中国医学创新2026，Vol.23Issue(20)：1-5,5.DOI:10.3969/j.issn.1674-4985.2026.20.001
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
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
摘要
Abstract
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.关键词
盆腔器官脱垂/超声引导/针刺/带脉穴/呼吸协调训练Key words
Pelvic organ prolapse/Ultrasound guidance/Acupuncture/Daimai point/Breathing coordination training分类
医药卫生引用本文复制引用
王胜灵,刘清,万姹嫣,王丽芳,钟连芳..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[J].中国医学创新,2026,23(20):1-5,5.基金项目
江西省中医药管理局科技计划项目(2024B0242) （2024B0242）
