Abstract: Objective To explore the effect of balance acupuncture combined with manipulation massage and bioelectric stimulation of postpartum pelvic floor dysfunction. Methods A total of 126 patients with postpartum pelvic floor dysfunction admitted to Rongcheng Maternal and Child Health Hospital of Shandong Province from August 2021 to January 2023 were selected as the study objects, and were divided into experimental group and control group according to computer random number table method, with 63 cases in each group. The two groups were treated with routine education, the control group was treated with bioelectric stimulation, and the experimental group was treated with balanced acupuncture and manipulative massage on the basis of the control group. The therapeutic effect, the change of pelvic floor muscle strength, the electromyography value of class I to II muscle fibers and the quantitative staging score of pelvic organ prolapsis (POP-Q) were compared between the two groups. Results There was no difference in Class Ⅰ, Class Ⅱ electromyography and muscle fiber fatigue between the two groups before treatment (P>0.05). After treatment, class Ⅰ and class Ⅱ electromyography values were higher than before treatment, while muscle fiber fatigue was lower in the two groups, while class Ⅰ and class Ⅱ electromyography values in the experimental group were higher than that in the control group, while muscle fiber fatigue was lower than that in the control group (P<0.05). After treatment, 0 degree was higher in both groups than before treatment, Ⅰ degree was lower than before treatment, and the number of 0 degree cases in experimental group was more than that in control group, but the number of Ⅰ degree cases was less than that in control group (P<0.05). The total effective rate of experimental group was higher than that of control group (P<0.05). There was no difference in physical discomfort symptoms between the two groups after treatment (P>0.05). Conclusion Balanced acupuncture combined with manipulation massage and bioelectric stimulation in the treatment of PFD can improve the electro myoelectric value of pelvic floor and promote the recovery of muscle strength, with good effect and high safety.

Key words: postpartum pelvic floor dysfunction, balanced acupuncture, manipulation massage, mimicking bioelectric stimulation, pelvic floor strength