Study On The Effect Of Moxibustion Combined With Rehabilitation Training On The Function And Life Of Patients With Postpartum Pelvic Floor Dysfunction

Objective: To observe the effect of moxibustion therapy combined with the pelvic floor rehabilitation training on the function and quality of life of patients with postpartum hypokinetic pelvic floor dysfunction through clinical randomized controlled trial,so as to provide the rehabilitation program of integrated traditional Chinese and western medicine and clinical research evidence for the prevention and treatment of postpartum pelvic floor dysfunction.Methods: From October 2018 to December 2019,64 patients with postpartum hypokinetic pelvic floor dysfunction treated in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine were selected as the study objects,and randomly divided into the combined group and the control group,32 cases each.The control group was given health education and pelvic floor rehabilitation training,the combined group increased moxibustion therapy on the basis of the control group,5 times a week,lasting for 4 weeks.Before and after treatment,the patients in the two groups were evaluated with the the pelvic floor surface electromyography(s EMG),the pelvic floor distress inventory-short form and the pelvic floor impact questionaire-short form,and the evaluation results were compared and analyzed.Results:(1)During the treatment,3 patients failed to complete the study as required due to poor treatment compliance,including 2 cases in the combined group and 1 cases in the control group.Finally,61 patients with postpartum pelvic floor dysfunction were included in stduy,30 cases in the combined group and 31 cases in the control group.(2)Before the treatment: there were no significant difference between the two groups in the evaluation results of the pelvic floor surface electromyography,the scores of the pelvic floor distress inventory-short form and the scores of the pelvic floor impact questionaire-short form(P>0.05).After the treatment:(1)The electromyography values of each step of patients in the two groups were significantly higher than those before the treatment(P<0.01),and the electromyography values of each step of patients in the combined group were higher than those in the control group(P<0.05).(2)The scores of the pelvic floor distress inventory-short form of patients in the two groups were significantly lower than those before the treatment(P<0.01),and the scores of patients in the combined group were lower than those in the control group(P<0.01).(3)The scores of the pelvic floor impact questionaire-short form of patients in the two groups were significantly lower than those before the treatment(P<0.01),and the scores of patients in the combined group were lower than those in the control group(P<0.01).Conclusion: Moxibustion therapy combined with pelvic floor rehabilitation training can effectively promote the recovery of postnatal pelvic floor tissue injury,improve the pelvic floor function and the quality of life of patients,and the research results were better than single pelvic floor rehabilitation training.