A Randomized Controlled Trial of Sinew Meridian Theory-based Combined Acupuncture and Cupping Therapy for Postmenopausal Women with Stress Urinary Incontinence

doi:10.12114/j.issn.1007-9572.2025.0529

Abstract

Abstract:

Background

Stress urinary incontinence (SUI) is a common condition among postmenopausal women that significantly impairs their quality of life. Currently, pelvic floor muscle training (PFMT) is the primary conservative treatment, but it faces issues such as poor patient adherence and limited efficacy. Traditional Chinese Medicine (TCM) Sinew Meridian Theory offers a new perspective for the diagnosis and treatment of SUI. However, relevant clinical research remains insufficient.

Objective

To evaluate the clinical efficacy of the combined acupuncture and cupping therapy, based on the Sinew Meridian Theory, for the treatment of SUI in postmenopausal women.

Methods

From September 2021 to December 2024, 72 patients with SUI admitted to the Acupuncture Department at Beijing Shijitan Hospital, Capital Medical University, were selected as the study subjects. Using a random number table method, the patients were divided into a treatment group (n=36) and a control group (n=36). The control group received PFMT only, while the treatment group received PFMT plus acupuncture and abdominal moving cupping three times per week. The treatment course for both groups was 8 weeks. The primary outcome measure was the 1-hour pad test leakage weight. Secondary outcome measures included the International Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF) score, the Incontinence Quality of Life (I-QOL) questionnaire score, and clinical effective rate.

Results

During the treatment, 3 cases dropped out from each of the treatment group and the control group, resulting in 66 cases actually included, with 33 cases in each group. After 4 and 8 weeks of treatment, the 1-hour pad test leakage weight in the treatment group was significantly lower than that in the control group (all P<0.001). After 8 weeks of treatment, the ICI-Q-SF score in the treatment group was lower than that in the control group, while the I-QOL score was higher than that in the control group (P<0.01). The clinical efficacy rate in the treatment group was 84.8% (28/33), which was higher than that in the control group (45.5%, 15/33) (P=0.002) .

Conclusion

The combined acupuncture and cupping therapy based on the Sinew Meridian Theory can effectively improve leakage symptoms and quality of life in postmenopausal women with SUI, demonstrating superior efficacy to PFMT alone with a good safety profile, thus warranting clinical application.

Key words: Stress urinary incontinence, Sinew meridian theory, Combined acupuncture and cupping therapy, Postmenopausal women, Randomized controlled trial

摘要：

背景

压力性尿失禁（SUI）是绝经后女性常见疾病，严重影响患者生活质量。目前盆底肌训练（PFMT）为主要保守疗法，但存在患者依从性不佳、疗效有限等问题。中医经筋理论为SUI的治疗提供了新视角，但相关临床研究尚不充分。

目的

基于中医经筋理论，观察采用针罐结合疗法治疗绝经后女性SUI的临床疗效。

方法

以2021年9月—2024年12月首都医科大学附属北京世纪坛医院针灸科收治的72例SUI患者为研究对象，采用随机数字表法，将患者分为治疗组（n=36）与对照组（n=36）。对照组仅进行PFMT；治疗组在PFMT基础上，每周接受3次针刺及腹部走罐治疗，疗程均为8周。主要观察指标为1 h尿垫试验漏尿量，次要指标包括国际尿失禁咨询委员会尿失禁问卷简表（ICI-Q-SF）评分、尿失禁生活质量问卷（I-QOL）评分、临床有效率。

结果

治疗过程中，治疗组和对照组各脱落3例，实际纳入66例，治疗组和对照组均为33例。治疗组第4周和第8周1 h尿垫试验漏尿量均低于对照组（P<0.001）。治疗第8周，治疗组ICI-Q-SF评分低于对照组，I-QOL评分高于对照组（P<0.01）。治疗组临床有效率为84.8%（28/33），高于对照组的45.5%（15/33）（P=0.002）。

结论

基于经筋理论的针罐结合疗法可有效改善绝经后SUI患者的漏尿症状和生活质量，疗效优于单纯PFMT，且安全性良好，值得临床推广应用。

关键词: 压力性尿失禁, 经筋理论, 针罐结合, 绝经后女性, 随机对照试验

CLC Number:

R 694.54

SHI Li,ZHOU Zhenkun,LIU Jie, et al. A Randomized Controlled Trial of Sinew Meridian Theory-based Combined Acupuncture and Cupping Therapy for Postmenopausal Women with Stress Urinary Incontinence[J]. Chinese General Practice, 2026, 29(28): 4141-4146. DOI: 10.12114/j.issn.1007-9572.2025.0529.
石力,周振坤,刘婕等. 基于经筋理论针罐结合治疗绝经后女性压力性尿失禁的随机对照试验[J]. 中国全科医学, 2026, 29(28): 4141-4146. DOI: 10.12114/j.issn.1007-9572.2025.0529.

Figures/Tables 6

References 26

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组别	例数	年龄（±s，岁）	病程[M（P₂₅，P₇₅），年]	BMI（±s，kg/m²）
对照组	33	54.4±8.4	6.0（2.0，12.5）	24.4±3.3
治疗组	33	53.5±11.5	4.0（2.0，10.0）	24.5±4.2
t（Z）值		0.354	-0.669^a	-0.185
P值		0.724	0.503	0.854

组别	例数	年龄（±s，岁）	病程[M（P₂₅，P₇₅），年]	BMI（±s，kg/m²）
对照组	33	54.4±8.4	6.0（2.0，12.5）	24.4±3.3
治疗组	33	53.5±11.5	4.0（2.0，10.0）	24.5±4.2
t（Z）值		0.354	-0.669^a	-0.185
P值		0.724	0.503	0.854

组别	例数	第4周		第8周
组别	例数	未调整（±s）	调整后均值（SE）	未调整（±s）	调整后均值（SE）
对照组	33	0.94±0.35	0.962（0.043）	0.83±0.37	0.852（0.045）
治疗组	33	0.74±0.46	0.710（0.043）	0.51±0.32	0.490（0.045）
F值		17.38		32.67
P值		<0.001		<0.001
偏η²		0.216		0.342

组别	例数	第4周		第8周
组别	例数	未调整（±s）	调整后均值（SE）	未调整（±s）	调整后均值（SE）
对照组	33	0.94±0.35	0.962（0.043）	0.83±0.37	0.852（0.045）
治疗组	33	0.74±0.46	0.710（0.043）	0.51±0.32	0.490（0.045）
F值		17.38		32.67
P值		<0.001		<0.001
偏η²		0.216		0.342

组别	例数	治疗前	第4周	第8周
对照组	33	8.00（4.68，23.00）	6.07（3.58，15.10）^a	5.10（2.74，11.49）^ab
治疗组	33	11.54（5.20，24.63）	3.45（1.22，11.30）^a	2.24（0.84，3.69）^ab