雷火灸配合生物反馈电刺激治疗产后盆底功能障碍性疾病临床研究
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R711.5

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温州市科技局项目(Y20240201)


Clinical Study on Thunder-Fire Moxibustion Combined with Biofeedback Electric Stimulation for Postpartum Pelvic Floor Dysfunction
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    摘要:

    目的:观察雷火灸配合生物反馈电刺激治疗产后盆底功能障碍性疾病(PFD) 的效果。方法:通 过随机数字表法,将2023年4月—2024年10月在浙江中医药大学附属温州市中医院治疗的128例产后肾阳虚 型PFD患者分为对照组、试验组各64例。对照组予以生物反馈电刺激治疗,试验组在生物反馈电刺激的基础 上实施雷火灸治疗,2组均治疗4周。治疗前后评定盆底功能相关评分[盆底功能障碍问卷(PFDI-20) 评分、 盆底障碍影响简易问卷-7 (PFIQ-7) 评分],检测盆底超声指标[宫颈外口移动距离(COD)、尿道旋转 角(URA)、膀胱尿道后角(PUA)],比较2组的临床疗效、不良反应发生率。结果:治疗4周后,试验组总 有效率高于对照组(P<0.05)。2组PFDI-20评分、PFIQ-7评分均较治疗前下降(P<0.05);试验组PFDI-20 评分、PFIQ-7评分均低于对照组(P<0.05)。2组COD均较治疗前缩短,URA、PUA均较治疗前缩小,差异均 有统计学意义(P<0.05);试验组COD短于对照组,URA、PUA均小于对照组,差异均有统计学意义(P< 0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:雷火灸配合生物反馈电刺激对产后 PFD有确切疗效,可改善患者的盆底功能,促进PFD症状消失,且安全性良好。

    Abstract:

    Abstract: Objective: To observe the effect of thunder-fire moxibustion combined with biofeedback electric stimulation on postpartum pelvic floor dysfunction (PFD). Methods:Using a random number table method,128 cases of patients with postpartum PFD of kidney yang deficiency type treated at Wenzhou TCM Hospital of Zhejiang Chinese Medical University from April 2023 to October 2024 were divided into the control group and the trial group, with 64 cases in each group. The control group was given biofeedback electrical stimulation therapy,and the trial group was additionally treated with thunder-fire moxibustion in addition to biofeedback electrical stimulation. Both groups were treated for four weeks. Pelvic floor function-related scores [Pelvic Floor Distress Inventory-20 (PFDI-20) scores and Pelvic Floor Impact Questionnaire-7 (PFIQ-7) scores] and pelvic floor ultrasound indicators [cervical os distance (COD),urethral rotation angle (URA),and posterior urethrovesical angle (PUA)] were assessed before and after treatment. The clinical effects and incidence of adverse recations were compared between the two groups. Results: After four weeks of treatment,the total effective rate in the trial group was higher than that in the control group (P< 0.05). Both groups showed a decrease in the scores of PFDI-20 and PFIQ-7 compared to before treatment (P<0.05); the trial group had lower scores of PFDI-20 and PFIQ-7 than the control group (P<0.05). Both groups showed a reduction in COD, URA, and PUA compared to before treatment, with significant differences (P<0.05). The trial group had a shorter COD and smaller URA and PUA than the control group, with significant differences (P<0.05). There was no significant difference being found in the comparison of the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Thunder-fire moxibustion combined with biofeedback electric stimulation has a definite therapeutic effect on postpartum PFD. It can improve pelvic floor function,promote the disappearance of PFD symptoms,and has good safety.

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陈宁宁,王强力,欧阳后钱,章国伟.雷火灸配合生物反馈电刺激治疗产后盆底功能障碍性疾病临床研究[J].新中医,2025,57(14):105-110

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  • 在线发布日期: 2025-07-26
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