首页|补中益气汤联合盆底康复治疗产后盆底功能障碍性疾病的效果

补中益气汤联合盆底康复治疗产后盆底功能障碍性疾病的效果

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目的 探讨中西医结合治疗产后女性盆底功能障碍性疾病(PFD)的效果.方法 选取100例产后PFD患者,所有产妇均为单胎妊娠、初产妇以及足月分娩,随机分为试验组50例和对照组50例.对照组进行盆底电刺激+生物反馈的盆底康复治疗,每周2次,每次约30 min,10次为一疗程,连续治疗1个疗程.试验组在对照组的基础上加用补中益气汤加味治疗,连续治疗1个月为一疗程,共治疗3个疗程.比较2组患者治疗后盆底肌纤维肌力及有效率、盆腔脏器脱垂以及压力性尿失禁的情况.结果 治疗后试验组盆底肌纤维肌力及有效率均明显高于对照组,试验组盆腔脏器脱垂和压力性尿失禁发生率明显低于对照组(均P<0.05).结论 补中益气汤联合盆底康复治疗可显著改善产后PFD患者盆底肌纤维肌力、盆腔器官脱垂及压力性尿失禁情况.
Effects of Pelvic Floor Rehabilitation Therapy Combined with Buzhongyiqi Decoction on Pelvic Floor Dysfunction
Objective To explore the clinical effect of the combination therapy of traditional Chinese medicine and Western medicine on pelvic floor dysfunction(PFD)in postpartum women.Methods 100 patients with postpartum PFD,all of whom were primiparous women and had sin-gle pregnancy and full-term delivery,were selected and randomly divided into the experimental group(n=50)and the control group(n=50).In the control group,the pelvic floor rehabilitation therapy of pelvic floor electrical stimulation+biofeedback was conducted twice a week for about 30 min each time,10 times in one course of treatment,and one course of treatment was consecu-tively carried out;the experimental group was further treated with Buzhongyiqi decoction,a TCM drug,continuously for 1 month for 1 course of treatment,and was treated for 3 courses of treat-ment in total.The pelvic floor muscle strength and efficiency,pelvic organ prolapse,and stress uri-nary incontinence were compared between the 2 groups after treatment.Results After treatment,the pelvic floor muscle strength and effective rate of the experimental group were significantly higher than those of the control group,and the incidence of pelvic organ prolapse and stress urina-ry incontinence of the experimental group was significantly lower than that of the control group(all P<0.05).Conclusion The pelvic floor rehabilitation therapy combined with Buzhongyiqi de-coction might improve pelvic floor muscle strength,relieve pelvic organ prolapse,and alleviate stress urinary incontinence in postpartum patients with PFD.

pelvic floor dysfunctionBuzhongyiqi decoctionpelvic floor rehabilitation therapy

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江西省妇幼保健院妇科,南昌 330006

盆底功能障碍性疾病 补中益气汤 盆底康复治疗

江西省中医药局一般项目

2020B0226

2024

实用临床医学
南昌大学

实用临床医学

影响因子:0.818
ISSN:1009-8194
年,卷(期):2024.25(2)
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