摘要
目的探讨盆底康复训练联合针灸对产妇产后压力性尿失禁及盆底肌力的影响,为临床治疗提供参考依据。方法选取2015年6月-2016年9月该院收治的50例发生产后压力性尿失禁的产妇为研究对象,按抽签法将其随机分为试验组和对照组,每组25例。对照组采用盆底康复训练进行治疗,试验组采用盆底康复训练联合针灸进行治疗,均采用多功能盆底生物反馈仪对患者进行治疗后的盆底肌力检测。比较两组产妇的临床疗效、压力性尿失禁发生率、盆底肌电位均值及盆底肌疲劳度值。结果治疗后,试验组临床疗效有效率(96.00%)高于对照组(64.00%),差异有统计学意义(P<0.05);试验组压力性尿失禁发生率(12.00%)明显低于对照组(40.00%),差异有统计学意义(P<0.05);试验组及对照组盆底肌力均有所提高,在出院、产后6周及12周时,试验组盆底肌力均显著优于对照组(P<0.05)结论盆底康复训练联合针灸治疗产后压力性尿失禁疗效显著,能显著提升产妇的盆底肌力。
Objective To explore the effect of pelvic floor rehabilitation training combined with acupuncture on postpartum stress urinary incontinence and pelvic floor muscle strength,provide a reference basis for clinical treatment. Methods From June 2015 to September2016,50 postpartum women with stress urinary incontinence treated in Mongolian Medicine Hospital of Wulan County were selected and randomly divided into experimental group and control group,25 postpartum women in each group. The postpartum women in control group were treated with pelvic floor rehabilitation training,and the postpartum women in experimental group were treated with pelvic floor rehabilitation training combined with acupuncture. After treatment,pelvic floor muscle strength detection was performed by multifunction pelvic floor biofeedback instrument in the two groups. The clinical effects,the incidence rates of stress urinary incontinence,the mean values of pelvic floor muscle potential,and pelvic floor muscle fatigue values in the two groups were compared. Results After treatment,the clinical effective rate in experimental group was 96. 00%,which was statistically significantly higher than that in control group(64. 00%）(P〈0. 05）. The incidence rate of stress urinary incontinence in experimental group was 12. 00%,which was statistically significantly lower than that in control group(40. 00%）(P〈0. 05）. In the two groups,pelvic floor muscle strength increased. After hospital discharge,at 6 and 12 weeks after delivery,pelvic floor muscle strength in experimental group was statistically significantly better than that in control group(P〈0. 05）. Conclusion The curative effect of pelvic floor rehabilitation training combined with acupuncture in treatment of postpartum stress urinary incontinence is significant,the therapy can significantly improve pelvic floor muscle strength of postpartum women.
作者
张春敏
ZHANG Chun-Min(Mongolian Medicine Hospital of Wulan County, Haixi Prefecture, Qinghai 817199, China)
出处
《中国妇幼保健》
CAS
2018年第9期1975-1978,共4页
Maternal and Child Health Care of China
关键词
产后压力性尿失禁
盆底肌力
盆底康复训练
针灸
Postpartum stress urinary incontinence
Pelvic floor muscle strength
Pelvic floor rehabilitation training
Acupuncture
