The Clinical Observation On Treating Stress Urinary Incontinence Of Kidney Yang Deficiency Type By Abdominal Cross-Moxibustion Therapy Combined With Pelvic Floor Muscle Training

Objective:Taking pelvic floor muscle training as the basic treatment,the clinical efficacy of cross moxibustion in the treatment of stress urinary incontinence was observed and compared with conventional acupuncture,so as to provide more new ideas and methods for further clinical treatment of stress urinary incontinence.Methods:Methods 72 patients with stress urinary incontinence of kidney yang deficiency type were randomly divided into treatment group and control group,36 cases in each group.On the basis of pelvic floor muscle training,the treatment group was treated with cross moxibustion,and the control group was treated with conventional acupuncture.Both groups were treated for 2 consecutive courses(4 weeks as a course).The leakage volume of urine pad test,the change of average 24-hour leakage frequency,the change of ici-q-sf score and TCM syndrome score were observed and recorded before and after treatment in the two groups.The clinical efficacy was analyzed according to the change of ici-q-sf scoreResults:1.Baseline data analysis:two groups of patients age composition(treatment group:53.58±4.831years,control group:54.42±5.598years);course of disease distribution(treatment group:7.69±3.267years,control group:7.33±3.680 years);one hour urine pad test leakage before treatment:(treatment group:21.99±9.857g,control group:22.32± 10.872g);the average 24-hour urine leakage frequency before treatment(treatment group:9.08±3.767 times,control group:21.86±10.824g),The control group:9.14±3.766 times);before treatment,ici-q-sf score(treatment group:9.50±3.317,control group:9.14±3.803);before treatment,TCM syndrome score(treatment group:7.81 ±2.755,control group:7.89±2.866);the differences were not statistically significant(p>0.05),with comparability.2.Treatment results:(1)1h urine pad test leakage volume:after treatment:the treatment group decreased to(9.07±5.762)g,the control group decreased to(11.953±6.422)g.Intra group comparison;the urine leakage after treatment in both groups was significantly lower than that before treatment(P<0.01).Comparison between groups:the urine leakage of the treatment group was significantly lower than that of the control group,the difference was statistically significant(p<0.05).(2)24h urinary incontinence times:after treatment:the treatment group decreased to(3.47±2.372)times,the control group decreased to(4.92±2.568)times.Intra group comp arison:the number of urine leakage after treatment in both groups was significantly lower than that before treatment(p<0.01).Comparison between groups:the number of urine leakage in the treatment group was significantly lower than that in the control group,the difference was statistically significant(p<0.05).(3)ici-q-sf score:after treatment:the treatment group decreased to(3.89±2.692)times,the control group decreased to(5.31±2.955).Intra group comparison:the score of ici-q-sf after treatment in both groups was significantly lower than that before treatment(p<0.01).Comparison between groups:the score of ici-q-sf in the treatment group was significantly lower than that in the control group(p<0.05).(4)After treatment,the score of kidney yang deficiency symptoms decreased to(2.97± 1.859)in the treatment group and(4.42±2.612)in the control group.Intra group comparison:after treatment,the symptom score of kidney yang deficiency in both groups was sign ificantly lower than that before treatment(p<0.01).Comparison between groups:the score of kidney yang deficiency in the treatment group was significantly lower than that in the control group(p<0.05).(5)Clinical efficacy comparison:the total effective rates of the treatment group and the control group were 91.67%and 88.89%respectively,and there was significant difference in clinical efficacy between the two groups(p<0.05).Conclusion:Both cross moxibustion combined with pelvic floor muscle training therapy and conventional acupuncture combined with pelvic floor muscle training therapy have good therapeutic effects on stress urinary incontinence of kidney yang deficiency type,but the treatment of cross moxibustion combined with pelvic floor muscle training therapy has better improvement on the symptoms of stress urinary incontinence,which is worthy of clinical promotion.