Research Article | | Peer-Reviewed

Clinical Effect of Acupuncture-Moxibustion on Female Stress Urinary Incontinence and Acupuncture Sensation: A Meta-Analysis

Received: 8 May 2023    Accepted: 5 December 2023    Published: 8 December 2023
Views:       Downloads:
Abstract

Objective To evaluate the clinical efficacy of acupuncture and moxibustion on female stress urinary incontinence and acupuncture sensation on curative effect. Methods The randomized controlled trials (RCTs) regarding acupuncture-moxibustion on female stress urinary incontinence published before August 2020 were searched in databases of PubMed, Embase, Cochrane Library, Clinical Evidence, Chinese Journal Full-text Database (CNKI), VIP Database, etc. Methods According to the predesigned inclusion and exclusion criteria, two researchers screened literatures, extracted data and evaluated the risk of bias in the included studies. We used RevMan5.2 and RX64 4.0.2 for Meta analysis, and analyzed the clinical efficacy of acupuncture-moxibustion on female SUI, including urine leakage in an hour, the International Urinary Incontinence Questionnaire (ICI-Q-SF) score and cure rate. Results A total of 44 RCTs were included, including 3824 patients. The results of meta-analysis showed that compared with the control group, the acupuncture-moxibustion group obviously reduced urine leakage in an hour [MD=-2.73, 95%CI (-4.35, -1.11), P<0.01], decreased ICI-Q-SF score [MD=-1.68, 95%CI (-2.85, 1.26), P<0.01], improved cure rate [RR=1.28, 95%CI (1.20, 1.37), P<0.01], and the difference was statistically significant. The results of subgroup analysis showed that the acupuncture with acupuncture sensation in pudendum was more effective. Conclusion Acupuncture-moxibustion has obvious therapeutic effect on female stress urinary incontinence, and the treatment with acupuncture sensation in pudendum was more effective.

Published in Science Discovery (Volume 11, Issue 6)
DOI 10.11648/j.sd.20231106.17
Page(s) 232-242
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Stress Urinary Incontinence (SUI), Acupuncture-Moxibustion Therapy, Electroacupuncture, Randomized Controlled Trials, Systematic Review, Meta-Analysis

References
[1] Reynolds W Stuart, Dmochowski Roger R, Penson David F. Epidemiology of stress urinary incontinence in women [J]. Curr Urol Rep, 2011, 12: 370-6.
[2] 李志毅, 朱兰. 女性压力性尿失禁流行病学现状 [J]. 实用妇产科杂志, 2018, 34 (03): 161-162.
[3] Coyne Karin S, Kvasz Marion, Ireland Andrea M, et al. Urinary incontinence and its relationship to mental health and health-related quality of life in men and women in Sweden, the United Kingdom, and the United States [J]. Eur. Urol, 2012, 61: 88-95.
[4] 中华医学会妇产科学分会妇科盆底学组. 女性压力性尿失禁诊断和治疗指南 (2017) [J]. 中华妇产科杂志, 2017 (5).
[5] Liu ZS, Liu Y, Xu HF, et al. Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence: A Randomized Clinical Trial [J]. JAMA, 2017, 317 (24).
[6] 苏同生, 刘保延, 刘志顺, 等. 电针与盆底肌训练治疗女性压力性尿失禁多中心随机对照试验 [J]. 中医杂志, 2021, 62 (05): 414-418.
[7] 王海军, 曹玉霞, 姬俊强, 等. “秩边透水道”针法治疗女性压力性尿失禁: 随机对照研究 [J]. 中国针灸, 2020, 40 (10): 1061-1064.
[8] Wang SY, Lv JW, Feng XM, et al. Efficacy of electrical pudendal nerve stimulation in treating female stress incontinence [J]. Urology, 2016, 91.
[9] Wang SY, Zhang SJ. Simultaneous perineal ultrasound and vaginal pressure measurement prove the action of electrical pudendal nerve stimulation in treating female stress incontinence [J]. BJU Int, 2012, 110: 1338-43.
[10] 陈艳明, 董玉喜, 易姣姣. 温针灸治疗女性压力性尿失禁30例临床观察 [J]. 湖南中医杂志, 2019, 35 (06): 69-70.
[11] 黄巧明, 许茹娜. 盆底康复训练联合针灸对产妇产后压力性尿失禁及盆底肌力的影响 [J]. 内蒙古中医药, 2019, 38 (06): 105-106.
[12] 王琳琳, 任志欣, 朱敬云, 等. 电针联合透灸治疗产后压力性尿失禁疗效观察 [J]. 中国针灸, 2019, 39 (06): 599-603.
[13] 田苗利, 郭磊. 针灸辅助治疗围绝经期妇女压力性尿失禁疗效观察 [J]. 人民军医, 2019, 62 (04): 343-345+352.
[14] 苏婉祯, 钟伟泉, 唐纯志. “八髎穴”配合Kegel运动治疗女性压力性尿失禁的临床研究 [J]. 中医药导报, 2019, 25 (06): 106-107+115.
[15] 王子臣, 杨晓锋, 左晓玲, 等. 沈氏芒针治疗女性压力性尿失禁的临床研究 [J]. 河北中医药学报, 2019, 34 (01): 34-36.
[16] 严春红, 黄慧, 俞秋波, 等. 针刺联合盆底肌训练治疗产后压力性尿失禁临床研究 [J]. 新中医, 2019, 51 (02): 217-219.
[17] 何鸳, 柳玲, 董卫涛, 等. 实时三维盆底超声对温针灸联合盆底肌锻炼治疗女性压力性尿失禁的疗效评估 [J]. 临床超声医学杂志, 2018, 20 (12): 823-825.
[18] 谷吕敏, 张广香. 基于凯格尔运动的三种方法治疗产后压力性尿失禁的临床疗效观察 [J]. 现代实用医学, 2018, 30 (11): 1527-1529.
[19] 肖桂荣. 电针并艾灸治疗女性压力性尿失禁30例 [J]. 中医外治杂志, 2018, 27 (04): 37-38.
[20] 张春敏. 盆底康复训练联合针灸对产妇产后压力性尿失禁及盆底肌力的影响 [J]. 中国妇幼保健, 2018, 33 (09): 1975-1978.
[21] 梁静. 康复针灸理疗联合盆底肌锻炼治疗产后压力性尿失禁的近期和远期临床疗效 [J]. 中外女性健康研究, 2017 (23): 114-115.
[22] 侯文光, 明树人, 汤康敏, 等. 电针对轻、中度女性压力性尿失禁的防治效应研究 [J]. 上海针灸杂志, 2017, 36 (08): 956-959.
[23] 于春晓, 张东磊, 陈朝明. 电针联合盆底肌训练治疗女性压力性尿失禁38例临床观察 [J]. 江苏中医药, 2017, 49 (06): 51-53.
[24] 陈卓伟, 王敦建, 袁瑷芹. 针刺夹脊穴配合盆底肌功能锻炼治疗产后压力性尿失禁疗效观察 [J]. 上海针灸杂志, 2017, 36 (03): 308-311.
[25] 汤康敏, 沈睿, 江帆, 等. 针刺治疗女性单纯性压力性尿失禁临床疗效评价 [J]. 上海针灸杂志, 2016, 35 (12): 1439-1441.
[26] 夏兆新, 薛宁, 张秀丽, 等. 腹针配合盆底肌训练治疗女性压力性尿失禁的疗效观察 [J]. 中医临床研究, 2016, 8 (19): 55-56.
[27] 洪领俊, 赵晋. 电针阴部神经刺激疗法治疗压力性尿失禁的临床观察 [J]. 中华中医药杂志, 2016, 31 (07): 2857-2860.
[28] 李智卿. 生物反馈训练联合针灸在产后压力性尿失禁患者中的应用价值 [J]. 现代诊断与治疗, 2016, 27 (09): 1598-1599.
[29] 河恩惠, 陈胤希, 田鸿芳, 等. 电针治疗女性压力性尿失禁不同针刺疗程的疗效观察 [J]. 中国针灸, 2016, 36 (04): 351-354.
[30] 王伟, 姜义明, 王蓉, 等. 电针治疗轻中度女性压力性尿失禁疗效观察 [J]. 上海针灸杂志, 2016, 35 (01): 47-49.
[31] 王静. 针刺后予雷火灸手法操作配合盆底肌群锻炼治疗压力性尿失禁效果观察 [J]. 中医临床研究, 2015, 7 (36): 119-120.
[32] 孙建珍. 盆底肌训练结合针灸治疗产后压力性尿失禁的临床疗效及护理 [J]. 全科护理, 2015, 13 (35): 3557-3559.
[33] 陈元霄, 马睿杰. 电针会阳、中髎穴结合头针治疗女性压力性尿失禁临床观察 [J]. 上海针灸杂志, 2015, 34 (12): 1159-1161.
[34] 容群. 针灸治疗压力性尿失禁60例临床观察 [J]. 中国民族民间医药, 2015, 24 (21): 92-93+95.
[35] 刘洁, 杨少琴, 史影. 温针灸八穴结合盆底肌训练治疗女性压力性尿失禁疗效观察 [J]. 中国社区医师, 2015, 31 (08): 83-84.
[36] 郑慧敏, 徐世芬, 尹平, 等. 电针治疗轻中度女性压力性尿失禁的近远期疗效观察 [J]. 世界中西医结合杂志, 2015, 10 (02): 191-193+209.
[37] 崔岩. 电针结合金匮肾气丸治疗女性压力性尿失禁疗效观察 [J]. 广西中医药, 2015, 38 (01): 43-44.
[38] 赵永智. 针药结合治疗女性压力性尿失禁临床观察 [J]. 辽宁中医药大学学报, 2014, 16 (05): 209-211.
[39] 陈申旭, 张馥晴, 汪司右. 电针阴部神经刺激疗法治疗女性压力性尿失禁临床研究 [J]. 针灸临床杂志, 2014, 30 (03): 5-8.
[40] 王钲, 易锦, 郑庆山. 推拿与温针灸治疗压力性尿失禁对照研究 [J]. 中国中医急症, 2013, 22 (04): 555-556+567.
[41] 叶小缅, 高诗倩, 宫敬, 等. 电针与穴位埋线治疗压力性尿失禁疗效的比较研究 [J]. 中国医学工程, 2013, 21 (02): 72-73.
[42] 何朝霞, 李昕. 电针治疗女性轻中度压力性尿失禁 [J]. 新疆中医药, 2011, 29 (01): 19-21.
[43] 陈礼彬. 隔盐灸加电针治疗女性压力性尿失禁35例 [J]. 中医外治杂志, 2010, 19 (06): 36-37.
[44] 唐春林, 戴德纯, 朱伟芳, 等. 三伏针灸联合盆底肌训练治疗女性压力性尿失禁疗效观察 [J]. 中国针灸, 2009, 29 (11): 879-883.
[45] 乐旭华, 吴红军, 王瑞华. 电针配合盆底肌锻炼治疗女性压力性尿失禁疗效观察 [J]. 上海针灸杂志, 2008 (10): 18-19.
[46] 毕伟莲. 电针治疗女性压力性尿失禁 [J]. 中华中医药学刊, 2007 (06): 1284-1285.
[47] 熊修安, 姚启明, 毕丽华, 等. 电针结合盆底肌锻炼治疗压力性尿失禁疗效观察 [J]. 中华物理医学与康复杂志, 2005 (07): 432-433.
[48] 吴立明, 贺艳, 余莉菲, 等. 温针联合盆底肌训练治疗压力性尿失禁临床观察 [J]. 湖北中医药大学学报, 2019, 21 (04): 94-96.
[49] 刘长燕. 针灸治疗女性压力性尿失禁的疗效分析 [J]. 实用妇科内分泌杂志 (电子版), 2018, 5 (05): 14-15.
[50] 王小云, 马艳, 李进华, 等. 电针或穴位埋线联合盆底肌生物反馈训练治疗压力性尿失禁的疗效观察 [J]. 中华物理医学与康复杂志, 2016, 38 (08): 615-617.
[51] 薛宁, 夏兆新, 朱栋华. 腹针疗法加低频电刺激结合盆底肌训练治疗女性压力性尿失禁的临床研究 [J]. 上海中医药杂志, 2016, 50 (08): 54-57.
[52] 郭媛媛, 陈建平. 温针联合会阴冷热刺激与盆底肌功能训练治疗女性压力性尿失禁 [J]. 中国处方药, 2015, 13 (08): 13-14.
[53] 阮莉妮, 董玉楠, 冷秀兰. 采用盆底功能康复与针灸联合治疗产后压力性尿失禁的临床疗效分析 [J]. 现代诊断与治疗, 2015, 26 (04): 765-766.
[54] 李晓伟, 王建六. 尿失禁的病因和发病机制 [J]. 实用妇产科杂志, 2018, 34 (03): 162-164.
[55] PRICE N, DAWOOD R, JACKSON S R. Pelvic floor exercise for urinary incontinence: a systematic literature review [J]. Maturitas, 2010, 67 (4): 309-315.
[56] 汪司右, 张淑静. 电针阴部神经刺激疗法治疗女性压力性尿失禁的临床疗效和作用机制 [J]. 中华泌尿外科杂志, 2013, 34 (08): 575-578.
[57] 陈文婷, 赵子玲, 钱蔚丽, 等. 基于数据挖掘探讨针灸治疗压力性尿失禁的选穴规律 [J]. 广西中医药, 2019, 42 (02): 56-59.
[58] 陈跃来, 钟蕾, 刘光雯, 等. 针刺调节膀胱功能的神经机制研究进展 [J]. 上海中医药大学学报, 2002, 16 (1): 63-65.
[59] 陈雅莉. 针灸治疗女性压力性尿失禁临床疗效的Meta分析 [J]. 中国中医药现代远程教育, 2020, 18 (03): 142-144.
[60] 陈文婷, 赵子玲, 陈大隆, 等. 针灸治疗女性压力性尿失禁临床疗效的Meta分析 [J]. 广西中医药, 2018, 41 (02): 56-61.
[61] 张妍, 谢江平. 针灸治疗女性压力性尿失禁临床研究的Meta分析 [J]. 中医临床研究, 2016, 8 (22): 16-20.
[62] 王蕾, 傅立新, 朱原, 等. 针刺治疗压力性尿失禁疗效国内文献的系统评价 [J]. 针灸临床杂志, 2014, 30 (09): 64-67.
[63] 李娜. 电针联合盆底肌肉锻炼治疗女性压力性尿失禁效果Meta分析 [J]. 新中医, 2019, 51 (08): 208-211.
[64] Avery K, Donovan J, Peters TJ, et al. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004; 23: 322–330. https://doi.org/10.1002/nau.20041.
Cite This Article
  • APA Style

    Fuyu, B., Zhenrui, L., Shoulan, B., Shumeng, H., Zhiyi, Z., et al. (2023). Clinical Effect of Acupuncture-Moxibustion on Female Stress Urinary Incontinence and Acupuncture Sensation: A Meta-Analysis. Science Discovery, 11(6), 232-242. https://doi.org/10.11648/j.sd.20231106.17

    Copy | Download

    ACS Style

    Fuyu, B.; Zhenrui, L.; Shoulan, B.; Shumeng, H.; Zhiyi, Z., et al. Clinical Effect of Acupuncture-Moxibustion on Female Stress Urinary Incontinence and Acupuncture Sensation: A Meta-Analysis. Sci. Discov. 2023, 11(6), 232-242. doi: 10.11648/j.sd.20231106.17

    Copy | Download

    AMA Style

    Fuyu B, Zhenrui L, Shoulan B, Shumeng H, Zhiyi Z, et al. Clinical Effect of Acupuncture-Moxibustion on Female Stress Urinary Incontinence and Acupuncture Sensation: A Meta-Analysis. Sci Discov. 2023;11(6):232-242. doi: 10.11648/j.sd.20231106.17

    Copy | Download

  • @article{10.11648/j.sd.20231106.17,
      author = {Bai Fuyu and Li Zhenrui and Bing Shoulan and He Shumeng and Zhang Zhiyi and Wang Feng},
      title = {Clinical Effect of Acupuncture-Moxibustion on Female Stress Urinary Incontinence and Acupuncture Sensation: A Meta-Analysis},
      journal = {Science Discovery},
      volume = {11},
      number = {6},
      pages = {232-242},
      doi = {10.11648/j.sd.20231106.17},
      url = {https://doi.org/10.11648/j.sd.20231106.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20231106.17},
      abstract = {Objective To evaluate the clinical efficacy of acupuncture and moxibustion on female stress urinary incontinence and acupuncture sensation on curative effect. Methods The randomized controlled trials (RCTs) regarding acupuncture-moxibustion on female stress urinary incontinence published before August 2020 were searched in databases of PubMed, Embase, Cochrane Library, Clinical Evidence, Chinese Journal Full-text Database (CNKI), VIP Database, etc. Methods According to the predesigned inclusion and exclusion criteria, two researchers screened literatures, extracted data and evaluated the risk of bias in the included studies. We used RevMan5.2 and RX64 4.0.2 for Meta analysis, and analyzed the clinical efficacy of acupuncture-moxibustion on female SUI, including urine leakage in an hour, the International Urinary Incontinence Questionnaire (ICI-Q-SF) score and cure rate. Results A total of 44 RCTs were included, including 3824 patients. The results of meta-analysis showed that compared with the control group, the acupuncture-moxibustion group obviously reduced urine leakage in an hour [MD=-2.73, 95%CI (-4.35, -1.11), PConclusion Acupuncture-moxibustion has obvious therapeutic effect on female stress urinary incontinence, and the treatment with acupuncture sensation in pudendum was more effective.
    },
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Clinical Effect of Acupuncture-Moxibustion on Female Stress Urinary Incontinence and Acupuncture Sensation: A Meta-Analysis
    AU  - Bai Fuyu
    AU  - Li Zhenrui
    AU  - Bing Shoulan
    AU  - He Shumeng
    AU  - Zhang Zhiyi
    AU  - Wang Feng
    Y1  - 2023/12/08
    PY  - 2023
    N1  - https://doi.org/10.11648/j.sd.20231106.17
    DO  - 10.11648/j.sd.20231106.17
    T2  - Science Discovery
    JF  - Science Discovery
    JO  - Science Discovery
    SP  - 232
    EP  - 242
    PB  - Science Publishing Group
    SN  - 2331-0650
    UR  - https://doi.org/10.11648/j.sd.20231106.17
    AB  - Objective To evaluate the clinical efficacy of acupuncture and moxibustion on female stress urinary incontinence and acupuncture sensation on curative effect. Methods The randomized controlled trials (RCTs) regarding acupuncture-moxibustion on female stress urinary incontinence published before August 2020 were searched in databases of PubMed, Embase, Cochrane Library, Clinical Evidence, Chinese Journal Full-text Database (CNKI), VIP Database, etc. Methods According to the predesigned inclusion and exclusion criteria, two researchers screened literatures, extracted data and evaluated the risk of bias in the included studies. We used RevMan5.2 and RX64 4.0.2 for Meta analysis, and analyzed the clinical efficacy of acupuncture-moxibustion on female SUI, including urine leakage in an hour, the International Urinary Incontinence Questionnaire (ICI-Q-SF) score and cure rate. Results A total of 44 RCTs were included, including 3824 patients. The results of meta-analysis showed that compared with the control group, the acupuncture-moxibustion group obviously reduced urine leakage in an hour [MD=-2.73, 95%CI (-4.35, -1.11), PConclusion Acupuncture-moxibustion has obvious therapeutic effect on female stress urinary incontinence, and the treatment with acupuncture sensation in pudendum was more effective.
    
    VL  - 11
    IS  - 6
    ER  - 

    Copy | Download

Author Information
  • Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China

  • Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China

  • Shanghai Research Institute of Acupuncture and Meridian, Shanghai, China

  • Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi 'an, China

  • Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China

  • Shanghai University of Traditional Chinese Medicine, Shanghai, China; Xiangshan Hospital of Traditional Chinese Medicine, Huangpu District, Shanghai, China

  • Sections