Acupuncture And Moxibustion Treatment Of Female Kidney Qi Clinical Observation Of Stress Urinary Incontinence

Objective:To study and observe the clinical efficacy of acupuncture and moxibustion in ZhongLiao, Ciliao two points as the main method for treatment of kidney qi is not solid female stress urinary incontinence.To provide a simple and efficacy method for the treatment of such disease.Methods:Collected 60 patients with stress urinary incontinence who met the kidney qi is not solid type, all cases were from HengXiang community clinic. Randomly divided into two groups, the treatment group and the control group, each group had 30 cases. Treatment group:first,patients were in lateral position, urinated before acupuncture.Guanyuan, Mingmen with 0.30 × 50mm filiform needle, thrust in 0.5～1 inch, provided in twirling the gas and pull out. Then took a prone position, Ciliao, Liao with 0.30 × 75mm filiform needle, perpendicularly 1～1.5 inch and twirling and thrusting, have a sense of tingling pain and acupuncture to the patients, and make the feeling forward Yin and abdominal radiation, then in the needle handle is provided with a 2cm long moxa roll, ignite moxa, sacral have tepid feeling is good, until the moxa stick burns after removing the ashes, after the disappearance of the thermal will remove the needle.1 times a day, a total of 2 cone moxibustion for each point, the needle for 30 minutes. Control group Guanyuan, Mingmen is the same as the treatment group, and then very 0.30 x 50mm filiform needle puncture 1～1.5 inch, and twirling and thrusting, make the patient produces needling sensation and creates a sensation of tingling pain such as gas. Pangguangshu with 0.30 × 50mm filiform needle puncture0.8～1.2 inches of Shenshu with 0.30 × 50mm filiform needle puncture 0.5～1 inch, twisting lines mentioned in technique, acid, bulging, hemp feeling better. moxibustion as the treatment group.Sanyinjiao with 0.30 × 50mm filiform needle along the embryo bone inboard trailing edge 1. The puncture.5 inches, numbness and distension or epileptiform discharge was feeling better. kept 30 minutes.1 times a day,1 weeks for a course of treatment, each course of treatment for 6 days after a break for 1 days, after 4 consecutive courses of treatment efficacy comparison.The following indexes were observed before and after treatment: Variation of the volume of urinary incontinence (1) (urine pad test):urine pad test is the size of measurement of urinary incontinence, the experiment using 1H bladder volume of urine pad test, enjoin patient on the day of the experiment eight o’clock in the morning fasting to come. Prior to the trial, the patient was given a uniform dry urine pad, which was weighed to avoid the menstrual period.(2) the frequency of urinary incontinence and the change in the life of the patient (ICI-Q-SF questionnaire).2.3 criteria for efficacy evaluation Effect of Mi’s standard reference standard of curative effect: Cure:involuntary leakage of urine symptoms disappeared, urine pad test negative.To improve:the number of involuntary leakage of urine was significantly reduced, urine pad test for more than 3 consecutive turn negative. Invalid:no improvement in the number of involuntary leakage of urine, urine pad test positive.Total effective rate= cure rate and improvement rate.Results:1. Included 60 patients,58 cases finalized cases, the treatment group and control group dropped out 1 case each.There’s no significant difference between the two groups in age and time,were comparable. P was greater than 0.05.2. The amount of urinary incontinence before and after treatment changes in comparative analysis between the two groups before treatment, no significant difference between comparable (P> 0.05); after treatment, the difference between the two groups was significant (P<0.05); after treatment significant difference in each group (P<0.01), statistically significant; the difference between before and after treatment group P<0.01, significant difference was statistically significant, indicating that the treatment group than the control group.3. Comparative analysis before and after treatment of 72h urinary incontinence frequency variation, before treatment between the two groups P greater than 0.05, no significant difference between comparable; between the two groups, after treatment, the difference was significant (P<0.05); after treatment comparison within each group, the difference was significant (P <0.01), statistically significant; P less than compare the difference between before and after treatment group 0.01, a significant difference was statistically significant, the treatment group than the control group.4. The clinical efficacy of the two groups were analyzed, total effective rate of the treatment group is 86%. the total effective rate of the control group, is 69%. By analysis, P is less than 0.05, the differences between the two groups was statistically significant.Conclusion:1.Acupuncture and moxibustion Zhongliao Ciliao as main acupoints method and the traditional method can both improve the amount and frequency of urinary incontinence of the patients, but Acupuncture and moxibustion is effective than the control group.2. Acupuncture and moxibustion can improve clinical mainly symptoms female kidney qi type of stress urinary incontinence, improve the quality of life of patients, has a significant effect.