XU Qiudong, CHEN Fengna. Pelvic floor ultrasound evaluation of the clinical efficacy of floating needle therapy combined with pressing needle and embedding needle at acupoints in the treatment of patients with stress urinary incontinence[J]. Chinese Journal of General Practice, 2024, 22(6): 1047-1050. doi: 10.16766/j.cnki.issn.1674-4152.003563
Citation: WANG Shishuai, XU Qiudong, CHEN Fengna. Pelvic floor ultrasound evaluation of the clinical efficacy of floating needle therapy combined with pressing needle and embedding needle at acupoints in the treatment of patients with stress urinary incontinence[J]. Chinese Journal of General Practice, 2024, 22(6): 1047-1050. doi: 10.16766/j.cnki.issn.1674-4152.003563
shu

Pelvic floor ultrasound evaluation of the clinical efficacy of floating needle therapy combined with pressing needle and embedding needle at acupoints in the treatment of patients with stress urinary incontinence

doi: 10.16766/j.cnki.issn.1674-4152.003563
  • 1.

    Department of Gynecology, Ningbo Municipal Hospital of Traditional Chinese Medicine (TCM), Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, Zhejiang 315010, China

Funds:

 2021ZA126

 2022S087

  • Received Date: 2024-03-29
    Available Online: 2024-07-22
    Abstract
  •   Objective  To analyze the clinical efficacy of floating needle therapy combined with pressing needle point embedding therapy in the treatment of patients with stress urinary incontinence, and to explore the clinical value of evaluating its efficacy through perineal pelvic floor ultrasound.  Methods  A total of 110 patients with stress urinary incontinence admitted to Ningbo Traditional Chinese Medicine Hospital from September 2022 to November 2023 were selected as the study subjects. They were randomly divided into a control group and an experimental group, with 55 cases in each group. The control group was treated with biofeedback electrical stimulation combined with pelvic floor muscle training, and the experimental group was treated with floating needle therapy combined with pressing and embedding acupuncture points. The ultrasound parameters of two groups of patients during resting state and maximum Valsalva maneuver were observed, including bladder neck position, detrusor muscle thickness (DWT), urethral inclination angle (UTA), bladder neck movement (BND), posterior angle of bladder urethra (RVA), and urethral rotation angle (URA). The incidence of urethral infundibulum during the maximum Valsalva maneuver was calculated.  Results  After the treatment, there was no statistically significant difference in the resting bladder neck position, DWT, and RVA between the two groups (P>0.05), and the UTA in the experimental group was higher than that in the control group (P < 0.05). The BND of both groups of patients significantly decreased during the maximum Valsalva maneuver (P < 0.05), and the BND in the experimental group was lower than that in the control group (P < 0.05) after the treatment. There was no statistically significant difference between the two groups of RVA and URA (P>0.05). The incidence of urethral infundibulum in the experimental group was 87.27% (48/55), significantly lower than 100.00% (55/55) in the control group (P < 0.05).  Conclusion  The combination of floating needle therapy and pressing needle embedding therapy at acupoints is more effective for patients with stress urinary incontinence, which is more conducive to reducing the incidence of urethral infundibulum. The evaluation of the rehabilitation effect by perineal pelvic floor ultrasound has a certain clinical reference value.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    闵洁, 彭国平. 经会阴三维盆底超声评估针灸对阴道分娩产妇压力性尿失禁康复治疗的应用价值[J]. 川北医学院学报, 2023, 38(2): 190-194. doi: 10.3969/j.issn.1005-3697.2023.02.011

    MIN J, PENG G P. Evaluation of the application value of acupuncture and moxibustion on the rehabilitation treatment of stress urinary incontinence in vaginal delivery women by perineal three-dimensional pelvic floor ultrasound[J]. Journal of North Sichuan Medical College, 2023, 38(2): 190-194. doi: 10.3969/j.issn.1005-3697.2023.02.011
    [2]
    李燕霞, 申利, 姚弘毅, 等. 隔姜脐灸联合凯格尔训练治疗围绝经期女性压力性尿失禁患者的临床效果[J]. 中国医药导报, 2023, 20(26): 110-113, 189. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202326023.htm

    LI Y X, SHEN L, YAO H Y, et al. The clinical effect of ginger separated navel moxibustion combined with Kegel training in the treatment of stress urinary incontinence in perimenopausal women[J]. China Medicine Herald, 2023, 20(26): 110-113, 189. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202326023.htm
    [3]
    WU X L, ZHENG X, YI X H, et al. Electromyographic biofeedback for stress urinary incontinence or pelvic floor dysfunction in women: a systematic review and meta-analysis[J]. Adv Ther, 2021, 38(8): 4163-4177. doi: 10.1007/s12325-021-01831-6
    [4]
    ZHANG Y Y, ZHOU Z Y, WEI D, et al. Efficacy and safety of moxibustion in the treatment of female stress urinary incontinence: a protocol for systematic review and meta-analysis[J]. Medicine (Baltimore), 2022, 101(7): e28893. DOI: 10.1097/MD.0000000000028893.
    [5]
    CHEN H, LIU Y, WU J N, et al. Acupuncture for postprostatectomy incontinence: a systematic review[J]. BMJ Support Palliat Care, 2023, 13(e1): e10-e19. doi: 10.1136/bmjspcare-2020-002450
    [6]
    张蕊玉, 马玉侠, 成金艳, 等. 揿针在患者术后辅助治疗中的应用研究进展[J]. 中国中医急症, 2022, 31(10): 1873-1876, 1880. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ202210048.htm

    ZHANG R Y, MA Y X, CHENG J Y, et al. Research progress on the application of pressing needle in postoperative adjuvant therapy for patients[J]. Chinese Medicine Emergency, 2022, 31(10): 1873-1876, 1880. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ202210048.htm
    [7]
    中华医学会妇产科学分会妇科盆底学组. 女性压力性尿失禁诊断和治疗指南(2017)[J]. 中华妇产科杂志, 2017, 52(5): 289-293. https://www.cnki.com.cn/Article/CJFDTOTAL-TJIY201806003.htm

    Gynecology and Pelvic Fundus Group, Obstetrics and Gynecology Branch, Chinese Medical Association Diagnosis and treatment guidelines for female stress urinary incontinence (2017)[J]. Chinese Journal of Obstetrics and Gynecology, 2017, 52(5): 289-293. https://www.cnki.com.cn/Article/CJFDTOTAL-TJIY201806003.htm
    [8]
    乌日罕. 盆底超声检查对产妇产后压力性尿失禁的评估作用研究[J]. 现代医学与健康研究电子杂志, 2023, 7(9): 19-21. https://www.cnki.com.cn/Article/CJFDTOTAL-XYJD202309007.htm

    WU R H. A study on the evaluation effect of pelvic floor ultrasound examination on postpartum stress urinary incontinence in parturients[J]. Modern Medicine and Health Research (Electronic Edition), 2023, 7(9): 19-21. https://www.cnki.com.cn/Article/CJFDTOTAL-XYJD202309007.htm
    [9]
    朱韵, 姜丽英, 胡萍, 等. 盆底超声评估经闭孔无张力尿道中段悬吊术治疗压力性尿失禁中吊带与治疗效果的关系[J]. 中国超声医学杂志, 2023, 39(1): 74-77. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCY202301020.htm

    ZHU Y, JIANG L Y, HU P, et al. Pelvic floor ultrasound evaluation of the relationship between sling and treatment effect in the treatment of stress urinary incontinence using tension-free transurethral suspension surgery[J]. Chinese Journal of Ultrasound Medicine, 2023, 39(1): 74-77. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCY202301020.htm
    [10]
    JAMARD E, BLOUET M, THUBERT T, et al. Utility of 2D-ultrasound in pelvic floor muscle contraction and bladder neck mobility assessment in women with urinary incontinence[J]. J Gynecol Obstet Hum Reprod, 2020, 49(1): 101629. DOI: 10.1016/j.jogoh.2019.101629.
    [11]
    XU Z H, HE H L, YU B B, et al. Application of transperineal pelvic floor ultrasound in changes of pelvic floor structure and function between pregnant and non-pregnant women[J]. Int J Womens Health, 2022, 14: 1149-1159. doi: 10.2147/IJWH.S361755
    [12]
    周春美, 孟侠, 吴垠, 等. 经会阴盆底实时三维超声评估不同分娩方式对产妇盆膈裂孔解剖结构及膀胱颈移动度的影响[J]. 中国计划生育学杂志, 2023, 31(1): 163-167. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY202301035.htm

    ZHOU C M, MENG X, WU Y, et al. Effects of different delivery methods on the anatomical structure of pelvic diaphragmatic hiatus and bladder neck mobility in postpartum women evaluated by transperineal pelvic floor real-time three-dimensional ultrasound[J]. Chinese Journal of Family Planning, 2023, 31(1): 163-167. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY202301035.htm
    [13]
    石力, 周振坤, 姜敏. 基于经筋理论浅析针灸治疗女性压力性尿失禁[J]. 中医杂志, 2023, 64(18): 1922-1925. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202318016.htm

    SHI L, ZHOU Z K, JIANG M. Discussion on Acupuncture in the Treatment of Female Stress Urinary Incontinence Based on the Theory of Channel Sinew[J]. Journal of Traditional Chinese Medicine, 2023, 64(18): 1922-1925. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202318016.htm
    [14]
    周敏, 胡建英, 陈晶晶, 等. 募俞配穴思路的电子隔药灸联合腹针揿针法治疗产后压力性尿失禁疗效观察[J]. 现代中西医结合杂志, 2021, 30(11): 1217-1220. https://www.cnki.com.cn/Article/CJFDTOTAL-XDJH202111018.htm

    ZHOU M, HU J Y, CHEN J J, et al. Observation on the therapeutic effect of electronic medicinal moxibustion combined with abdominal acupuncture and pressing needling method on postpartum stress urinary incontinence based on the concept of Moyu acupoint combination[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2021, 30(11): 1217-1220. https://www.cnki.com.cn/Article/CJFDTOTAL-XDJH202111018.htm
    [15]
    苏进展, 徐英姿, 杜嘉, 等. 盆底超声联合MRI在浮针治疗压力性尿失禁中的应用[J]. 中华全科医学, 2022, 20(11): 1916-1919, 1937. doi: 10.16766/j.cnki.issn.1674-4152.002735

    SU J Z, XU Y Z, DU J, et al. Application of pelvic floor ultrasound combined with MRI in treating stress urinary incontinence with Fu ' s subcutaneous needling[J]. Chinese Journal of General Practice, 2022, 20(11): 1916-1919, 1937. doi: 10.16766/j.cnki.issn.1674-4152.002735
    [16]
    陈慧杰, 李保龙, 李宇婷, 等. 浮针结合Kegel训练治疗女性压力性尿失禁临床研究[J]. 针灸临床杂志, 2021, 37(10): 19-23. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC202110005.htm

    CHEN H J, LI B L, LI Y T, et al. Clinical Study of Fu ' s Subcutaneous Needling Combined with Kegel Training in Treatment of SUI in Female[J]. Journal of Clinical Acupuncture and Moxibustion, 2021, 37(10): 19-23. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC202110005.htm
    [17]
    周敏, 胡建英, 陈晶晶, 等. 升气温肾方联合针灸治疗产后压力性尿失禁临床研究[J]. 山东中医杂志, 2021, 40(11): 1203-1207. https://www.cnki.com.cn/Article/CJFDTOTAL-SDZY202111003.htm

    ZHOU M, HU J Y, CHEN J J, et al. Clinical Study on Shengqi Wenshen Formula(升气温肾方)Combined with Acupuncture in the Treatment of Postpartum Stress Urinary Incontinence[J]. Shandong Journal of Traditional Chinese Medicine, 2021, 40(11): 1203-1207. https://www.cnki.com.cn/Article/CJFDTOTAL-SDZY202111003.htm
    [18]
    屈媛媛, 冯楚文, 孙忠人, 等. 基于集合可视化分析系统探索针灸治疗产后压力性尿失禁的选穴规律[J]. 针灸临床杂志, 2023, 39(8): 52-60. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC202308011.htm

    QU Y Y, FNEG C W, SUN Z R, et al. Law of Acupoints Selection for Treating PSUI by Acupuncture and Moxibustion Based on Set Visual Analysis System[J]. Journal of Clinical Acupuncture and Moxibustion, 2023, 39(8): 52-60. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJLC202308011.htm
    [19]
    顾微波, 杨杭, 王晓颖. 针刺疗法配合盆底电生理治疗压力性尿失禁临床研究[J]. 新中医, 2021, 53(6): 109-112. https://www.cnki.com.cn/Article/CJFDTOTAL-REND202106029.htm

    GU W B, YANG H, WANG X Y. Clinical Study on Acupuncture Combined with Pelvic Floor Electrophysiology for Stress Incontinence[J]. New Chinese Medicine, 2021, 53(6): 109-112. https://www.cnki.com.cn/Article/CJFDTOTAL-REND202106029.htm
    [20]
    ZHOU Z L, ZHANG Y, DENG H W, et al. Comparison of acupuncture and moxibustion related non-surgical therapies for women with stress urinary incontinence: a systematic review and network meta-analysis of randomized controlled trials[J]. Explore (NY), 2023, 26: S1550-8307(23)00269-0. DOI: 10.1016/j.explore.2023.11.010.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (34) PDF downloads(3) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return