Study On The Effect Of Qi Shi Granule Combined With Kegal Training In The Treatment Of Moderate SUI And Natural Development

Objects:To explore the epidemiological characteristics and the vist characteristics of patients with SUI of female;and to observe the changes about ICI-Q-SF score、I-QOL score.the average daily number of urine leakage after the treatment under Qi solid particles combined with Kegal training in the women with SUI,and evaluate the curative effect and prognosis.Method:Test 1:From May 2016 to May 2017,the patients who were diagnosed with SUI in the Department of Urology of Xiyuan Hospital of the Chinese Academy of traditional Chinese medicine were judged and evaluated,and the I-QOL score of the patients was recorded.Test 2:60 female patients with moderate SUI in our outpatient clinic were selected.The experiment consists of two parts,the first part is the treatment phase,8 weeks;the second stage is the follow-up stage,and it lasts for 3 months.A parallel control,randomized and double-blind trial was conducted in the first part.The treatment group was treated with Qi Shi granule combined with Kegal training treatment.The control group was treated with placebo combined with Kegal training treatment,then assess and observe the efficacy of the patient after 8 weeks of treatment.During the follow-up stage,patients should be followed monthly,then observe the patient’s efficacy and assess the outcome after 3 months.Results:Test 1:A total of 312 patients were included in the survey,of which only 4%of the patients whose I-QOL score was more than 80,the number of mild stress incontinence 9.6%,moderate 64.7%,and severe 25.6%.83.3%more willing to choose conservative treatment combined with drug therapy;the proportion of patients who choose surgical treatment is only 9.6%.Test 2:①The stage of treatment:Comparison among groups,the improvement of ICI-Q-SF score,I-QOL score and the average number of daily leakage times in the experimental group was significantly better than that in the control group after 4 weeks’ treatment,P<0.05.Comparison in experimental group,the ICI-Q-SF score,I-QOL score,and the average number of daily leakage times were statistically different from baseline values after 4 weeks of treatment.By single factor analysis,the time points(per 2 weeks)of each treatment was contrasted.After 8 weeks of treatment,there was a statistically significant difference in the improvement of the I-QOL score compared with the 6 week treatment,P=0.046.Compared in control group,there was a significant difference in ICI-Q-SF score and I-QOL score after 4 weeks of treatment,and there was a statistical difference between the average number of leakage of urine and the baseline after 6 weeks of treatment.Further single factor analysis,the time points(per 2 weeks)of each treatment was contrasted.ICI-Q-SF score,I-QOL score and the average daily leakage had no significant difference,P>0.05.② The follow up stage:During the follow-up period,6 patients were missing,and 54 patients were followed up.Comparison among groups,the improvement of ICI-Q-SF score and the average number of daily leakage times in the experimental group was significantly better than that in the control group in the follow up stage,P<0.05.The improvement of I-QOL score was significantly better than that in the control group after 2 months of follow-up,P<0.05.Comparison in experimental group,the results of ICI-Q-SF score,I-QOL score and the average daily leakage of urine has no significant statistical difference in the follow-up stage compared with the termination of treatment,P>0.05.Comparison in control group,there was no significant difference between the I-QOL score in the follow-up stage compared with the termination of treatment.but the ICI-Q-SF score and the average number of leaky urine times per day after 3 months of follow-up had statistically different compared with the termination of treatment,P<0.05.③Prognosis of SUI.The effective rate of the experimental group was 78.6%,while that of the control group was 50%.In the experimental group,2 patients were restored to normal,13 were mild SUI patients,and 13 were moderate SUI patients,of which 7 were symptomatic,6 had no obvious changes in symptoms and 0 in severe SUI patients;2 of them were treated with the quality of life.In the control group,8 people turned to mild SUI patients,with 14 moderate SUI patients,of which 5 had improved urinary incontinence symptoms,9 had no significant changes in urinary incontinence symptoms,4 severe SUI patients,4 patients were treated with surgical treatment for quality of life,and all were severely SUI patients.Conclusion:The prevalence-of SUI is low,and moderate SUI is the main treatment group.Qi granule combined with Kegal training can improve the curative effect of moderate female SUI The longer the treatment time,the better the quality of life of the patients.