| 王琼,周文娟,姚婷,等.中髎、会阳穴电针联合盆底肌训练对产后压力性尿失禁病人尿动力学及盆底肌功能的影响[J].安徽医药,2025,29(6):1143-1147. |
| 中髎、会阳穴电针联合盆底肌训练对产后压力性尿失禁病人尿动力学及盆底肌功能的影响 |
| Effects of Zhongliao and Huiyang electroacupuncture combined with pelvic floor muscle training on urinary dynamics and pelvic floor muscle function in patients with postpartum stress urinary incontinence |
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| DOI：10.3969/j.issn.1009-6469.2025.06.015 |
| 中文关键词: 尿失禁，压力性 产后 中髎 会阳 电针 盆底肌训练 盆底肌 尿动力学，训练， |
| 英文关键词: Urinary incontinence, stress Postpartum Zhongliao Huiyang Electroacupuncture Pelvic floor muscle train-ing Pelvic floor muscle Urodynamics |
| 基金项目:湖南省院士专家工作站(石学敏)开放基金一般项目( 2019YSZJJ08)；湖南省 2022年度中医药科研计划项目(D2022054)；湖南省卫生健康委科研计划项目( D202319017905) |
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| 中文摘要: |
| 目的探讨中髎、会阳穴电针联合盆底肌训练对产后压力性尿失禁( SUI)病人尿动力学及盆底肌功能的影响。方法选取 84例 2021年 4月至 2023年 4月在湖南中医药大学第一附属医院收治的产后 SUI病人，按随机数字表法分为观察组( n= 42)和对照组( n=42)。对照组使用盆底肌训练，观察组应用盆底肌训练联合中髎、会阳穴电针治疗。比较两组病人临床疗效、治疗前后尿动力学指标、盆底肌功能、漏尿情况、生活质量评分及不良反应发生状况。结果观察组总有效率［ 95.24%(40/ 42)］显著高于对照组总有效率［ 78.57%(33/42)］(P<0.05)。与治疗前比，观察组和对照组治疗后 Ⅰ类和 Ⅱ类肌纤维肌力、最大膀胱容量( MBC)、最大逼尿肌压( Pdel)、最大尿流率( Qmax)及生活质量评分均显著升高( P<0.05)Ⅰ、Ⅱ类肌纤维疲劳度显著降低(P<0.05)；观察组 Qmax［(30.78±3.51)mL/s比(25.23±2.57)mL/s］Ⅰ类肌纤维肌力［(3.08±0.41)，级比(2.05±0.27)级］较对照组显著升高( P<0.05)。观察组 MBC、Ⅱ类肌纤维肌力、生活质量评分及、Pdel较对照组均显著升高( P<0.05)疲劳度降低( P<0.05)。治疗后，两组病人漏尿量均显著少于同组治疗前( P<0.05)观察组病人漏尿量均显著少于对照组( P<0.05)。两组病人治疗期间无不良反应发生。结论中髎、会阳穴电针联合盆底肌治疗产后 SUI临床疗效更佳，可改善尿动力学状态，提升 Qmax，增强盆底肌功能，提高病人生活质量。 |
| 英文摘要: |
| Objective To explore the effects of electroacupuncture at Zhongliao and Huiyang acupoints combined with pelvic floormuscle training on the urodynamics and pelvic floor muscle function in patients with postpartum stress urinary incontinence (SUI).Methods A total of 84 postpartum SUI patients admitted to The First Affiliated Hospital of Hu'nan University of Chinese Medicinefrom April 2021 to April 2023 were randomly assigned into an observation group (n=42) and a control group (n=42) using a randomnumber table method. The control group received pelvic floor muscle training, while the observation group received pelvic floor muscletraining combined with electroacupuncture at Zhongliao and Huiyang acupoints. We compared the clinical efficacy, urodynamic indica-tors before and after treatment, pelvic floor muscle tone, urinary leakage, quality of life score, and incidence of adverse reactions be-tween the two groups.Results The total validity rate of the observation group was significantly higher than that of the control group [95.24% (40/42) vs. 78.57% (33/42)] (P<0.05). After treatment, the class Ⅰ and Ⅱ muscle fiber strengths, maximum bladder capacity(MBC), peak detrusor pressure (Pdel), maximum urinary flow rate (Qmax), and quality of life scores in the observation group and controlgroup were obviously higher than those before treatment (P<0.05), while muscle fiber fatigue was obviously lower than that before treat-ment (P<0.05). The observation group showed a significant increase in Qmax [(30.78±3.51) mL/s vs. (25.23±2.57) mL/s] and class Ⅰ muscle fiber strength [(3.08±0.41) vs. (2.05±0.27)] compared to the control group, with a statistically significant difference (P<0.05).The MBC, class Ⅱ muscle fiber strength, quality of life score, and Pdel of the observation group were significantly higher than those ofthe control group (P<0.05), while muscle fiber fatigue was reduced (P<0.05). After treatment, the urine leakage in both groups was obvi- |
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