首页|补中益气颗粒联合盆底肌训练在产后盆底功能障碍性病变患者中的应用效果研究

补中益气颗粒联合盆底肌训练在产后盆底功能障碍性病变患者中的应用效果研究

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目的 探讨补中益气颗粒联合盆底肌训练在产后盆底功能障碍性病变患者中的应用效果.方法 选择2019 年 1 月—2023 年 6 月我院接诊的 100 例产后盆底功能障碍性病变患者为研究对象,采用随机数字表法将其分为对照组和观察组,各50 例.对照组采用盆底肌训练,观察组在对照组基础上采用补中益气颗粒治疗.比较两组患者的疗效、盆底肌力及临床症状评分情况.结果 观察组治疗总有效率为 96.00%,高于对照组的 82.00%,差异有统计学意义(P﹤0.05).治疗前,两组慢肌平均肌电值、阴道收缩持续时间、快肌最大肌电值和阴道动态压力比较,组间差异无统计学意义(P﹥0.05);治疗后,观察组慢肌平均肌电值、快肌最大肌电值均大于对照组,阴道收缩持续时间长于对照组,阴道动态压力高于对照组,组间差异有统计学意义(P﹤0.05).治疗前,两组阴道干涩、骨盆疼痛、排尿异常、便秘症状评分比较,组间差异无统计学意义(P﹥0.05);治疗后,观察组阴道干涩、骨盆疼痛、排尿异常、便秘症状评分均低于对照组,组间差异有统计学意义(P﹤0.05).结论 补中益气颗粒联合盆底肌训练应用于产后盆底功能障碍性病变有利于提升盆底肌力,改善临床症状,康复效果较好.
Effect of Buzhong Yiqi Granules Combined with Pelvic Floor Muscle Training on the Rehabilitation of Postpartum Pelvic Floor Dysfunction Patients
Objective To investigate the effect of Buzhong Yiqi granules combined with pelvic floor muscle training on the rehabilitation of postpartum pelvic floor dysfunction patients.Methods 100 patients with postpartum pelvic floor dysfunction admitted to our hospital from January 2019 to June 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 50 cases in each group.The matched group received pelvic floor muscle training,while the observation group received a combination of Buzhong Yiqi granules.Compare the efficacy,pelvic floor muscle condition and symptom scores between the two groups.Results The effective rate of the observation group was 96.00%,which was higher than the control group's 82.00%,and the difference was statistically significant(P﹤0.05).Before treatment,there was no statistically significant difference between the two groups in terms of average electromyographic value of slow muscles,duration of vaginal contractions,maximum electromyographic value of fast muscles,and dynamic vaginal pressure(P﹥0.05);after treatment,the average electromyographic value of the slow muscle and the maximum electromyographic value of the fast muscle in the observation group were higher than those in the control group,the duration of vaginal contraction was longer than that in the control group,and the dynamic pressure of the vagina was higher than that in the control group,and the differences between the groups were statistically significant(P﹤0.05).Before treatment,there was no statistically significant difference in the scores of vaginal dryness,pelvic pain,abnormal urination,and constipation symptoms between the two groups(P﹥0.05);after treatment,the observation group had lower scores for vaginal dryness,pelvic pain,abnormal urination,and constipation symptoms than the control group,with statistically significant differences between the groups(P﹤0.05).Conclusion Buzhong Yiqi granule combined with pelvic floor muscle training can improve the pelvic floor muscle strength,improve clinical symptoms and have a good rehabilitation effect on postpartum pelvic floor dysfunction.

Postpartum pelvic floor dysfunction lesionsBuzhong Yiqi GranulesPelvic floor muscle trainingPelvic floor muscle strengthClinical signs and symptoms

李佳

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江苏省淮安市洪泽区人民医院妇产科,江苏淮安 223100

产后盆底功能障碍性病变 补中益气颗粒 盆底肌训练 盆底肌力 临床症状

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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