电针联合康复训练治疗女性盆底功能障碍临床研究
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R246.3

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河南省医学科技攻关计划项目(2018062125)


Clinical Study on Electro-Acupuncture Combined with Rehabilitation Training for Pelvic Floor Dysfunction in Females
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    摘要:

    目的:观察电针联合康复训练治疗女性盆底功能障碍(PFD) 的临床疗效。方法:选取96 例PFD 患者,按随机数字表法分为观察组与对照组,每组48 例。对照组给予康复训练治疗,观察组在对照组基础上给予电针治疗,2 组均治疗3 个月。比较2 组治疗前后盆底肌肌电压、盆底肌肌力、盆底障碍影响简易问卷7(PFIQ-7) 评分、盆底功能障碍问卷(PFDI-20) 评分、女性性功能指数调查量表(FSFI) 评分、尿失禁情况及尿动力学指标,比较2 组治疗满意度。结果:治疗后,观察组Ⅰ类、Ⅱ类肌纤维肌电压均高于对照组(P<0.05);观察组PFIQ-7、PFDI-20 评分均低于对照组(P<0.05),FSFI 评分高于对照组(P<0.05)。治疗后,观察组尿失禁率为6.25%,低于对照组的22.92%(P<0.05);观察组24 h 尿失禁次数少于对照组(P<0.05);观察组最大尿道压(MUP)、最大尿流率(Qmax) 均大于对照组(P<0.05),尿流时间(VT) 小于对照组(P<0.05)。治疗后,观察组静息肌力小于对照组(P<0.05),快肌、慢肌肌力均大于对照组(P<0.05)。观察组治疗满意度为93.75%,高于对照组的79.17%(P<0.05)。结论:电针联合康复训练可改善PFD 患者的盆底肌电压、盆底肌肌力和尿动力学指标,提升其盆底功能、性生活质量和治疗满意度。

    Abstract:

    Abstract:Objective:To observe the clinical effect of electro-acupuncture combined with rehabilitation training for pelvic floor dysfunction(PFD) in females. Methods:A total of 96 cases of PFD patients were divided into the observation group and the control group according to the random number table method,48 cases in each group. The control group was treated with rehabilitation training,and the observation group was additionally treated with electro-acupuncture based on the treatment of the control group. Both groups were treated for three months. Before and after treatment,the voltage of pelvic floor muscle, the muscle strengh of pelvic floor muscle, Pelvic Floor Impact Questionnaire- short form 7(PFIQ- 7) scores, Pelvic Floor Distress Inventory- 20(PFDI- 20) scores,Female Sexual Function Index(FSFI) scores,urinary incontinence and urodynamic indexes in the two groups were compared. The treatment satisfaction in the two groups was compared. Results: After treatment,the voltages of muscle fiber at type Ⅰ and Ⅱ in the observation group were higher than those in the control group (P<0.05);the scores of PFIQ-7 and PFDI-20 in the observation group were lower than those in the control group(P<0.05), the FSFI score was higher(P<0.05). After treatment, the incidence of urinary incontinence was 6.25% in the observation group,lower than that of 22.92% in the control group(P<0.05);the number of urinary incontinence within 24 hours in the observation group was smaller than that in te control group(P<0.05); the maximum urethral pressure(MUP) and maximal urinary flow rate(Qmax) in the observation group were larger than those in the control group(P<0.05),and the urine flow time (VT) was shorter(P<0.05). After treatment,the muscle strength at resting state in the observation group was less than that in the control group(P<0.05),the muscle strengths of fast muscle and slow muscle were larger than those in the control group (P<0.05). The treatment satisfaction was 93.75% in the observation group,higher than that of 79.17% in the control group (P<0.05). Conclusion:Electro-acupuncture combined with rehabilitation training can improve voltage of pelvic floor muscle, muscle strength of pelvic floor muscle, urodynamic indexes, pelvic floor function, quality of sexual life and treatment satisfaction of PFD patients.

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宋淑敏,李志卫,孙文玲.电针联合康复训练治疗女性盆底功能障碍临床研究[J].新中医,2021,53(16):142-146

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  • 在线发布日期: 2021-08-23
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