女性压力性尿失禁异常排尿症状与申时相关性初探

A Preliminary Study on the Correlation between Female Stress Urinary Incontinence Abnormal Urination Symptoms and the Time from 15:00 to 17:00

摘要: 目的：以压力性尿失禁(Stress Urinary Incontinence, SUI)患者为研究对象，观察巳时(09:00~11:00)与申时(15:00~17:00)的膀胱相关症状，分析探讨病理情况下膀胱异常排尿症状的变化特征与膀胱经主时(申时)的相关性，为中医脏腑经络主时理论提供科学依据。方法：收集符合纳入标准的100例SUI患者为试验组，100例健康人为对照组，以国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)作为观察指标，分析巳时与申时膀胱相关症状的变化特征。结果：1) SUI患者漏尿次数、漏尿量、症状影响和膀胱相关症状群在申时症状明显(P < 0.01)；2) 正常对照组膀胱相关症状在巳时与申时比较无差异(P > 0.05)；3) SUI患者在巳时及申时均较正常对照组漏尿次数增多、生活质量下降和膀胱相关症状群加重(P < 0.01)。结论：1) 女性SUI患者排尿异常症状多申时加重；2) 正常健康人巳时与申时无膀胱特异性表现；研究初步证明，在病理情况下申时膀胱反应具有特异性。

Abstract: Objective: To analyse the bladder-related symptoms of patients with Stress Urinary Incontinence (Stress Urinary Incontinence, SUI) at the period form 09:00 to 11:00 and the period from 15:00 to 17:00. The correlation between the change characteristics of bladder abnormal urination symptoms and the main time of bladder meridians (shenshi, the time from 15:00 to17:00) in the pathological situation provides a scientific basis for traditional Chinese medicine. Methods: 100 patients with SUI who met the inclusion criteria were collected as the experimental group, and 100 healthy patients were in the control group. Using the summary table of the International Advisory Committee on Incontinence questionnaire (ICI-Q-SF) as the observation indicator, the changes in bladder-related symptoms were analysed. Results: 1) The number of urine leakage, the effect of urine leakage volume and the symptoms of bladder related symptoms were obvious in SUI patients (P < 0.01). 2) There was no significant difference in bladder related symptoms between the normal control group and the middle time group (P > 0.05), but the quality of life (QOL) and bladder related symptoms in SUI patients were lower than those in the normal control group (P < 0.01), but there was no significant difference in bladder related symptoms between the control group and the control group (P > 0.05). Conclusion: 1) The number of urination leaks, urine leakage, symptom effects and bladder-related symptoms of SUI patients is obvious at the time from 15:00 to 17:00. 2) Normal healthy people have no intention of getting rid of special sexual performance at the time form 9:00 to 11:00 and the time form 15:00 to 17:00. 3) It has been preliminarily proved that the mid-time Grette reaction is specific under pathological conditions.