Acupuncture based on "status-target coherence" theory combined with Kegel exercises for vaginal laxity syndrome: a randomized controlled trial

ZHAO Yujing; FENG Yunshu; DU Xin; BI Hong; WANG Yang; FAN Xiuhua

doi:10.13703/j.0255-2930.20240524-0002

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Acupuncture based on "status-target coherence" theory combined with Kegel exercises for vaginal laxity syndrome: a randomized controlled trial

Clinical Research | 更新时间：2025-01-09

- Acupuncture based on "status-target coherence" theory combined with Kegel exercises for vaginal laxity syndrome: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 1, Pages: 31-35(2025)
- 作者机构：
  
  1.中国中医科学院广安门医院妇科，北京　100053
  2.中国中医科学院广安门医院心理科，北京　100053
  3.中国中医科学院广安门医院针灸科，北京　100053
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240524-0002
  CLC：
- Received：24 May 2024，
  
  Online First：25 October 2024，
  
  Published：12 January 2025
- 稿件说明：
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ZHAO Yujing, FENG Yunshu, DU Xin, et al. Acupuncture based on "status-target coherence" theory combined with Kegel exercises for vaginal laxity syndrome: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(1): 31-35.
DOI：

ZHAO Yujing, FENG Yunshu, DU Xin, et al. Acupuncture based on "status-target coherence" theory combined with Kegel exercises for vaginal laxity syndrome: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(1): 31-35. DOI： 10.13703/j.0255-2930.20240524-0002.

摘要

目的：

观察“态靶同调”理论指导下针刺联合凯格尔运动治疗阴道松弛症（VLS）的临床疗效。

方法：

将66例VLS患者随机分为观察组（33例，脱落2例，中止1例）和对照组（33例，脱落5例）。观察组予针刺联合凯格尔运动治疗，针刺穴取双侧次髎、中髎、三阴交等；对照组仅进行凯格尔运动。针刺与凯格尔运动均隔日1次，每周3次，连续治疗12周。于治疗前及治疗后，观察两组患者阴道松弛度问卷（VLQ）评分、盆底肌力（阴道静息压、阴道收缩压、阴道收缩持续时间）、阴道松弛度、性生活满意度问卷（SSQ）评级。

结果：

治疗后，观察组患者VLQ评分较治

疗前升高（

0.05），阴道静息压、阴道收缩压、阴道收缩持续时间较治疗前增加或延长（

0.05），SSQ评级较治疗前改善（

0.05）；观察组VLQ评分、阴道静息压、阴道收缩压高于对照组（

0.05），阴道收缩持续时间长于对照组（

0.05），SSQ评级优于对照组（

0.05）。两组患者阴道松弛度治疗前后及治疗后比较差异无统计学意义（

0.05）。

结论：

“态靶同调”理论指导下针刺联合凯格尔运动可有效增强VLS患者盆底肌力量，改善阴道松弛症状，提高性生活满意度，疗效优于单纯凯格尔运动。

Abstract

Objective

To observe the clinical efficacy of acupuncture based on "status-target coherence" theory combined with Kegel exercises for vaginal laxity syndrome (VLS).

Methods

Sixty-six patients with VLS were randomized into an observation group (33 cases

2 cases dropped out

1 case was discontinued) and a control group (33 cases

5 cases dropped out). The observation group was treated with acupuncture combined with Kegel exercises

acupuncture was applied to bilateral Ciliao (BL32)

Zhongliao (BL33)

Sanyinjiao (SP6)

etc. The control group was treated with Kegel exercises. Both acupuncture and Kegel exercises were performed once every other day

three times a week for 12 weeks. Before and after treatment

the vaginal laxity questionnaire (VLQ) score

pelvic floor muscle strength (vaginal resting pressure

vaginal systolic pressure

vaginal contraction duration)

degree of vaginal laxity and sexual satisfaction questionnaire (SSQ) grade were observed in both groups.

Results

After treatment

the VLQ score

vaginal resting pressure

vaginal systolic pressure

vaginal contraction duration in the observation group were elevated compared with those before treatment (

0.05)

and SSQ grade was improved (

0.05); and the above indexes in the observation group were better than those in the control group (

0.05). There were no significant difference before and after treatment in the degre

e of vaginal laxity in the two groups (

0.05).

Conclusion

Acupuncture based on "status-target coherence" theory combined with Kegel exercises can effectively enhance the strength of pelvic floor muscles

improve the symptoms of vaginal laxity

and improve the satisfaction of sexual life

and its therapeutic effect is better than Kegel exercises alone.

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