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目的探讨盆底生物反馈结合针灸会阳穴对产后尿失禁患者肌电位及生活质量的影响。方法选择产后尿失禁患者130例作为研究对象,随机分成两组,每组各65例。对照组接受盆底生物反馈治疗,观察组接受盆底生物反馈治疗的同时结合针灸会阳穴治疗,比较两组患者的疗效、临床症状评分、肌电位及生活质量评分。结果观察组总有效率(95.38%)高于对照组总有效率(78.46%),差异具有统计学意义(P<0.01)。治疗后,观察组临床症状评分低于对照组(P<0.01),观察组肌电位高于对照组(P<0.01),观察组躯体化、敌对、恐怖、强迫、精神病性等维度的生活质量评分都低于对照组(P<0.01),而人际关系的评分观察组则高于对照组(P<0.01)。结论盆底生物反馈结合针灸会阳穴治疗产后尿失禁的疗效确切,能够显著缓解患者症状、提升肌电位、改善患者生活质量。
Objective To investigate the effects of pelvic floor biofeedback combined with acupuncture Huiyang on myoelectricity and quality of life in patients with postpartum urinary incontinence. Methods 130 cases of postpartum urinary incontinence patients were selected as study subjects and were randomly divided into two groups of 65 cases each. The control group received pelvic floor biofeedback. The observation group received pelvic floor biofeedback combined with acupuncture at Huiyang Point. The curative effect, clinical symptom score, myoelectric potential and quality of life scores were compared between the two groups. Results The total effective rate (95.38%) in the observation group was higher than that in the control group (78.46%), the difference was statistically significant (P <0.01). After treatment, the score of clinical symptom in the observation group was lower than that in the control group (P <0.01), and the myoelectric potential in the observation group was higher than that in the control group (P <0.01). The quality of life in the observation group such as somatization, hostility, horror, compulsion and psychosis The score of interpersonal relationship was lower in the observation group than in the control group (P <0.01). Conclusions Pelvic floor biofeedback combined with acupuncture Huiyang acupoint treatment of postpartum urinary incontinence is effective and can significantly alleviate the symptoms, enhance myoelectric potential and improve the quality of life of patients.