针灸联合早期盆底肌康复训练预防产后尿失禁临床研究

Clinical Study on Prevention of Postpartum Urinary Incontinence by Acupuncture and Moxibustion Combined with Early Pelvic Floor Muscle Rehabilitation Training

目的观察针灸联合早期盆底肌康复训练预防产后尿失禁的临床疗效。方法采用随机表格法将产后复诊产妇88例随机分为观察组和对照组各44例。对照组行常规早期盆底肌康复训练,观察组在对照组基础上行针灸治疗,每日1次。2组均连续治疗3个月,随访1年。比较2组治疗前及产后3、6、12个月的排尿评分、盆底肌收缩力评分、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分及尿失禁情况。结果与本组治疗前比较,2组产后3、6、12个月排尿评分、ICI-Q-SF评分下降,盆底肌收缩力评分上升(P<0.05);治疗不同时点比较,观察组产后3、6、12个月的排尿评分、ICI-Q-SF评分、尿失禁发生率低于对照组(P<0.05),盆底肌收缩力评分高于对照组(P<0.05)。结论针灸联合早期盆底肌康复训练可促进产后盆底肌功能恢复,改善排尿状况,降低产后尿失禁的发生率。

Objective To observe the clinical efficacy of acupuncture and moxibustion combined with early pelvic .floor muscle rehabilitation training for prevention of postpartum urinary incontinence.Methods Totally 88 cases of postpartum women were randomly divided into experimental group and control group through random table method, with 44 cases in each group.The control group received routine early pelvic floor muscle rehabilitation training,and the experimental group received acupuncture and moxibustion on the basis of early pelvic floor muscle rehabilitation training,once a day.The treatment for both groups lasted for three months,and were followed up for 1year.The urinary score,pelvic floor muscle contractility score,ICI-Q-SF score and urinary incontinence were compared between the two groups before treatment and 3,6 and 12 months after delivery.Results Compared with before treatment,the urinary scores and ICI-Q-SF scores of both groups at 3,6 and 12 months POStpartum decreased,and pelvic floor muscle contractility score increased (P<0.05);Compared with different time points in both groups,the urinary score,ICI-Q-SF score,and urinary incontinence rate of the observation group at 3,6,and 12 months postpartum were lower than those of the control group (P<0.05);The pelvic floor muscle contractility score was higher than the control group (P<0.05).Conclusion Acupuncture and moxibustion combined with early pelvic floor muscle rehabilitation training can promote the recovery of pelvic floor muscle function,improve the urination status, and reduce the incidence of postpartum urinary incontinence.