Wang Lin-Lin, Zhu Jing-Yun, Ren Zhi-Xin, Zhang Hai-Ling, Wu Yan-Rong
Second Affiliated Hospital of Zhengzhou University, Zhengzhou 450014, Henan Province, China.
Zhongguo Zhen Jiu. 2020 Feb 12;40(2):157-61. doi: 10.13703/j.0255-2930.20190210-00014.
To compare the clinical therapeutic effect of electroacupuncture (EA) combined with penetrating moxibustion and biofeedback electrical stimulation on postpartum pelvic organ prolapsed (POP).
A total of 60 patients with POP who had delivery 6 weeks ago were randomized into an observation group and a control group, 30 cases in each one. In the observation group, EA was applied at Zigong (EX-CA 1), Ciliao (BL 32), Huiyang (BL 35), etc. while penetrating moxibustion was performed at acupoints of abdomen and lumbosacral region alternately every other day. In the control group, biofeedback electrical stimulation was provided. The treatment for 6 weeks was given once every other day, 3 times a week in both groups. Before treatment, after treatment and 6 months after delivery, pelvic floor muscle strength, pelvic organ prolapse quantification (POP-Q) evaluation and pelvic floor impact questionnaire short form-7 (PFIQ-7) were observed to assess the therapeutic effect.
Compared before treatment, the sustained contraction and rapid contraction force of pelvic floor muscle after treatment and 6 months after delivery were increased in both of the two groups (<0.05), and the changes in the observation group were larger than those in the control group (<0.05). After treatment and 6 months after delivery, the POP degree in the observation group was alleviated to the control group (<0.05). Compared before treatment, the scores of PFIQ-7 after treatment and 6 months after delivery were reduced in the two groups (<0.05), and the changes in the observation group were larger than those in the control group (<0.05).
Electroacupuncture combined with penetrating moxibustion can strengthen the pelvic floor muscle contractility of patients with postpartum pelvic organ prolapse, and are superior to biofeedback electrical stimulation in improving the pelvic organ prolapse status and life quality.
比较电针联合透灸与生物反馈电刺激治疗产后盆腔器官脱垂（POP）的临床疗效。
选取60例产后6周的POP患者，随机分为观察组和对照组，每组30例。观察组于子宫（EX-CA 1）、次髎（BL 32）、会阳（BL 35）等穴位行电针治疗，同时于腹部及腰骶部穴位隔日交替行透灸。对照组给予生物反馈电刺激治疗。两组均隔日治疗1次，每周3次，共治疗6周。分别于治疗前、治疗后及产后6个月观察盆底肌肉力量、盆腔器官脱垂定量（POP-Q）评估及盆底影响问卷简表-7（PFIQ-7），以评价疗效。
与治疗前比较，两组治疗后及产后6个月盆底肌肉持续收缩力和快速收缩力均增加（P<0.05），且观察组变化幅度大于对照组（P<0.05）。治疗后及产后6个月，观察组POP程度较对照组减轻（P<0.05）。与治疗前比较，两组治疗后及产后6个月PFIQ-7评分均降低（P<0.05），且观察组变化幅度大于对照组（P<0.05）。
电针联合透灸可增强产后盆腔器官脱垂患者盆底肌肉收缩力，在改善盆腔器官脱垂状况及生活质量方面优于生物反馈电刺激。
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