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董针治疗产后尿失禁临床疗效及对盆底肌功能的影响

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目的:观察董针治疗产后尿失禁临床疗效及对盆底肌功能的影响.方法:选取2022年1月—2023年1月就诊于北京市通州区妇幼保健院治疗的90例产后尿失禁患者,根据随机数字表法等分为3组,所有患者均接受盆底肌康复治疗(电刺激联合凯格尔运动),在此治疗同时,董针组给予董针治疗,体针组给予体针治疗,对照组给予常规治疗.治疗前、后评估患者盆底肌Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力,给予患者尿失禁问卷简表(ICI-Q-SF),比较各组的临床疗效.结果:治疗后,董针组、体针组盆底肌Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力恢复情况优于对照组,差异具有统计学意义(P<0.05);治疗后,董针组Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力恢复情况优于体针组,差异具有统计学意义(P<0.05);治疗后,董针组、体针组ICI-Q-SF评分均低于对照组,差异具有统计学意义(P<0.05),其中董针组ICI-Q-SF评分低于体针组,差异具有统计学意义(P<0.05);治疗后,董针组、体针组临床疗效均优于对照组,差异具有统计学意义(P<0.05),董针组与体针组疗效比较,差异无统计学意义(P>0.05).结论:与电刺激联合凯格尔运动比较,体针与董针治疗产后尿失禁均可提升临床疗效,改善患者盆底肌功能、尿失禁症状,提升患者生活质量,董针疗效更佳.
Clinical Study of Dong's Acupuncture in Treatment of Postpartum Urinary Incontinence and Its Influence to Pelvic Floor Muscle Function
Objective:To observe the clinical effect of Dong's acupuncture in treatment of postpartum urinary incontinence and its influence to pelvic floor muscle function.Methods:90 patients with postpartum urinary incontinence were randomly divided into the Dong's acupuncture group,the body acupuncture group and the control group.All patients received pelvic floor electrical stimulation combined with Kegel exercise treatment as a pelvic floor muscle rehabilitation therapy.The control group was given conventional treatment,the body acupuncture group was treated with body acupuncture and the Dong's acupuncture group was treated with Dong's acupuncture.Pelvic floor muscle strength of class Ⅰ and class Ⅱ muscle fibers,as well as ICI-Q-SF score were evaluated before and after the treatment in the three groups.Clinical efficacy were compared among the three groups.Results:The recoveries of class Ⅰ and class Ⅱ muscle fiber strength were better in the Dong's acupuncture group and the body acupuncture group than those in the control group(P<0.05),and the recoveries of class Ⅰ and class Ⅱ muscle fiber strength were better in the Dong's acupuncture group than those in the body acupuncture group(P<0.05).The ICI-Q-SF score was lower in the Dong's acupuncture group and the body acupuncture group than that in the control group(P<0.05),and the ICI-Q-SF score was lower in the Dong's acupuncture group than that in the body acupuncture group(P<0.05).The total effective rate was higher in the Dong's acupuncture group and the body acupuncture group than that in the control group(P<0.05),but there was no statistical difference in the total effective rate between the Dong's acupuncture group and the body acupuncture group(P>0.05).Conclusion:Both body acupuncture and Dong's acupuncture can improve clinical efficacy,improve function of pelvic floor muscle and symptoms of urinary incontinence,and improve life quality of patients compared with pelvic floor electrical stimulation combined with Kegel exercise treatment in treatment of postpartum patients with urinary incontinence;for which Dong's acupuncture has a better therapeutic effect than body acupuncture.

Body acupunctureDong's acupunctureUrinary incontinencePelvic floor muscle function

王跃旗、李莉、苏静文、李春燕

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北京市通州区妇幼保健院,北京 101100

北京中医药大学,北京 100029

北京中医药大学东直门医院,北京 100102

体针 董针 尿失禁 盆底肌功能

北京市通州区科技计划

KJ2022CX048

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(3)
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