针灸联合盆底肌康复训练治疗产后膀胱功能失调的疗效观察
发布时间：2018-07-25 18:49
【摘要】：目的:观察针灸联合盆底肌康复训练治疗产后膀胱功能失调的临床疗效。方法:选择2015年1月至2016年3月来我院妇产科门诊产后6周复诊的初产妇70例,随机分为两组,联合组35例采用针灸联合盆底肌康复训练治疗,常规组35例采用盆底肌康复训练治疗,两组患者均治疗3个月。分别测定患者治疗前和治疗结束后阴道静息压、阴道收缩压和阴道收缩持续时间;根据国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)进行问卷调查,评估治疗后患者尿失禁的发生情况及严重程度;观察并记录两组患者的最终治愈情况。结果:和治疗前相比,两组治疗后盆底肌力都有所恢复,但联合组的恢复情况明显优于对照组,差异有统计学意义(P0.05)。治疗后,联合组尿失禁的发生率(2.86%)和常规组尿失禁的发生率(8.57%)相比,差异虽无统计学意义(P0.05),但联合组发生尿失禁的人数低于常规组。联合组治疗总有效率(94.29%)明显优于对照组总有效率(77.14%),差异有统计学意义(P0.05)。结论:针灸联合盆底肌康复训练治疗产后膀胱功能失调,能有效的促进盆底肌恢复,治疗产后尿失禁,总体疗效显著。
[Abstract]:Objective: To observe the clinical effect of acupuncture and moxibustion combined with pelvic floor muscle rehabilitation training in the treatment of postpartum bladder dysfunction. Methods: select 70 cases of primipara in 6 weeks from January 2015 to March 2016 in our department of Obstetrics and Gynecology, randomly divided into two groups, 35 cases combined with pelvic floor muscle rehabilitation training, and 35 cases of pelvic floor muscle health in the routine group. The two groups of patients were treated for 3 months. The vaginal resting pressure, vaginal systolic pressure and duration of vaginal contraction were measured before and after the treatment. A questionnaire survey was conducted according to the ICI-Q-SF of the international incontinence Advisory Committee, to assess the incidence and severity of urinary incontinence after treatment. The final cure of the two groups was recorded and recorded. Results: compared with before treatment, the pelvic floor muscle strength of the two groups recovered, but the recovery of the combined group was significantly better than that of the control group (P0.05). After treatment, the incidence of urinary incontinence (2.86%) and the incidence of urinary incontinence in the conventional group (8.57%) were compared. There was no statistical significance (P0.05), but the number of urinary incontinence in the combined group was lower than that of the conventional group. The total effective rate (94.29%) of the combined group was significantly better than the control group (77.14%), and the difference was statistically significant (P0.05). Conclusion: the treatment of postpartum bladder dysfunction with acupuncture combined with pelvic floor muscle rehabilitation training can effectively promote the recovery of pelvic floor muscle. The overall effect of postpartum incontinence is significant.
【作者单位】： 四川省都江堰市人民医院;
【分类号】：R246.3
本文编号：2144744
[Abstract]:Objective: To observe the clinical effect of acupuncture and moxibustion combined with pelvic floor muscle rehabilitation training in the treatment of postpartum bladder dysfunction. Methods: select 70 cases of primipara in 6 weeks from January 2015 to March 2016 in our department of Obstetrics and Gynecology, randomly divided into two groups, 35 cases combined with pelvic floor muscle rehabilitation training, and 35 cases of pelvic floor muscle health in the routine group. The two groups of patients were treated for 3 months. The vaginal resting pressure, vaginal systolic pressure and duration of vaginal contraction were measured before and after the treatment. A questionnaire survey was conducted according to the ICI-Q-SF of the international incontinence Advisory Committee, to assess the incidence and severity of urinary incontinence after treatment. The final cure of the two groups was recorded and recorded. Results: compared with before treatment, the pelvic floor muscle strength of the two groups recovered, but the recovery of the combined group was significantly better than that of the control group (P0.05). After treatment, the incidence of urinary incontinence (2.86%) and the incidence of urinary incontinence in the conventional group (8.57%) were compared. There was no statistical significance (P0.05), but the number of urinary incontinence in the combined group was lower than that of the conventional group. The total effective rate (94.29%) of the combined group was significantly better than the control group (77.14%), and the difference was statistically significant (P0.05). Conclusion: the treatment of postpartum bladder dysfunction with acupuncture combined with pelvic floor muscle rehabilitation training can effectively promote the recovery of pelvic floor muscle. The overall effect of postpartum incontinence is significant.
【作者单位】： 四川省都江堰市人民医院;
【分类号】：R246.3
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