首都医科大学学报 ›› 2026, Vol. 47 ›› Issue (1): 102-107.doi: 10.3969/j.issn.1006-7795.2026.01.013

• 围产医学相关研究 • 上一篇    下一篇

特色电针灸技术治疗产后非感染源性下尿路症状的效果评价

张泉东1,吕双喜1,邹丽颖2,华永琴3,于凤永1,刘辉1*   

  1. 1.北京市大兴区中西医结合医院泌尿外科,北京 102600;2.首都医科大学附属北京妇产医院/北京妇幼保健院围产医学部,北京 100026;3.北京市大兴区中西医结合医院针灸科,北京 102600
  • 收稿日期:2025-09-25 修回日期:2025-11-07 出版日期:2026-02-21 发布日期:2026-02-02
  • 通讯作者: 刘辉 E-mail:45093812@qq.com
  • 基金资助:
    中国民族医药学会科研项目(2023ZY199-62)。

Evaluation of the effect of characteristic electroc-acupuncture technique in treating non-infectious lower urinary tract symptoms following childbirth

Zhang Quandong1, Lyu  Shuangxi1, Zou Liying2, Hua Yongqin3, Yu Fengyong1, Liu Hui1*   

  1. 1.Department of Urinary Surgery, Beijing Daxing District Hospital of Integrated Chinese and Western Medicine, Beijing 102600,China; 2.Department of Perinatal Medicine, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care Hospital, Beijing 100026, China; 3.Acupuncture Department, Beijing Daxing District Hospital of Integrated Chinese and Western Medicine, Beijing 102600, China
  • Received:2025-09-25 Revised:2025-11-07 Online:2026-02-21 Published:2026-02-02
  • Supported by:
    This study was supported by Research Project of the Chinese Association of Ethnic Medicine (2023ZY199-62).

摘要: 目的  观察及评价特色电针灸技术治疗产后非感染源性下尿路症状(lower urinary tract symptoms, LUTS)的临床治疗效果。方法  归纳2024年1月至2025年4月期间在北京市大兴区中西医结合医院就诊的经阴道分娩后42 d有下尿路症状的初产妇120例,采用随机数字表法分为观察组(n=60)及对照组(n=60)。对照组行常规生活指导及盆底功能训练指导。观察组除以上指导外,采用特色电针灸技术治疗,针刺双侧次髎穴及三阴交穴并连接电极,每次30 min,每周3次,共治疗8周。收集并分析2组治疗前及治疗后国际下尿路症状问卷(international consultation on incontinence questionnaire-female lower urinary tract symptoms, ICIQ-FLUTS)。结果  观察组治疗后尿频(frequent urination, FU)、尿急、尿痛、夜尿、急迫性尿失禁(urge urinary incontinence, UUI)、压力性尿失禁(stress urinary incontinence, SUI)、排尿期症状(voiding symptoms,VS)较治疗前降低(P<0.05);对照组治疗后FU、夜尿、SUI较治疗前降低(P<0.05);观察组治疗后FU、尿急、尿痛、UUI、SUI、VS较对照组治疗后降低,差异有统计学意义(P<0.05)。观察组治疗后对患者FU、尿急、尿痛、夜尿、UUI中重度困扰情况较治疗前降低,较对照组降低,差异有统计学意义(P<0.05)。结论  特色电针灸技术对产后42 d非感染源性LUTS妇女的治疗有效,更好地降低FU、尿急、尿痛、夜尿、UUI对该类人群引起的中重度困扰,值得临床推广应用。

关键词: 电针灸, 下尿路症状, 非感染性, 初产妇, 经阴道分娩, 次髎穴, 三阴交穴

Abstract: Objective  To evaluate the clinical efficacy of a specialized electro-acupuncture technique in treating postpartum women with non-infectious lower urinary tract symptoms (LUTS). Methods  A total of 120 primiparous women with LUTS, who were treated at the Beijing Daxing District Hospital of Integrated Chinese and Western Medicine, from January 2024 to April 2025,  were randomly assigned to the study group (n=60) and the control group (n=60). The control group received routine lifestyle guidance and pelvic floor functional training, while the study group underwent additional treatment with the specialized electro-acupuncture technique. Needles inserted into the Ciliao  acupoint and  Sanyinjiao acupoints were punctured with filiform needles, followed by electrode attachment. The treatment was administered for 30 min per session, 3 times weekly, for a total of 8 weeks. The ICIQ-FLUTS scores were collected and analyzed before and after treatment in both groups. Results  Comparison of the before and after treatment suggested that the study group showed a reduction in frequent urination (FU), urgency, dysuria, nocturia, urge urinary incontinence (UUI), stress urinary incontinence (SUI), and voiding symptoms (VS) (P<0.05), and the control group showed only a reduction in FU, nocturia, and SUI (P<0.05). Comparison within two groups after treatment suggested that the study group had a greater reduction in FU, urgency, dysuria, UUI, SUI and VS(P<0.05). The study group showed a significant reduction in severity of distress(FU, urgency, dysuria, nocturia, UUI) after the treatment.  Within  two groups after treatment, the study groups was more significant than the control group in reduction of the serious distress (P<0.05). Conclusion  The specialized electro-acupuncture technique is effective in treating postpartum women with non-infectious LUTS 42 d after delivery, which reduced the severe distress caused by FU, urgency, dysuria, nocturia, and UUI. It is worthy of clinical promotion and application.

Key words: electroc-acupuncture, lower urinary tract symptoms, non-infectious, primiparous women, vaginal delivery, Ciliao acupoint, Sanyinjiao acupoint

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