从临床随机对照试验的中英文文献中，探讨与分析女性压力性尿失禁之针 灸治疗。 方法：藉由佛教慈济医疗财团法人图书馆电子资源系统，英文文献以 「urinary incontinence in women」、「Acupuncture」为关键字在PubMed资料库 进行搜寻；中文文献以万芳数据资料库(Wangfang Data)，以「女性压力性尿失 禁」、「针灸」、「随机」为关键字，主题限缩在针灸与非针灸、且排除中药 治疗之随机临床试验文献，锁定2017-2022 年有关针灸治疗压力性尿失禁之相 关文章，并进行汇整分析。 结果：英文文献共得20篇，排除其他共病（中风、脊髓损伤等）2篇、非压力性尿失禁6篇、系统性回顾5篇、Protocol 1篇、以及secondary analysis 1篇，共得随机分配试验5篇，此五篇文献中，再排除非传统针灸试验2篇、针灸对照组1篇，英文文献共收录2篇纳入本文回顾分析；中文文献共得24篇，排除系统性回顾4篇、医家经验3篇，获得随机试验分配17篇，再排除中药合并治疗、针灸对照组，精取12篇。中西文献合计14篇。 结论：女性压力性尿失禁，藉由骨盆底肌训练(PFMT)合并针灸疗法，可有效改善尿失禁、并增进生活品质。但因临床病例数少，且实际针灸产生生理机制、分子生物学代谢基础未明，且疗效评估标准不一，缺乏强烈说服力，因此仍需透过进一步大型、严谨的临床研究加以证实。 |
This study aims to explore and analyze acupuncture treatment for stress urinary incontinence in women through a review of relevant clinical randomized controlled trials in both Chinese and English literature. Methods: Electronic resources from the Buddhist Tzu Chi General Hospital Library were utilized for the English literature search, employing keywords "urinary incontinence in women" and "Acupuncture" in the PubMed database. For the Chinese literature search, the Wangfang Data database wasused with keywords "女性压力性尿失禁" (female stress urinary incontinence), "针灸" (acupuncture), and "随机" (randomized). The search focused on acupuncture versus non-acupuncture interventions, excluding randomized clinical trial literature on Chinese herbal medicine. Relevant articles from the years 2017 to 2022 were identified and subjected to synthesis and analysis. Results: A total of 20 English articles were identified, excluding 2 on comorbidities (stroke, spinal cord injury), 6 on non-stress urinary incontinence, 5 systematic reviews, 1 protocol, and 1 secondary analysis. Among the 5 randomized controlled trials, 2 were further excluded for nontraditional acupuncture interventions, leaving 2 articles for inclusion in this review. In Chinese literature, 24 articles were identified, excluding 4 systematic reviews and 3 based on clinical experience. Among the 17 randomized trials, 5 were further excluded for combined therapies and acupuncture control groups, resulting in the selection of 12 articles. A total of 14 articles from both Chinese and Western literature were included in the review. Conclusion: Acupuncture therapy, combined with pelvic floor muscle training (PFMT), appears to be effective in improving urinary incontinence and enhancing the quality of life in women with stress urinary incontinence. However, due to the limited number of clinical cases, unclear physiological mechanisms, and variations in evaluation standards, further large-scale and rigorous clinical studies are needed to confirm these findings. 【Keywords】Female urinary incontinence； Stress urinary incontinence； Traditional Chinese Medicine； Acupuncture |
282.3针灸治疗女性压力性尿失禁之文献回顾
