产后穴位埋线联合盆底肌锻炼对高龄产妇盆底功能的改善

Acupoint Catgut Embedding Combined with Pelvic Floor Muscle Exercise for Improving Pelvic Floor Function in Elderly Parturients after Delivery

目的探讨产后穴位埋线联合盆底肌锻炼对高龄产妇盆底功能的影响。方法选择160例在本院分娩并于分娩后6周回院复诊的高龄产妇,采用随机数字表法将其分为对照组和观察组,每组80例。对照组行凯格尔运动、盆底肌力康复器、生物反馈电刺激等盆底肌锻炼,观察组在对照组基础上联合使用穴位埋线。2组均在干预6周后进行盆底肌最大电位及盆底肌力功能恢复的评价,并分析其安全性。结果干预6周后,观察组盆底肌最大肌电位为(24.45±3.06)μV,高于对照组的(21.76±2.72)μV(P<0.05);观察组盆底肌力恢复的总有效率为98.75%,高于对照组的90.00%(P<0.05)。观察组治疗期间出现轻微红肿、瘀青各1例。2组未见发热、感染等严重不良反应。结论产后穴位埋线联合盆底肌锻炼可提高高龄产妇的盆底肌最大肌电位及盆底肌肌力,有效改善产妇的盆底功能。

Objective To explore the effect of acupoint catgut embedding combined with pelvic floor muscle exercise on pelvic floor function in elderly parturients after delivery.Methods A total of 160 elderly parturients delivered in our hospital were randomly divided into two groups,with 80 parturients in each group.The control group received Kegel exercise,pelvic floor strength recovery and biofeedback electrical stimulation for pelvic floor muscle training.The observation group was given acupoint catgut embedding based on pelvic floor muscle exercise.The maximum potential of pelvic floor muscles and the recovery of pelvic floor muscle strength were evaluated after 6 weeks of intervention.In addition,the safety was analyzed in both groups.Results After intervention for 6 weeks,the maximum pelvic floor muscle potential in observation group((24.45±3.06)μV)was higher than that in control group((21.76±2.72)μV)(P<0.05).Moreover,the recovery rate of pelvic floor muscle strength in observation group(98.75%)was higher than that in control group(90.00%)(P<0.05).In observation group,a parturient had slight redness and swelling and a parturient had bruise.No fever,infection and other serious adverse reactions occurred in both groups.Conclusion Acupoint catgut embedding combined with pelvic floor muscle exercise can increase the maximum potential and strength of pelvic floor muscles and improve the pelvic floor function in elderly parturients after delivery.