應力性尿失禁的中西醫治療

Traditional Chinese Medicine and Modern Medicine for the Treatment of Stress Urinary Incontinence

陳麗美(Li-Mei Chen) ； 盧星華(Shing-Hwa Lu)

《北市醫學雜誌》 5卷6期 (2008/12) Pp. 664-671

https://doi.org/10.6200/TCMJ.2008.5.6.10

摘要

尿失禁的情形非常普遍，且常伴隨著一些相關的內科疾病。台灣的婦女，通常是害羞且保守，會覺尷尬而不願承認尿失禁是一個問題。即使在家人的支持下，鼓足勇氣至門診就醫，往往一聽到「開刀」，就心生畏懼，甚至不再接受進一步評估或治療。雖然嚴重的應力性尿失禁用手術治療有良好的效果，但是許多患者對於手術，仍存著懼怕或排斥的心理。另外有些患者罹患其他慢性疾病，如心血管疾病、中風、糖尿病而不適於手術。這些患者，給予非手術的治療方式：藥物治療、生物回饋法、骨盆底肌肉運動、膀胱訓練、電刺激、磁刺激、針灸治療，應為恰當的選擇。

關鍵字

應力性尿失禁 ； 骨盆底肌肉運動 ； 針灸治療

並列摘要

Urinary incontinence symptoms are a very common accompaniment to related medical illness. Women in Taiwan, who are usually shy and conservative, find it difficult to admit to urinary incontinence as a problem. Even in the presence of family support and having found the courage to seek medical help, when they hear the word ”surgery”, fear and panic enters their mind. This results in a refusal of any further assessment and/or treatment. Although surgery is the best treatment for severe stress urinary incontinence, many patients still fear such an approach or mentality reject it. Furthermore, some patients with other chronic diseases, such as vascular disease, stroke, and diabetes, are not suitable candidates for surgery. Among such patients, non-surgical treatments such as medication, biofeedback, pelvic floor muscle exercise, bladder physical training, electrical stimulation, magnetic stimulation, and acupuncture are among the appropriate choices. urinary incontinence, many patients still fear such an approach or mentality reject it. Furthermore, some patients with other chronic diseases, such as vascular disease, stroke, and diabetes, are not suitable candidates for surgery. Among such patients, non-surgical treatments such as medication, biofeedback, pelvic floor muscle exercise, bladder physical training, electrical stimulation, magnetic stimulation, and acupuncture are among the appropriate choices.

並列關鍵字

stress urinary incontinence ； pelvic floor muscle exercise ； acupuncture