针灸疗法对压力性尿失禁的研究

    程楚1，储浩然2*，许蕾1

    (1.安徽中医药大学，合肥230038；2.安徽中医药大学第二附属医院，合肥 230061)

    摘要：中医认为，压力性尿失禁的发生与肺、脾、胃、心、肝、肾、三焦的功能密切相关，其病位在膀胱，多由于肾气亏虚、下元不固或气血亏虚、膀胱失约或湿热下注、积于膀胱导致。针灸具有疏通经络、调和阴阳的作用，治疗压力性尿失禁的方法主要包括毫针、电针、穴位注射以及针灸并用、针灸结合盆底肌训练等，主要通过其调节排尿中枢的作用发挥疗效。今后针灸治疗本病的研究方向应为增加辨证分型，统一疗效标准，并采用多中心、大样本、随机对照，合理设计的临床实验以增强针灸治疗本病的说服力。

    关键词：针灸疗法；压力性尿失禁；疏通经络；调和阴阳

    DOI:10.13463/j.cnki.cczyy.2015.06.025

    中图分类号：R245.3文献标志码：A

    文章编号：2095-6258(2015)06-1165-03

    基金项目：“十二五”国家科技支撑计划“针灸疗效国际多中心临床评价研究”(2012BAI24B01)。

    作者简介：程楚(1991-),女,硕士研究生,主要从事针灸临床及作用机理研究、针灸治疗消化及代谢系统疾病研究。

    收稿日期:(2015-06-09)

    *通信作者：储浩然，男，主任医师，硕士研究生导师，电话-13855107535，电子信箱：chuhaoran62@163.com

    Acupuncture therapy on stress urinary incontinence

    CHENG Chu1, CHU Haoran2*, XU Lei1

    (1.Anhui University of Traditional Chinese Medicine. Hefei 230038, China;

    2.The Second Affiliated Hospital of Anhui Medical University, Hefei 230061, China )

    Abstract：Traditional Chinese Medicine holds that，the occurrence of stress urinary incontinence is closely related to the function of lung, spleen, stomach, heart, liver, kidney and Sanjiao. The disease located in urinary bladder and it is more due to kidney qi deficiency, the yuan is not solid or deficiency of qi and blood, dysfunction of urinary bladder, or damp-hot accumulating in urinary bladder, etc. Acupuncture has the function of dredging meridians and regulating yin and yang. The method of treating stress urinary incontinence mainly includes acupuncture needle, electroacupuncture, point injection and acupuncture and acupuncture combined with pelvic floor muscle training, etc. And it is mainly through its effect in regulating micturition center to work. The future research direction of acupuncture treatment of the disease is to increase the dialectical classification, unified curative effect standard, and use the multicenter, large sample, randomized controlled and reasonable design of clinical trials to enhance persuasion of the acupuncture treatment of this disease. ......