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| Effects of warm acupuncture combined with biofeedback electrical stimulation on ovarian function and postpartum quality of life in advanced-age women after vaginal birth |
| Hits 293 Download times 125 Received:May 10, 2025 |
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| DOI
10.11656/j.issn.1672-1519.2025.10.06 |
| Key Words
warm acupuncture;biofeedback electrical stimulation;vaginal delivery;advanced-age women after vaginal birth;ovarian function;quality of life |
| Author Name | Affiliation | E-mail | | LI Ling | Department of Acupuncture and Massage Rehabilitation, The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410005, China | | | TAN Jia | Department of Traditional Chinese Medicine Integration, Changsha County Maternal and Child Healthcare Hospital, Changsha 410100, China | | | SHI Xuehui | Department of Acupuncture and Massage Rehabilitation, The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410005, China | LiLing19900615@163.com |
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| Abstract
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| Objective To analyze the effect of warm acupuncture combined with biofeedback electrical stimulation on ovarian function and postpartum quality of life in advanced-age women after vaginal birth.Methods The 203 advanced-age women after vaginal birth who received rehabilitation treatment at The Second Affiliated Hospital of Hunan University of Chinese Medicine from June 2019 to June 2023 were prospectively and continuously included. The 148 advanced-age women were finally included according to the inclusion and exclusion criteria. The puerpera were randomly divided into the control group(74 cases treated with biofeedback electrical stimulation) and the study group(74 cases treated with warm acupuncture combined with biofeedback electrical stimulation). The changes of ovarian function indexes [follicle stimulating hormone(FSH), FSH/luteinizing hormone(LH), anti-Mullerian hormone(AMH) and antral follicle count(AFCs)] and ovarian hemodynamic indexes [ovarian resistance index(RI), pulsatility index(PI)] before and after treatment were compared between the two groups. The differences of uterine volume and endometrial thickness, the resumption time of menstruation and the duration of menstruation were recorded. Then the puerpera were followed up for 6 months, and no puerpera dropped out. The changes of short form 36-item health survey(SF-36) before and after treatment were compared.Results After treatment, FSH and FSH/LH in the study group were lower than those in the control group, and AMH and AFCs were higher than those in the control group(P < 0.05). After treatment, ovarian hemodynamic indexes(RI and PI) in the study group were significantly lower than those in the control group(P < 0.05). After treatment, the uterine volume and endometrial thickness of the two groups were significantly higher than those before treatment(P < 0.05), but there was no significant difference between the two groups(P > 0.05). Compared with the control group, the recovery time of menstruation was shorter and the duration of menstruation was longer in the study group(P < 0.05). After 6 months of follow-up, the SF-36 of the study group was significantly higher than that of the control group(P < 0.05).Conclusion Warm acupuncture combined with biofeedback electrical stimulation can significantly improve the ovarian function and postpartum quality of life of advanced-age women after vaginal birth, and provide a guarantee for postpartum repair of elderly parturient, which can be widely used in clinical practice. |
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