Effects of warm acupuncture combined with low frequency electrical stimulation in treatment of elderly patients with uterine prolapse
Objective:To observe effects of warm acupuncture combined with low frequency electrical stimulation in treatment of elderly patients with uterine prolapse.Methods:A prospective study was conducted on 86 elderly patients with uterine prolapse admitted to the hospital from April 2021 to June 2023.According to the random number table method,they were divided into control group and observation group,43 cases in each group.The control group was treated with low-frequency electrical stimulation,while the observation group was treated with warm acupuncture on the basis of that of the control group.Both groups were treated for 3 months.The clinical efficacy,the pelvic floor muscle maximum electromyography value,the pelvic floor muscle pressure level,the urodynamic index[maximum urethral closure pressure(MUCP),functional urethral length(FUL)]levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 97.67％(42/43),which was higher than 81.40％(35/43)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the maximum electromyography values of type Ⅰ and Ⅱ slow muscle fibers in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of pelvic floor muscle systolic pressure and resting pressure in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of MUCP and FUL in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Warm acupuncture combined with low-frequency electrical stimulation in the treatment of the elderly patients with uterine prolapse can improve the total effective rate of treatment,the pelvic floor muscle pressure and the urodynamic index levels,and increase the maximum electromyography value of pelvic floor muscle.Moreover,it is superior to simple low frequency electrical stimulation.
Uterine prolapseElderlyWarm acupunctureLow frequency electrical stimulationPelvic floor muscle pressureUrodynamicsPelvic floor muscle electromyography value
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