穴位针灸疗法联合盆底肌功能训练对产后盆底肌功能障碍患者的临床疗效观察  

Observation on the Clinical Efficacy of Acupoint Acupuncture Therapy Combined with Pelvic Floor Muscle Function Training in Patients with Postpartum Pelvic Floor Muscle Dysfunction

作　　者：张小容 ZHANG Xiaorong(Department of Rehabilitation Medicine,Qinghai Red Cross Hospital,Xining 810000,China)

机构地区：[1]青海红十字医院康复医学科,青海西宁810000

出　　处：《反射疗法与康复医学》2024年第14期5-9,共5页Reflexology And Rehabilitation Medicine

摘　　要：目的分析穴位针灸疗法联合盆底肌功能训练对产后盆底肌功能障碍患者的临床疗效。方法选取2022年6月—2024年1月青海红十字医院收治的168例产后盆底肌功能障碍患者为研究对象,按随机信封法将其分为对照组(n=83)和观察组(n=85)。对照组采用盆底肌功能训练治疗,观察组在对照组的基础上采用穴位针灸疗法治疗。比较两组的临床疗效、盆底肌功能、盆底肌功能障碍情况、尿失禁情况。结果观察组治疗总有效率为94.12%,高于对照组的79.52%,差异有统计学意义(P<0.05)。治疗前,两组盆底肌功能、盆底功能障碍情况、尿失禁情况比较,组间差异无统计学意义(P>0.05);治疗后,观察组阴道动态压力、快速收缩阶段最大值、紧张收缩阶段平均值、耐力收缩阶段平均值、腹压漏尿点压力、膀胱顺应性、最大尿道闭合压均高于对照组,产妇盆底功能障碍评分-20、国际尿失禁咨询委员会尿失禁问卷简表评分均低于对照组,阴道持续收缩时间长于对照组,组间差异有统计学意义(P<0.05)。结论穴位针灸疗法和盆底肌功能训练联合治疗在产后患者盆底肌功能障碍改善中的应用效果较好,能够有效增强患者盆底肌力,恢复盆底功能,缓解尿失禁表现,实用性较高。Objective Analysis of the clinical efficacy of acupoint acupuncture therapy combined with pelvic floor muscle function training in patients with postpartum pelvic floor muscle dysfunction.Methods One hundred and sixty-eight patients with postpartum pelvic floor muscle dysfunction who were admitted to Qinghai Red Cross Hospital from June 2022 to January 2024 were selected as the research objects.They were divided into a control group(n=83)and an observation group(n=85)according to the random envelope method.The control group was treated with pelvic floor muscle function training,while the observation group was treated with acupoint acupuncture therapy on the basis of the treatment of the control group.The clinical efficacy,pelvic floor muscle function,pelvic floor mouscle dysfunction status,and urinary incontinence status of the two groups were compared.Results The total effective rate of treatment in the observation group was 94.12%,which was higher than 79.52% in the control group,and the difference was statistically significant(P<0.05).Before treatment,the pelvic floor muscle function,the situation of pelvic floor dysfunction,and the situation of urinary incontinence were compared between the two groups,and the differences between the groups were no statistically significant(P>0.05);after treatment,the dynamic vaginal pressure,the maximum value in the rapid contraction phase,the average value in the tense contraction phase,the average value in the endurance contraction phase,the abdominal pressure leakage point pressure,the bladder compliance,and the maximum urethral closure pressure in the observation group were all higher than those in the control group,the scores of the Pelvic Floor Distress Inventory-Short Form 20 and the scores of the international consultation on incontinence questionnaire in the observation group were both lower than those in the control group,the duration of continuous vaginal contraction was longer than that in the control group,and the differences between the groups were statistically

关 键 词：盆底肌功能障碍 穴位针灸疗法 盆底肌功能训练 尿失禁 盆底肌力 

分 类 号：R711[医药卫生—妇产科学]