| 江丽娟.针灸联合益气升提散穴位敷贴对产后压力性尿失禁患者的疗效分析[J].浙江中西医结合杂志,2020,30(6): |
| 针灸联合益气升提散穴位敷贴对产后压力性尿失禁患者的疗效分析 |
| Therapeutic effect of acupuncture and moxibustion combined with Qisheng and acupoint application on postpartum stress urinary incontinence |
| 投稿时间：2019-09-19 修订日期：2020-03-31 |
| DOI： |
| 中文关键词: 针灸 益气升提散 穴位敷贴 产后压力性尿失禁 盆底肌力 |
| 英文关键词:Acupuncture Yi Qi Sheng Ti San Acupoint application Stress urinary incontinence Pelvic floor muscle strength |
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| 中文摘要: |
| 目的：探讨针灸合益气升提散穴位敷贴治疗产后压力性尿失禁对超声指标、肌电位、盆底肌力及性生活质量的影响。方法：随机选取本院2017年10月～2018年8月收治的产后压力性尿失禁患者92例,依据不同治疗方法分为三组,30例予以针灸治疗者为A组,30例予以益气升提散穴位敷贴治疗者为B组,32例予以针灸联合益气升提散穴位敷贴治疗者为C组,回顾性对比分析三组治疗前后超声指标、肌电位、盆底肌力及性生活质量。结果：治疗后,(1)C组膀胱颈移动度(Mobility of urethrovesical junction,UVJ-M)、膀胱尿道后角(Poster urethrovesical angle,PUVA)较A组、B组低,差异有统计学意义(P＜0.05)；(2)C组肌电位较A组、B组高,差异有统计学意义(P＜0.05)；(3)C组盆底肌力评分较A、B两组高,差异有统计学意义(P＜0.05)；(4)C组静息状态下膀胱颈垂直位置(bladderneckverticalposition,BNVP)、膀胱尿道后角(α角)、膀胱角(β角)、尿道倾斜角(γ角)较A组与B组低,差异有统计学意义(P＜0.05)。结论：针灸合益气升提散穴位敷贴治疗产后压力性尿失禁可提升患者超声指标、肌电力、盆底肌力及盆底功能,值得选用。#$NL【关键词】针灸;益气升提散;穴位敷贴;产后压力性尿失禁;盆底肌力 |
| 英文摘要: |
| [Abstract]?Objective:?To?explore?the?effects?of?acupuncture?and?moxibustion
combined?with?YiQiShengTiSan?acupoint?application?on?postpartum?stress?urinary incontinence on ultrasonic indicators, myopotential, pelvic floor muscle strength and
sexual life quality. Methods:? 92?cases?of postpartum?stress?urinary?incontinence received?by?our?hospital from?October 2017 to August 2018?were?randomly?selected, and?divided?into?three groups?according?to?the?different?treatment?methods. 30?cases
were?treated?with acupuncture?and?moxibustion?in?group?A, and?30?cases?were?treated
with?YiQiShengTiSan?acupoint?application?as?group?B,and?32?cases?were?treated?with? acupuncture and?moxibustion?combinedwith?YiQiShengTiSan?acupoint?application
as?group?C . The?ultrasonic indicators, myopotential, pelvic?floor?muscle strength and?sexual?life?quality?of?the?three?groupsbefore?and?after?treatment?were?retrospectively analyzed.?Results:?after?treatment, ⑴?The??Mobility of urethrovesical junction
(UVJ-M) and Poster urethrovesical angle(PUVA)?of?group?C were?lower than?those
of?group?A?and?group?B, with statistically significant(P<0.05);?(2)The??myopotentials
ofgroup?C were?higher than?those?of?group?A?and?group?B, with statistically significant (P < 0.05);?(3) The?score?of?pelvic?floor?muscle?strength of?group?C?was
higher?than that?of?group A?and?B, with statistically significant (P < 0.05);(4) bladderneckverticalpositio（BNVP） ,bladder urethral posterior angle (αangle), bladder angle (β angle) and urethral inclination angle (γ angle) were lower in group C than those in group A and group B at rest,with statistically significant(P < 0.05). Conclusion: Acupuncture and moxibustion combined with YiQiShengTiSan application in?the?treatment of?postpartum pressure incontinence?can improve?the?ultrasonic indicators and muscle?power?of?the?patients, the?pelvic?floor?muscle?strength, andimprove?the?pelvic floor function.?It?is?worth
?choosing. |
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