穴位注射治疗经阴道分娩盆底功能障碍的研究

Study on the treatment with point injection for pelvic floor dysfunction after vaginal delivery

目的观察甲钴胺八髎穴注射治疗经阴道分娩者盆底功能障碍的临床疗效。方法将妇科门诊收治的300例盆底功能障碍患者按就诊时间先后分为:穴位注射组、盆底肌功能锻炼(Kegel)组、生物反馈组,每组100例。观察治疗前后各组盆底肌力等级、盆底肌疲劳度、盆底障碍影响简易问卷7(PFIQ-7)及1 h尿垫试验结果。结果治疗后穴位注射组盆底肌力4级、5级者及盆肌疲劳度均优于其他2组(P均<0.05);随访6个月间,PFIQ-7问卷及1 h尿垫试验漏尿量与本组治疗前比较有显著性差异(P均<0.05);组间对比,穴位注射组明显优于其他组(P均<0.05)。结论八髎穴注射甲钴胺治疗阴道分娩者盆底功能障碍疗效确切,且操作简单,值得临床推广应用。

Objective It is to observe the clinical curative effect of injection on ＂Ba liao＂ point with Mecobalamin on pelvic floor dysfunction after vaginal delivery. Methods 300 patients with pelvic floor dysfunction treated in gynecological clinic were divided into three group according to their treatment time： acupoint injection group, functional exercise of pelvic floor muscle （Kegel） group, biofeedback group, 100 cases in each group. Before and after treatment pelvic floor muscle strength grade, pelvic floor muscle fatigue, pelvic floor disorders simple questionnaire （PFIQ -7） and one hour pad test results were observed. Results After treatment, ones with 1V, V grade of pelvic floor muscle strength and muscle fatigue pots in acupoint injection group were better than that in the other two groups （ P 〈 0.05 ） ; during six months＇ following-up, PFIQ - 7 question- naires and one hour pad test leakage of urine volume after treatment were better than that before treatment in each group （P 〈 0. 05） ; furthermore, the indexes in acupoint injection group were significantly better than that in the other groups （P 〈 0. 05 ）. Conclusion Point injection on ＂Ba liao＂ with Meccbalamin has definite curative effect on pelvic floor dysfunction after vaginal delivery, and the operation is simple, so it is worthy of clinical popularization and application.