标题：生物反馈联合针刺治疗产妇产后盆底功能障碍性疾病疗效观察

      作者：高盼，孟瑶，李璐，程喜锋    陕西中医药大学第二附属医院妇产科，陕西 咸阳 712000

      卷次： 2022年33卷20期

      【摘要】 目的 观察生物反馈联合针刺治疗产妇产后盆底功能障碍性疾病(PFD)的临床疗效。方法 采用随机数字表法将2018年6月至2021年6月陕西中医药大学第二附属医院妇产科收治的135例PFD患者分为针刺组(针刺疗法)、生物反馈组(生物反馈疗法)与联合组(针刺+生物反馈疗法)各45例，三组患者均治疗2个月。比较三组患者治疗后的临床疗效，以及治疗前、治疗2个月后的盆底肌电生理指标、盆底功能和生活质量。结果 联合组患者的临床治疗总有效率为 97.78%，明显高于针刺组的 84.44%及生物反馈组的 82.22%，差异均有统计学意义(P<0.05)；治疗2个月后，联合组患者的Ⅰ类、Ⅱ类盆底肌肌纤维的肌电平均值分别为(19.28±2.51) μV、(23.36±3.01) μV，明显高于针刺组的(14.89±2.33) μV、(18.65±2.83) μV和生物反馈组的(15.25±2.46) μV、(18.77±2.94) μV，差异均具有统计学意义(P<0.05)；治疗2个月后，联合组患者的Ⅰ类、Ⅱ类盆底肌肌纤维疲劳度分别为(3.72±0.45)%/s、(3.38±0.54)%/s，明显低于针刺组的(5.26±0.95)%/s、(5.23±0.69)%/s和生物反馈组的(5.01±0.55)%/s、(5.36±0.62)%/s，差异均有统计学意义(P<0.05)；治疗2个月后，联合组患者的漏尿次数、漏尿量评分分别为(1.73±0.43)分、(2.05±0.51)分，明显少(低)于针刺组的(2.35±0.42)分、(2.88±0.56)分和生物反馈组的(2.45±0.39)分、(2.91±0.58)分，差异均有统计学意义(P<0.05)；治疗 2个月后，联合组患者的尿失禁生活质量影响问卷(I-QOL)、盆腔脏器脱垂/尿失禁性功能问卷(PISQ-12)评分分别为(85.33±6.47)分、(66.85±5.37)分，明显高于针刺组的(78.63±6.54)分、(59.42±5.87)分和生物反馈组的(79.25±5.87)分、(60.23±5.88)分，盆底肌功能障碍性疾病症状问卷短表(PFDI-20)评分为(12.65±2.37)分，明显低于针刺组的(18.55±3.53)分和生物反馈组的(19.72±3.21)分，差异均有统计学意义(P<0.05)。结论 生物反馈联合针刺治疗产妇产后PFD能有效改善患者盆底肌电生理指标，恢复盆底功能，并提高生活质量。
      【关键词】 产妇；产后；盆底功能障碍；生物反馈治疗仪；针刺；盆底功能；生活质量
      【中图分类号】 R714.46 【文献标识码】 A 【文章编号】 1003—6350（2022）20—2642—04

Efficacy of biofeedback combined with acupuncture in the treatment of postpartum pelvic floor dysfunction inpuerperae.
GAO Pan, MENG Yao, LI Lu, CHENG Xi-feng. Department of Obstetrics and Gynecology, the Second AffiliatedHospital of Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, Shaanxi, CHINA
【Abstract】 Objective To observe the clinical efficacy of biofeedback combined with acupuncture in the treat-ment of puerperae with postpartum pelvic floor dysfunction (PFD). Methods A total of 135 patients with PFD treatedin Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Shaanxi University of Traditional Chi-nese Medicine between June 2018 and June 2021 were divided into the acupuncture group (acupuncture therapy), the bio-feedback group (biofeedback therapy), and the combined group (acupuncture+biofeedback therapy) by using the randomnumber table method, with 45 patients in each group. All the three groups were treated for 2 months. The clinical effica-cy, pelvic floor electrophysiological indexes, pelvic floor function, and quality of life before and after 2 months of treat-ment were compared among the three groups. Results The total effective rate of clinical treatment in the combinedgroup was 97.78%, which was significantly higher than 84.44% in the acupuncture group and 82.22% in the biofeedbackgroup (P<0.05). After 2 months of treatment, the average electromyographic values of type Ⅰ and type Ⅱ pelvic floor