针刺联合电刺激生物反馈疗法治疗肾阳虚型子宫脱垂临床研究  

A clinical study on treating uterine prolapse of the kidney Yang-deficiency type by acupuncture plus electrical stimulation biofeedback therapy

作　　者：朱小燕 周雪 魏虹宇 余希婧 吕明芳[1] 胡秀武[1] ZHU Xiaoyan

机构地区：[1]南昌市洪都中医院针灸科/江西省针灸临床医学研究中心/江西省长蛇灸重点研究室,江西南昌330038

出　　处：《中医临床研究》2024年第35期23-28,共6页Clinical Journal Of Chinese Medicine

基　　金：江西省中医药管理局科技计划项目(2022A112)。

摘　　要：目的:探讨针刺联合电刺激生物反馈疗法治疗肾阳虚型子宫脱垂的临床疗效。方法:选取2023年1月-2024年1月收治的符合纳入标准的90例肾阳虚型子宫脱垂患者,通过随机数字表法将其分为治疗组和对照组,每组45例。治疗组采用针刺联合电刺激生物反馈治疗,对照组采用电刺激生物反馈治疗。观察两组治疗前、治疗1个疗程(20 d)、治疗2个疗程(40 d)及治疗后3个月随访时子宫颈外口位置(子宫颈外口最远处C点与处女膜的距离)、盆底肌电评估值(盆底肌快速收缩阶段最大值、盆底肌紧张收缩阶段平均值)、肾阳虚症状(小便失禁、腰膝酸软、畏寒肢冷、夜尿频多、小腹坠胀、头晕耳鸣等)评分的变化,并比较两组的治疗总有效率。结果:治疗1个疗程、2个疗程及随访时,两组子宫颈外口位置、盆底肌快速收缩阶段最大值、盆底肌紧张收缩阶段平均值均较治疗前升高(P<0.05),且组内2个疗程时高于1个疗程时(P<0.05),2个疗程时治疗组高于对照组(P<0.05)。治疗1个疗程、2个疗程及随访时,治疗组肾阳虚评分较治疗前下降(P<0.05),且2个疗程时肾阳虚评分低于1个疗程时(P<0.05);对照组2个疗程时肾阳虚评分低于治疗前和1个疗程时(P<0.05),但高于随访时(P<0.05);治疗后治疗组均低于对照组(P<0.05)。2个疗程后,治疗组总有效率显著高于对照组(P<0.05)。结论:针刺联合电刺激生物反馈治疗可以更好地改善肾阳虚型子宫脱垂程度、盆底肌肌力,减轻肾阳虚症状,值得临床推广应用。Objective:To investigate the clinical effect of acupuncture plus electrical stimulation biofeedback therapy on uterine prolapse of the kidney Yang(阳)-deficiency type.Methods:A total of 90 patients with uterine prolapse of the kidney Yang-deficiency type from January 2023 to January 2024 who met the criteria were included in this study and were divided into the treatment group and the control group with 45 patients in each group by the randomized numerical table method.The treatment group was treated by acupuncture plus electrical stimulation biofeedback therapy,while the control group was treated by electrical stimulation biofeedback therapy only.The changes of cervix external opening position,pelvic floor myoelectric evaluation value,and kidney Yang-deficiency symptom score were observed before treatment,after 1 course of treatment(20 days),after 2 courses of treatment(40 days),and 3 months after treatment.The total efficiency was compared between the two groups.Results:At 1 course,2 courses and followed-up,the cervix external opening position,the maximum value of rapid contraction phase,and the average value of tense contraction phase were increased in both groups compared with the pre-treatment period(P<0.05).After 2 courses of treatment,the above indicators were higher than that after 1 course of treatment within groups(P<0.05),and those in the treatment group were higher than those in the control group(P<0.05).At 1 course,2 courses and followed-up,the kidney Yang-deficiency score in the treatment group was lower than that before treatment(P<0.05),and the score after 2 courses in the treatment group was lower than that after 1 course(P<0.05).The kidney Yang-deficiency score at 2 courses in the control group was lower than that before treatment and at 1 course(P<0.05),but higher than that at the followed-up time(P<0.05),after treatment,the score in the treatment group was lower than that in the control group(P<0.05).After 2 courses,the total efficiency in the treatment group was significantly higher than tha

关 键 词：针刺 电刺激生物反馈 子宫脱垂 盆底肌肌力 

分 类 号：R339.22[医药卫生—人体生理学]