首页|基于"脾主肌肉"理论下探究补中益气汤联合生物反馈治疗女性盆底松弛型便秘的疗效

基于"脾主肌肉"理论下探究补中益气汤联合生物反馈治疗女性盆底松弛型便秘的疗效

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目的:探讨补中益气汤、生物反馈联合治疗女性盆底松弛型便秘的应用价值。方法:选取2022 年 12 月至 2023 年 12 月厦门市中医院收治的女性盆底松弛型便秘患者60 例,随机分为两组,各30 例。其中采用生物反馈治疗的纳入对照组,采用补中益气汤联合生物反馈治疗的纳入观察组。比较两组患者疗效,治疗前后临床症状评分、盆底动力学指标。结果:观察组患者临床总有效率为96。67%,高于对照组的73。33%,差异具有统计学意义(P<0。05);观察组患者X线排粪造影总有效率为 93。33%,高于对照组的 70。00%,差异具有统计学意义(P<0。05);治疗后观察组患者症状评分(排便费力、大便性状、排便时间、排便频率、排便不尽感、腹胀)均较对照组低,差异具有统计学意义(P<0。05);治疗后观察组患者力排时肛管残余压低于对照组,肛直角力排值、持续收缩电位、快速收缩电位高于对照组,差异具有统计学意义(P<0。05)。结论:补中益气汤、生物反馈联合治疗女性盆底松弛型便秘患者疗效确切,可有效改善盆底肌张收缩力、肛管直肠压力,缓解临床症状。
Exploring the Efficacy of Buzhong Yiqi Decoction Combined with Biofeedback in the Treatment of Female Pelvic Floor Relaxation Constipation
Objective To explore the application value of Buzhong Yiqi decoction combined with biofeedback in the treatment of female pelvic floor laxative constipation.Methods A total of 60 female patients with pelvic floor laxative constipation admitted to Xiamen Hospital of Traditional Chinese Medicine from December 2022 to December 2023 were randomly divided into two groups with 30 cases in each group.The control group receiving biofeedback treatment was included,and the observation group receiving Buzhong Yiqi decoction combined with biofeedback treatment was included.The efficacy,clinical symptom score,pelvic floor dynamics index were compared between the two groups.Results The total clinical effective rate of the observation group was 96.67%,higher than 73.33%of the control group,the difference was statistically significant(P<0.05).The total effective rate of X-ray defecation in the observation group was 93.33%,which was higher than 70.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the symptom scores(defecation effort,stool characteristics,defecation time,defecation frequency,feeling of uncompleted defecation,abdominal distension)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the anal canal residual in the observation group was lower than that in the control group,and the anal vertical angular displacement value,sustained contraction potential and rapid contraction potential were higher than those in the control group,with statistical significance(P<0.05).Conclusion Buzhong Yiqi decoction combined with biofeedback is effective in treating women with pelvic floor laxative constipation,which can effectively improve pelvic floor muscle tension and anorectal pressure,and alleviate clinical symptoms.

ConstipationPelvic floor relaxation typeBuzhong Yiqi decoctionBiofeedback

王小林、何之光、林丽珠、赵斌

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厦门市中医院 厦门市盆底动力学重点实验室,福建 厦门 361000

便秘 盆底松弛型 补中益气汤 生物反馈

厦门市医疗卫生指导项目

350220214ZD1152

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(9)