摘要目的:观察火龙罐综合灸联合Kegal运动治疗轻中度产后压力性尿失禁的临床疗效。方法:采用便利抽样法，选取于2021年1月—2022年12月苏州市中西医结合医院妇产科门诊收治的90例产后压力性尿失禁患者为研究对象，采用随机数字表法将其分为对照组（ n=45）和观察组（ n=45）。对照组进行Kegal运动，观察组在对照组治疗的基础上予火龙罐综合灸。比较两组国际尿失禁问卷简表（ICIQ-SF）评分、24 h漏尿次数、尿失禁生活质量问卷（I-QOL）评分。 结果:治疗4、8周后，两组PSUI患者ICIQ-SF评分、24 h漏尿次数均低于治疗前，且观察组低于对照组，差异有统计学意义（ P<0.05）；两组PSUI患者I-QOL评分均高于治疗前，且观察组高于对照组，差异有统计学意义（ P<0.05）。两组患者治疗期间均未发生不良反应。 结论:火龙罐综合灸联合Kegal运动治疗轻中度产后压力性尿失禁，可有效减少漏尿次数，减轻尿失禁不良症状，提高生活质量，且安全性较好。

abstractsObjective:To observe the clinical curative effects of Huo-long comprehensive moxibustion and Kegal exercise in the treatment of mild to moderate postpartum stress urinary incontinence (PSUI) .Methods:A total of 90 patients with postpartum stress urinary incontinence who were admitted to Outpatient Department of Obstetrics and Gynecology in Suzhou Hospital of Integrated Traditional Chinese and Western Medicine from January 2021 to December 2022 were selected as the research objects by the convenient sampling method. They were divided into the control group ( n=45) and the observation group ( n=45) by the random number table method. The control group received Kegal exercise, while the observation group was given Huo-long comprehensive moxibustion on the basis of the treatment of the control group. Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) score, 24-hour urinary leakage frequency and Incontinence Quality of Life Questionnaire (I-QOL) score were compared between the two groups. Results:After 4 and 8 weeks of treatment, the ICIQ-SF score and 24-hour urine leakage frequency of PSUI patients of the two groups were lower than those before treatment, and those of the observation group were lower than the control group, and the differences were statistically significant ( P<0.05). The I-QOL score of PSUI patients of both groups were higher than those before treatment, and the observation group were higher than the control group, and the differences were statistically significant ( P<0.05). No adverse reactions occurred in both groups during treatment. Conclusions:The combination of Huo-long comprehensive moxibustion and Kegal exercise can effectively reduce the frequency of urinary leakage, alleviate adverse symptoms of urinary incontinence and improve quality of life, which has good safety in the treatment of mild to moderate postpartum stress urinary incontinence.