麻杏石甘汤加减治疗久咳致压力性尿失禁40例

文章信息/Info

• Title:麻杏石甘汤加减治疗久咳致压力性尿失禁40例

• 卷期:2024年22卷14期

• 作者:黄国芳1，2,  黄丽梅1，2,  蒋晶晶1，2,,  叶金连3

• 1.福建中医药大学附属康复医院推拿一科，福建 福州350003；2.福建省康复技术重点实验室，福建 福州，350003；3.福建中医药大学附属第二人民医院，福建 福州 350003

• Author(s):Huang Guofang 1,2, Chen Shuijin 1,2, Huang Limei 1,2, Jiang Jingjing 1,2, Liu Yanping 1,2, Hou Yanjun 1,2, Ye Jinlian 3

• 1. Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350003; 2. Fujian Key Laboratory of Rehabilitation Technology, Fuzhou, Fujian, 350003; 3. The Second People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350003

• 关键词麻杏石甘汤；久咳；压力性尿失禁

• Keywords:Maxing Shigan Decoction; Cough for a long time; Stress urinary incontinence

• 摘要:目的 观察麻杏石甘汤加减治疗久咳致压力性尿失禁的临床疗效。方法 将80例因久咳致压力性尿失禁女性患者按随机数字表法分为对照组和治疗组，2组各40例，对照组予单纯西药治疗，治疗组用经方麻杏石甘汤加减治疗。结果  治疗组治疗前后组内分析可见，治疗组治疗前后在各项中医症候积分、白细胞总数、中性粒细胞百分比以及1h尿垫试验漏尿量变化方面有明显改善，差异具有统计学意义（P＜0.05）；对照组治疗前后组内分析可见，对照组在改善咳嗽、咯痰方面，对照组治疗前后差异有统计学意义（P＜0.05）；在改善漏尿和舌脉方面，对照组治疗前后改善不明显，差异无统计学意义（P＞0.05）。治疗前后组间分析发现，治疗组治疗后各项中医证候积分均优于对照组（P＜0.05），治疗组白细胞总数明显低于对照组，差异有统计学意义（P＞0.05）。结论 麻杏石甘汤加减对久咳致压力性尿失禁患者有明显效果，可同时改善久咳及尿失禁症状，值得临床推广。                                                                                                                                                                                

• Abstract observe the clinical effect of Maxing Shigan Decoction on stress urinary incontinence caused by chronic cough. Methods 80 female patients with stress urinary incontinence caused by chronic cough were randomly divided into control group and treatment group, with 40 cases in each group. The control group was treated with western medicine alone, while the treatment group was treated with Maxing Shigan Decoction. Results The intra-group analysis before and after treatment showed that the scores of TCM symptoms, the total number of white blood cells, the percentage of neutrophils and the change of urine leakage in 1 hour urine pad test in the treatment group were significantly improved before and after treatment (P < 0.05). Intra-group analysis before and after treatment showed that the control group had significant difference in improving cough and expectoration (P < 0.05). In terms of improving urine leakage and tongue pulse, the control group had no obvious improvement before and after treatment, and the difference was not statistically significant (P > 0.05). After treatment, the scores of TCM syndromes in the treatment group were better than those in the control group (P < 0.05), and the total number of white blood cells in the treatment group was significantly lower than that in the control group (P > 0.05). Conclusion Maxing Shigan Decoction has obvious effect on patients with stress urinary incontinence caused by chronic cough, and can improve symptoms of chronic cough and urinary incontinence at the same time, which is worthy of clinical promotion.

  尿失禁是女性常见盆底功能障碍性疾病，被称为“社交癌”，对女性的身心健康有极大的影响[1]。研究表明压力性尿失禁在我国女性中占比约18.9%［2］，其表现为当腹部压力增大（打喷嚏、咳嗽、大笑或运动）时，尿液不自主外漏，出现患者无法控制的尿失禁症状 [3]。目前对压力性尿失禁的治疗方法主要有电刺激生物反馈疗法、盆底物理治疗、雌激素替代治疗等[4]，多是针对盆底肌进行治疗，却极少同时治疗造成压力性尿失禁的相关内科疾病。