| 张欣荣,邢荣焕,肖凤梅,张志.温针灸联合低频脉冲电刺激治疗产后尿潴留的研究[J].中国康复,2026,41(2):99-103 |
| 温针灸联合低频脉冲电刺激治疗产后尿潴留的研究 |
| Treatment of postpartum urinary retention with warm needling acupuncture combined with low-frequency pulsed electrical stimulation |
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| DOI：10.3870/zgkf.2026.02.007 |
| 中文关键词: 温针灸 低频脉冲电刺激 产后尿潴留 膀胱功能 盆底肌力 |
| 英文关键词: warm acupuncture and moxibustion low-frequency pulse electrical stimulation postpartum urinary retention bladder function pelvic floor muscle strength |
| 基金项目:河北省中医药管理局资助项目（2025565） |
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| 中文摘要: |
| 目的：探讨温针灸联合低频脉冲电刺激治疗产妇产后尿潴留（PUR）的疗效。方法：选取60例PUR产妇随机分为电刺激组和联合组，各30例。电刺激组行电刺激治疗，联合组在电刺激组基础上加用温针灸治疗。2组均连续治疗3 d，采用中医证候积分为主要结局指标，膀胱功能、盆底肌力、疼痛评分为次要结果评价2组治疗前后疗效，并评价2组治疗后临床疗效。结果：治疗3 d后，2组产妇中医证候评分及视觉模拟量表（VAS）评分均显著降低（P<0.01），且联合组更低于电刺激组（P<0.01）；治疗后2组膀胱初感容积、最大膀胱容量、最大尿流率均显著升高（P<0.01），且联合组更高于对照组（P<0.01）；治疗后，联合组盆底肌力改善率及临床总有效率均显著高于电刺激组（P<0.01）。结论：温针灸联合低频脉冲电刺激治疗PUR，可更显著降低产妇中医证候积分及疼痛程度，提升膀胱功能，提高盆底肌力，提高临床疗效，相较于单纯基础治疗联合低频脉冲电刺激，综合疗效更优，可为PUR治疗提供有效方案。 |
| 英文摘要: |
| Objective: To explore the curative effectiveness of warm acupuncture and moxibustion combined with low-frequency pulse electrical stimulation on postpartum urinary retention (PUR) of parturient women. Methods: All 60 puerperae with PUR were divided randomly into an electrical stimulation group and a combined group, with 30 cases in each group. The electrical stimulation group received electrical stimulation therapy, while the combined group was given additional warm acupuncture and moxibustion therapy on the basis of the treatment for the electrical stimulation group. Both groups were treated continuously for 3 days. The Traditional Chinese Medicine (TCM) syndrome score was used as the primary outcome indicator. The secondary outcomes included bladder function, pelvic floor muscle strength, pain score, and clinical efficacy. Results: At 3rd day after treatment, the TCM syndrome scores and VAS scores in the two groups were significantly reduced (P<0.01), while the initial bladder sensation volume, maximum bladder capacity, and maximum urine flow rate were significantly increased (P<0.01), and the differences between the groups were significant (P<0.01). The improvement rate of pelvic floor muscle strength and the total clinical effective rate in the combined group were significantly higher than those in the electrical stimulation group (P<0.01). Conclusion: In the treatment of PUR, warm needling combined with low-frequency pulse electrical stimulation yielded a superior overall effect compared to using basic therapy with electrical stimulation alone. The combined protocol more significantly reduced TCM syndrome scores and pain levels, enhanced the improvement rates for both bladder function and pelvic floor muscle strength, and resulted in a higher overall clinical effectiveness rate. Therefore, it represents an effective treatment strategy for PUR. |
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