针灸联合低频冲击反馈电刺激、康复训练治疗产后盆底功能障碍的效果分析

Analysis of the Effects of Acupuncture Combined with Low-Frequency Shock Feedback Electrical Stimulation and Rehabilitation Training on Postpartum Pelvic Floor Dysfunction

摘要: 目的：比较针灸联合低频冲击反馈电刺激、康复训练与单纯低频冲击反馈电刺激、康复训练治疗产后女性盆底功能障碍的疗效及症状评分的改善程度。方法：100例产后盆底功能障碍患者按随机数表法分为治疗组和对照组，每组50例。对照组采用低频冲击反馈电刺激和kegel训练法治疗，治疗组在对照组的基础上给予针灸百会、关元、子宫、足三里、三阴交穴治疗；对比分析两组的治疗效果。结果：治疗1个月后两组的症状评分均显著降低(P < 0.01)，且治疗组症状评分降低的幅度显著大于对照组(P < 0.01)；治疗组总有效率显著高于对照组(92% vs 72%, P < 0.05)。差异均有统计学意义。结论：针灸联合低频冲击反馈电刺激、康复训练治疗产后盆底功能障碍具有显著疗效，可推广临床广泛应用。

Abstract: Acupuncture and moxibustion combined with low-frequency impulse feedback electrical stimulation, rehabilitation training and pure low-frequency impulse feedback electrical stimulation, rehabilitation training for the treatment of postpartum female pelvic floor dysfunction and the degree of improvement in symptom score were compared. 100 patients with postpartum pelvic floor dysfunction were divided into a treatment group and a control group according to a random number table, with 50 cases in each group. The control group was treated with low-frequency impulse feedback electrical stimulation and kegel training. The treatment group was treated with acupuncture at Baihui, Guanyuan, Uterus, Zusanli and Sanyinjiao on the basis of the control group; the treatment effects of the two groups were compared and analyzed. After 1 month of treatment, the symptom scores of both groups were significantly reduced (P < 0.01), and the reduction in symptom scores of the treatment group was significantly greater than that of the control group (P < 0.01); the total effective rate of the treatment group was significantly higher than that of the control group (92% vs 72%, P < 0.05), the differences were statistically significant. Acupuncture and moxibustion combined with low-frequency impact feedback electrical stimulation and rehabilitation training have significant effects in the treatment of postpartum pelvic floor dysfunction. This method can be widely used in clinical practice.