ZHANG Ding, W ANG Xia,  AN Jun-ming 

(1 Xi’an hospital of traditional Chinese medicine,Department of Acupuncture and Rehabilitation.2Xi’an TCM brain diease hospital.3Xi’an third hospital)

【Abstract】Objective:  To compare the clinical efficacy of moxibustion therapy combined with pelvic floor muscle training and simple pelvic floor muscle training in the treatment of female mild and moderate stress urinary incontinence. Methods: 65 female patients with mild to moderate stress urinary incontinence were randomly  divided into 2 groups:  moxibustion  therapy  combined  with  pelvic  floor  muscle  training as  the treatment  group(n=32),  and  pure  pelvic  floor  muscle  training  group  as  the  control  group(n=33).  The moxibustion  acupoint  selection  The  treatment  group  is  Qihai(CV6),  Guan  Yuan(CV4),  Zhongji(CV3), bilateral  Shenshu(BL23),  bilateral  Ciliao(BL32),  abdominal  acupoints  and  acupoints  on  back  ,  they  are alternately used on every Monday, Wednesday, Friday.The selection of moxibustion equipment is hundred smile moxibustion, Mild moxibustion was applied on acupoints to induce local skin fever and slight red. The time of Moxibustion treatment is Monday, Wednesday, Friday of every week, and it should last for e ight weeks,a  total  of  24  times  of  treatment,  and  Each  moxibustion  time  should  be  finished  with  laughing moxibustion per hole and every column. Pelvic floor muscle training method is the same as the control group. The control group of pelvic floor muscle training is according to Kegel method,Take the way of standing, sitting and supine, under the guidance of the researchers, pelvic floor muscle contraction 10s, relax 10s, repeat the  above  action,  lasted  15  minutes  for  a  treatment.  The  treatment  is  three  time s  a  week  on  Monday, Wednesday and Friday, each training is divided into early, middle and late training, each time is last for 15 minutes, lasted 8 weeks, a total times are 24 times. Zeroth weeks are the screening period, first weeks to eighth weeks are the treatment period, and ninth weeks and twelfth weeks are all the follow-up period,The evaluation  of  the  change  of  the  table  was  based  on  the  reduction  of  the  average  number  of  24  hour incontinence  episodes  and  the  severity  index,the  average  degree  of  24h  leakage  was  the  main  outcome index; Subjective outcomes, 1H pad test, urine leak volume, and ICIQ-SF scale score are secondary outcome indicators,The  differences  between  the  two  groups  at  different  evaluation  points  were  observed,  and  the curative effect of  moxibustion and pelvic floor muscle training on female stress  urinary  incontinence was explored.  Results: 1. The total effective rate of the treatment group was 90.4% (29/32), and the total effective rate of the control group was 75.3% (24/33), the treatment group was better than that of the control group (P< 0.05). 2. Compared with before treatment, two groups of average 24 hours urinary incontinence severity index value, the decrease in the number of evaluation table changes, the average degree of 24h l eakage of urine  and  1H  urine  pad  test  leakage  variation,  ICIQ-SF  scale  score  decreased  significantly  (P  < 0.05). Compared with the control group,   an average of 24 hours urinary incontinence severity index value, the decrease in the number of evaluation table changes, the average degree of 24h leakage of urine and 1H urine pad test leakage variation, ICIQ-SF scale score of the treatment group decreased significantly (P  < 0.05). 3.After treatment, the subjective efficacy of patients was considered effective (P  < 0.05); compared with before treatment, the subjective efficacy of the treatment group was better than that of the control group (P < 0.05). Conclusion: moxibustion combined with pelvic floor muscle training is effective in the treatment of female stress urinary incontinence, and the short-term effect and long-term effect are better than those of pure  pelvic  floor  muscle  training  group.For  mild  and  moderate  female  patients  with  stress  urinary incontinence, moxibustion therapy combined with pelvic floor muscle training is a better choice.