| 摘要: |
| 目的：通过四维盆底超声观察温针灸联合盆底肌锻炼治疗女性压力尿失禁（SUI）的疗效及优势。方法：筛选70例符合条件的SUI患者，随机分成对照组35例，试验组35例。对照组采用单纯盆底肌锻炼，试验组采用温针灸联合盆底肌锻炼。一月后行疗效评估及经会阴四维盆底超声检查，四维成像得到完整的肛提肌裂孔图像。分别测量治疗前后两组被试静息和Valsava状态下肛提肌厚度(MLT)、肛提肌裂孔左右径（LHW）和面积（LHA）、膀胱颈移动度（BLM），并记录，采用独立样本t检验（P<0.05）。结果：两组被试治疗后临床症状均改善，试验组为著，静息和Valsava状态下MLT增厚、LHW、LHA和BLM减小，试验组更显著，具有统计学差异（P<0.05），LHW差异明显（P<0.01）。结论：温针灸联合盆底肌锻炼更有效提高单纯盆底锻炼治疗SUI的疗效，LHW变化最显著。 |
| 关键词: 四维盆底超声 温针灸 盆底肌锻炼 SUI |
| DOI： |
| 投稿时间：2017-12-05修订日期：2018-01-08 |
| 基金项目: |
|
| Evaluation of the curative effect of 4-D pelvic floor ultrasound on the treatment of SUI by the combination of warm acupuncture and pelvic floor muscle exercise |
| He Yuan |
| () |
| Abstract: |
| Objective: Using the four-dimensional pelvic floor ultrasound to observe the curative effects and advantages of treating female stress urinary incontinence (SUI) by the combination of warm acupuncture and pelvic floor muscle exercise.Methods: 70 patients with satisfactory condition were screened and 35 were randomly divided into control group and 35 in the experimental group. The control group adopted the simple pelvic floor muscle exercise while the test group adopted the warm acupuncture combined with pelvic floor muscle. After one month, the results were evaluated and the four-dimensional pelvic floor ultrasonography was carried out to get complete levator ani muscle borehole image through Four-dimensional imaging . The levels of levator ani (MLT), LHW and LHA, and bladder neck mobility (BLM) of the two groups before and after treatment were measured at rest and Valsava. Then, take the Sample to test (P <0.05). Results: The clinical symptoms of both groups were improved after treatment. The experimental group was as follows: MLT thickening, LHW, LHA and BLM decreased at rest and in Valsava state, and the test group was more significant with statistical difference (P <0.05); LHW?The difference was significant (P <0.01).Conclusion: The combination of warm acupuncture and pelvic floor exercises is more effective in improving the curative effect of pure pelvic floor exercise in treating SUI. LHW changes most obviously. |
| Key words: 4-D pelvic floor ultrasound Warm acupuncture Pelvic floor muscle exercise SUI |
