电针联合透灸治疗产后盆腔器官脱垂疗效观察  

Observation on therapeutic effect of electroacpuncture combined with penetrating moxibustion for postpartum pelvic organ prolapse

作　　者：王琳琳[1] 朱敬云[1] 任志欣[1] 张海玲[1] 吴艳荣[1] WANG Lin-lin;ZHU Jing-yun;REN Zhi-xin;ZHANG Hai-lin;WU Yan-rong(Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,Henan Province,China)

机构地区：[1]郑州大学第二附属医院,河南郑州450014

出　　处：《中国针灸》2020年第2期157-161,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较电针联合透灸与生物反馈电刺激治疗产后盆腔器官脱垂的临床疗效。方法:将60例产后6周盆腔器官脱垂的患者随机分为观察组和对照组,各30例。观察组采用电针联合透灸治疗,穴取子宫、次髎、会阳等,透灸腹部及腰骶部腧穴,腹部及腰骶部腧穴交替使用;对照组采用生物反馈电刺激治疗,均隔日治疗1次,每周3次,连续治疗6周。于治疗前、治疗后、产后6个月采用盆底肌力检测、盆腔器官脱垂定量(pelvic organ prolapse quantitation,POP-Q)评估、盆底功能障碍影响问卷简表(pelvic floor impact questionnaire short form-7,PFIQ-7)进行疗效评价。结果:两组患者治疗后、产后6个月盆底肌持续收缩力、快速收缩力均较治疗前增强(P<0.05),且观察组增强幅度大于对照组(P<0.05);观察组治疗后、产后6个月的盆腔器官脱垂程度较对照组减轻(P<0.05);两组患者治疗后、产后6个月PFIQ-7评分均较治疗前降低(P<0.05),且观察组降低幅度大于对照组(P<0.05)。结论:电针联合透灸可提高产后盆腔器官脱垂患者的盆底肌收缩力,在改善盆腔器官脱垂程度和患者生活质量方面优于生物反馈电刺激治疗。Objective To compare the clinical therapeutic effect of electroacupuncture(EA) combined with penetrating moxibustion and biofeedback electrical stimulation on postpartum pelvic organ prolapsed(POP). Methods A total of 60 patients with POP who had delivery 6 weeks ago were randomized into an observation group and a control group, 30 cases in each one. In the observation group, EA was applied at Zigong(EX-CA 1), Ciliao(BL 32), Huiyang(BL 35), etc. while penetrating moxibustion was performed at acupoints of abdomen and lumbosacral region alternately every other day. In the control group, biofeedback electrical stimulation was provided. The treatment for 6 weeks was given once every other day, 3 times a week in both groups. Before treatment, after treatment and 6 months after delivery, pelvic floor muscle strength, pelvic organ prolapse quantification(POP-Q) evaluation and pelvic floor impact questionnaire short form-7(PFIQ-7) were observed to assess the therapeutic effect. Results Compared before treatment, the sustained contraction and rapid contraction force of pelvic floor muscle after treatment and 6 months after delivery were increased in both of the two groups(P<0.05), and the changes in the observation group were larger than those in the control group(P<0.05). After treatment and 6 months after delivery, the POP degree in the observation group was alleviated to the control group(P<0.05). Compared before treatment, the scores of PFIQ-7 after treatment and 6 months after delivery were reduced in the two groups(P<0.05), and the changes in the observation group were larger than those in the control group(P<0.05). Conclusion Electroacupuncture combined with penetrating moxibustion can strengthen the pelvic floor muscle contractility of patients with postpartum pelvic organ prolapse, and are superior to biofeedback electrical stimulation in improving the pelvic organ prolapse status and life quality.

关 键 词：盆腔器官脱垂 产后期 电针 透灸 生物反馈电刺激 

分 类 号：R246.3[医药卫生—针灸推拿学]