基于“态靶同调”理论针刺联合凯格尔运动治疗阴道松弛症:随机对照试验  

Acupuncture based on"status-target coherence"theory combined with Kegel exercises for vaginal laxity syndrome:a randomized controlled trial

作　　者：赵瑜敬 丰云舒 杜欣 毕红[1] 王扬[3] 范秀华 ZHAO Yujing;FENG Yunshu;DU Xin;BI Hong;WANG Yang;FAN Xiuhua(Department of Gynecology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Department of Psychology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Department of Acupuncture and Moxibustion,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院妇科,北京100053 [2]中国中医科学院广安门医院心理科,北京100053 [3]中国中医科学院广安门医院针灸科,北京100053

出　　处：《中国针灸》2025年第1期31-35,44,共6页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院科技创新工程项目:CI2021A02415,CI2021A03107。

摘　　要：目的:观察“态靶同调”理论指导下针刺联合凯格尔运动治疗阴道松弛症(VLS)的临床疗效。方法:将66例VLS患者随机分为观察组(33例,脱落2例,中止1例)和对照组(33例,脱落5例)。观察组予针刺联合凯格尔运动治疗,针刺穴取双侧次髎、中髎、三阴交等;对照组仅进行凯格尔运动。针刺与凯格尔运动均隔日1次,每周3次,连续治疗12周。于治疗前及治疗后,观察两组患者阴道松弛度问卷(VLQ)评分、盆底肌力(阴道静息压、阴道收缩压、阴道收缩持续时间)、阴道松弛度、性生活满意度问卷(SSQ)评级。结果:治疗后,观察组患者VLQ评分较治疗前升高(P<0.05),阴道静息压、阴道收缩压、阴道收缩持续时间较治疗前增加或延长(P<0.05),SSQ评级较治疗前改善(P<0.05);观察组VLQ评分、阴道静息压、阴道收缩压高于对照组(P<0.05),阴道收缩持续时间长于对照组(P<0.05),SSQ评级优于对照组(P<0.05)。两组患者阴道松弛度治疗前后及治疗后比较差异无统计学意义(P>0.05)。结论:“态靶同调”理论指导下针刺联合凯格尔运动可有效增强VLS患者盆底肌力量,改善阴道松弛症状,提高性生活满意度,疗效优于单纯凯格尔运动。Objective To observe the clinical efficacy of acupuncture based on"status-target coherence"theory combined with Kegel exercises for vaginal laxity syndrome(VLS).Methods Sixty-six patients with VLS were randomized into an observation group(33 cases,2 cases dropped out,1 case was discontinued)and a control group(33 cases,5 cases dropped out).The observation group was treated with acupuncture combined with Kegel exercises,acupuncture was applied to bilateral Ciliao(BL32),Zhongliao(BL33),Sanyinjiao(SP6),etc.The control group was treated with Kegel exercises.Both acupuncture and Kegel exercises were performed once every other day,three times a week for 12 weeks.Before and after treatment,the vaginal laxity questionnaire(VLQ)score,pelvic floor muscle strength(vaginal resting pressure,vaginal systolic pressure,vaginal contraction duration),degree of vaginal laxity and sexual satisfaction questionnaire(SSQ)grade were observed in both groups.Results After treatment,the VLQ score,vaginal resting pressure,vaginal systolic pressure,vaginal contraction duration in the observation group were elevated compared with those before treatment(P<0.05),and SSQ grade was improved(P<0.05);and the above indexes in the observation group were better than those in the control group(P<0.05).There were no significant difference before and after treatment in the degree of vaginal laxity in the two groups(P>0.05).Conclusion Acupuncture based on"status-target coherence"theory combined with Kegel exercises can effectively enhance the strength of pelvic floor muscles,improve the symptoms of vaginal laxity,and improve the satisfaction of sexual life,and its therapeutic effect is better than Kegel exercises alone.

关 键 词：阴道松弛症 态靶同调 针刺 凯格尔运动 随机对照试验 

分 类 号：R246.3[医药卫生—针灸推拿学]