Journal of International Obstetrics and Gynecology ›› 2017, Vol. 44 ›› Issue (6): 663-666.

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Clinical Study of Transcutaneous Acupoint Electrical Stimulation Combined with Pelvic Floor Muscle Training in the Treatment of Female Mild or Moderate Stress Urinary Incontinence

WANG Yan-jiao,YANG Mei,QIN Dong-li,ZHU Yun-feng,ZHANG Huo-hua,SHI Qing,GAO Shan   

  1. Nanning Maternal and Child Health Care Hospital,Nanning 530011,China
  • Received:2017-07-24 Revised:2017-11-16 Published:2017-12-15 Online:2017-12-15
  • Contact: WANG Yan-jiao,E-mail:wangyanjiaofc@126.com E-mail:wangyanjiaofc@126.com

Abstract: Objective:To investigate the clinical efficacy of percutaneous acupoint electrical stimulation combined with pelvic floor muscle training in the treatment of mild and moderate stress urinary incontinence in women. Methods:90 patients with mild and moderate stress urinary incontinence were enrolled in our department from July 2015 to December 2016. The patients were randomly divided into three groups. The patients were treated with transcutaneous acupoint electrical stimulation combined with pelvic floor muscle training group (combined group), rehabilitation group and pelvic floor muscle Kegel training group (training group). Using the middle hole, song bone hole, perineum hole, huiyang, zhongliao, zusanli and sanyinjiao holesfor electrical stimulation. After 6 weeks of treatment, three groups of patients improved urinary incontinence (ICI-Q-SF questionnaire), pelvic floor muscle strength. MVV, total urinary frequency (TOV) and total leakage events times (LT) were compared before and after treatment in groups. NDCC, MCC, PVLP and MCP were measured. Results:The ICI-Q-SF was used to evaluate the curative effect of three groups of patients (Z=6.872, P=0.032). The total effective rates in 3 groups were statistically significant (93.3%, 73.3%, 66.7%, χ2=6.686, P=0.035). There was no significant difference in pelvic floor muscle strength between the three groups before treatment (Z=1.876, P=0.391), while there was significant difference in pelvic floor muscle strength between the three groups after treatment (Z=19.300, P=0.000). In the combined group, the normal urinary bladder pressure test (NDCC), maximum bladder pressure test (MCC), urinary bladder leak pressure (PVLP) and maximal urethral closure pressure (MCP) were significantly higher than those of the pelvic floor rehabilitation group and Kegel training group (all P<0.05). Conclusions:Transcutaneous acupoint electrical stimulation combined with pelvic floor muscle training is effective in the treatment of mild and moderate stress urinary incontinence in women, which is better than that of single program.

Key words: Urinary incontinence, stress, Electric stimulation therapy, Pelvic floor, Acupoint therapy