超声引导下针刺带脉穴结合胸-腹-盆呼吸协调训练治疗产后轻、中度盆腔器官脱垂的临床效果OA
Clinical Efficacy of Postpartum Mild to Moderate Pelvic Organ Prolapse with Ultrasound-guided Acupuncture at the Daimai Point Combined with Thoracic-Abdominal-Pelvic Breathing Coordination Training
目的:探讨超声引导下针刺带脉穴结合胸-腹-盆呼吸协调训练治疗产后轻、中度盆腔器官脱垂(POP)的临床效果.方法:本研究采取随机对照试验设计,将 2024 年 6 月—2025 年 9 月在江西中医药大学附属医院就诊的 126 例产后轻、中度POP患者随机分为针刺组、呼吸训练组和联合组,每组42 例.针刺组予以超声引导下针刺双侧带脉穴,呼吸训练组予以胸-腹-盆呼吸协调训练,联合组予以超声引导下针刺双侧带脉穴结合胸-腹-盆呼吸协调训练,均连续治疗 8 周.比较三组临床疗效、盆腔器官脱垂症状评分(POP-SS)、盆底肌肌力、盆底彩超检查指标.结果:联合组总有效率高于呼吸训练组(P<0.017).治疗前,三组POP-SS、盆底肌肌力、静息下膀胱颈位置、膀胱颈活动度、肛提肌裂孔面积比较,差异无统计学意义(P>0.05);治疗后,联合组POP-SS低于针刺组和呼吸训练组,膀胱颈活动度、肛提肌裂孔面积小于针刺组和呼吸训练组,盆底肌肌力、静息下膀胱颈位置高于针刺组和呼吸训练组(P<0.017).结论:超声引导下针刺带脉穴结合胸-腹-盆呼吸协调训练治疗产后轻、中度POP的效果显著,其疗效优于单一针刺或呼吸训练,能有效改善患者临床症状,提升盆底肌肌力,促进盆底解剖结构恢复.
Objective:To investigate the clinical efficacy of ultrasound-guided acupuncture at Daimai point combined with thoracic-abdominal-pelvic breathing coordination training in the treatment of postpartum mild to moderate pelvic organ prolapse(POP).Method:A randomized controlled trial design was adopted in this study.A total of 126 patients with postpartum mild to moderate POP who were treated at the Affiliated Hospital of Jiangxi University of Chinese Medicine from June 2024 to September 2025 were randomly divided into the acupuncture group,the breathing training group,and the combined group,with 42 cases in each group.The acupuncture group was given ultrasound-guided acupuncture at bilateral Daimai points,the breathing training group was given thoracic-abdominal-pelvic breathing coordination training,the combined group was given ultrasound-guided acupuncture at bilateral Daimai points combined with thoracic-abdominal-pelvic breathing coordination training,and all were treated continuously for 8 weeks.The clinical efficacy,POP symptom score(POP-SS),pelvic floor muscle strength,and pelvic floor color Doppler ultrasound examination indicators of the three groups were compared.Result:The total effective rate of the combined group was higher than that of the breathing training group(P<0.017).Before treatment,there were no significant differences in POP-SS,pelvic floor muscle strength,bladder neck position at rest,bladder neck mobility,and levator hiatus area among the three groups(P>0.05).After treatment,the POP-SS of the combined group was lower than that of the acupuncture group and the breathing training group,the bladder neck mobility and the levator hiatus area were smaller than those of the acupuncture group and the breathing training group,the pelvic floor muscle strength and the bladder neck position at rest were higher than those of the acupuncture group and the breathing training group(P<0.017).Conclusion:Ultrasound-guided acupuncture at Daimai point combined with thoracic-abdominal-pelvic breathing coordination training has a significant effect in the treatment of postpartum mild to moderate POP,which is superior to single acupuncture or breathing training alone.It can effectively improve clinical symptoms,enhance pelvic floor muscle strength,and promote the recovery of the pelvic floor anatomical structure.
王胜灵;刘清;万姹嫣;王丽芳;钟连芳
江西中医药大学附属医院康复二科 江西 南昌 330000江西中医药大学附属医院康复二科 江西 南昌 330000江西中医药大学附属医院康复二科 江西 南昌 330000江西中医药大学附属医院康复二科 江西 南昌 330000江西中医药大学附属医院康复二科 江西 南昌 330000
医药卫生
盆腔器官脱垂超声引导针刺带脉穴呼吸协调训练
Pelvic organ prolapseUltrasound guidanceAcupunctureDaimai pointBreathing coordination training
《中国医学创新》 2026 (20)
1-5,5
江西省中医药管理局科技计划项目(2024B0242)
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