目的 探讨耳穴疗法对尿失禁的防治效果。方法 检索国知网、PubMed、Web of Science等数据库中耳穴疗法防治尿失禁的相关文献，检索时限自建库至2024年7月11日。结果 纳入14项研究，共1196例患者。结果显示，耳穴疗法在临床有效率、尿失禁发生率、生活质量、漏尿次数、漏尿量和尿失禁持续时间的临床效果优于对照组（均P＜0.05），但与单纯艾灸相比，耳穴疗法联合艾灸并不能提高其临床有效率（P＞0.05）。结论 耳穴疗法应用于尿失禁患者能够增强其临床疗效，减少漏尿次数和漏尿量，改善患者生活质量。

Objective To investigate the clinical effect of auriculotherapy on urinary incontinence.Methods Articles on auriculotherapy for urinary incontinence in CNKI,PubMed,Web of Science and other databases were searched.The retrieval timeframe was from the inception to July 11,2024.Results 14 studies were included and 1196 patients were studied.The results showed that the auriculotherapy was better than the control group in terms of clinical effectiveness,incidence of urinary incontinence,quality of life,frequency of urinary leakage,volume of urinary leakage and duration of urinary incontinence (all P＜0.05).However,compared with moxibustion alone,the auriculotherapy combined with moxibustion did not improve clinical effectiveness (P＞0.05).Conclusions The application of auriculotherapy to patients with urinary incontinence can enhance clinical efficacy,reduce frequency and volume of urine leakage,and improve quality of life of patients.

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浙江省中医药科技计划项目（2023ZL481）；浙江大学“双一流”建设优势学科科研培育基金（HL202402）