從臨床隨機對照試驗的中英文文獻中，探討與分析女性壓力性尿失禁之針 灸治療。 方法：藉由佛教慈濟醫療財團法人圖書館電子資源系統，英文文獻以 「urinary incontinence in women」、「Acupuncture」為關鍵字在PubMed資料庫 進行搜尋；中文文獻以萬芳數據資料庫(Wangfang Data)，以「女性壓力性尿失 禁」、「針灸」、「隨機」為關鍵字，主題限縮在針灸與非針灸、且排除中藥 治療之隨機臨床試驗文獻，鎖定2017-2022 年有關針灸治療壓力性尿失禁之相 關文章，並進行彙整分析。 結果：英文文獻共得20篇，排除其他共病（中風、脊髓損傷等）2篇、非壓力性尿失禁6篇、系統性回顧5篇、Protocol 1篇、以及secondary analysis 1篇，共得隨機分配試驗5篇，此五篇文獻中，再排除非傳統針灸試驗2篇、針灸對照組1篇，英文文獻共收錄2篇納入本文回顧分析；中文文獻共得24篇，排除系統性回顧4篇、醫家經驗3篇，獲得隨機試驗分配17篇，再排除中藥合併治療、針灸對照組，精取12篇。中西文獻合計14篇。 結論：女性壓力性尿失禁，藉由骨盆底肌訓練(PFMT)合併針灸療法，可有效改善尿失禁、並增進生活品質。但因臨床病例數少，且實際針灸產生生理機制、分子生物學代謝基礎未明，且療效評估標準不一，缺乏強烈說服力，因此仍需透過進一步大型、嚴謹的臨床研究加以證實。 |
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 "女性壓力性尿失禁" (female stress urinary incontinence), "針灸" (acupuncture), and "隨機" (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針灸治療女性壓力性尿失禁之文獻回顧
