[Effect of moxibustion on postpartum urodynamics and pelvic floor function in puerperal women].

To observe the effect of moxibustion on postpartum urodynamics and recovery of pelvic floor function based on the pelvic floor muscle function training.A total of 150 puerperal women were randomly divided into an observation group (75 cases, 15 cases dropped off) and a control group (75 cases, 15 cases dropped off). The control group was treated with pelvic floor muscle function training, twice a day. Based on the treatment in the control group, the observation group was treated with Baixiao moxibustion at Qihai (CV 6), Guanyuan (CV 4), Sanyinjiao (SP 6) and Zusanli (ST 36), twice a week. The treatment started on the 42nd day after delivery, totaling for 12 weeks. The urodynamic indexes (functional urethral length [FUL], stress leak point pressure [SLPP], maximum urethral closure pressure [MUCP], bladder compliance [BC], maximum urethral pressure [MUP], detrusor pressure at maximum urinary flow rate [Pdet Qmax]), the international consultation on incontinence questionnaire-urinary incontinence-short form (ICIQ-UI-SF) score and vaginal muscle voltage were observed before and after treatment. The prolapse rate of pelvic floor organ and normal rate of pelvic floor muscle strength of the two groups were recorded after treatment.Compared before treatment, the levels of FUL, MUCP, BC, Pdet Qmax and SLPP in the observation group after treatment were increased (P<0.05), while the FUL and SLPP in the control group after treatment were increased (P<0.05). After treatment, the levels of FUL, SLPP, MUCP and BC in the observation group were higher than those in the control group (P<0.05). Compared before treatment, the ICIQ-UI-SF scores in the two groups after treatment were decreased (P<0.01), and the vaginal muscle voltage was increased (P<0.01). After treatment, the ICIQ-UI-SF score in the observation group was lower than that in the control group (P<0.01), and the vaginal muscle voltage in the observation group was higher than that in the control group (P<0.01). The prolapse rate of pelvic floor organ was 6.7% (4/60) in the observation group, which was lower than 20.0% (12/60) in the control group (P<0.05). The normal rate of pelvic floor muscle strength in the observation group was 88.3% (53/60), which was higher than 65.0% (39/60) in the control group (P<0.05).The moxibustion combined with pelvic floor muscle function training could improve postpartum urodynamics and pelvic floor muscle strength.目的：在盆底肌功能训练基础上，观察艾灸对产妇产后尿动力学与盆底功能恢复的作用。方法：将150例产妇随机分为观察组（75例，脱落15例）和对照组（75例，脱落15例）。对照组予盆底肌功能训练，每天2次；观察组在对照组基础上联合艾灸治疗，穴取气海、关元、三阴交、足三里，选用百笑灸，每周2次，均产后第42天开始治疗，共12周。观察两组产妇治疗前后尿动力学指标[功能尿道长度（FUL）、应力性漏尿点压力（SLPP）、尿道最大闭合压力（MUCP）、膀胱顺应性（BC）、尿道最大测量压（MUP）、最大尿流率时逼尿肌压力（Pdet Qmax）]、国际尿失禁问卷简表（ICIQ-UI-SF）评分及阴道肌电压，记录两组产妇治疗后盆底脏器脱垂率和盆底肌力正常率。结果：与治疗前比较，观察组治疗后FUL、MUCP、BC、Pdet Qmax、SLPP升高（P<0.05），对照组治疗后FUL、SLPP升高（P<0.05）；治疗后，观察组FUL、SLPP、MUCP、BC高于对照组（P<0.05）。与治疗前比较，两组治疗后ICIQ-UI-SF评分均降低（P<0.01），阴道肌电压均升高（P<0.01）；治疗后，观察组ICIQ-UI-SF 评分低于对照组（P<0.01），阴道肌电压高于对照组（P<0.01）。观察组患者盆底器官脱垂率为6.7%（4/60），低于对照组的20.0%（12/60，P<0.05）。观察组盆底肌力正常率为88.3%（53/60），高于对照组的65.0%（39/60，P<0.05）。结论：艾灸联合盆底肌功能训练可改善产后尿动力学情况及盆底肌力。.