首页|补中益气方联合低频冲击反馈电刺激、康复训练治疗对产后盆底康复的效果观察

补中益气方联合低频冲击反馈电刺激、康复训练治疗对产后盆底康复的效果观察

扫码查看
目的 探讨补中益气方联合低频冲击反馈点刺激、康复训练治疗对产后盆底康复的效果.方法 选取2015年1月~2016年1月正常怀孕、足月生产且产后盆底肌力为Ⅱ~Ⅳ级的产妇100例,随机分为观察组和对照组,每组50例.对照组给予低频冲击反馈电刺激和康复训练干预,观察组在对照组基础上同时加服补中益气汤治疗,均治疗3个月.评估和比较治疗前后盆底肌功能、阴道张力、阴道内压、夜尿次数,同时比较2组治疗后性生活质量与并发症发生情况.结果 2组治疗前盆底肌功能指标、阴道张力、阴道内压、夜尿次数比较差异无统计学意义.治疗后盆底肌最大肌电压、盆底肌持续收缩60s平均肌电压值均明显升高(P<0.05),观察组盆底肌最大肌电压、盆底肌持续收缩60s平均肌电压值均显著高于对照组(P<0.05);治疗后2组阴道肌张力、阴道内压水平均明显升高(P<0.05),观察组阴道肌张力、阴道内压水平均显著高于对照组(P<0.05);2组治疗后夜尿次数明显减少(P<0.05),观察组夜尿次数显著低于对照组(P<0.05),且观察组FS-FI评分显著高于对照组(P<0.05).观察组盆腔脏器脱垂、尿失禁发生率为4.26%、6.38%,明显低于对照组的16.67%、18.75%(P<0.05).结论 补中益气方联合低频冲击反馈电刺激、康复训练治疗有利于促进产妇产后盆底康复,提高性生活质量,并可有效降低盆腔脏器脱垂、尿失禁发生率.
Effect of Buzhong Yiqi combined with low frequency shock feedback electric stimulation and rehabilitation training on postpartum pelvic rehabilitation
Objective To explore the effect of Buzhong Yiqi combined with low frequency impact feedback and rehabilitation training on postpartum pelvic floor rehabilitation.Methods100 cases of maternal fertility were randomly divided into observation group and control group, and 50 cases were randomly divided into observation group and control group.The control group was given low-frequency shock and electrical stimulation and rehabilitation training intervention, the observation group in the control group at the same time plus the addition of Buzhong Yiqi Tang treatment, were treated for 3 months.To evaluate and compare the pelvic floor muscle function, vaginal tension, vaginal pressure and nocturia before and after treatment, and compare the quality of life and the occurrence of complications after treatment.ResultsThere were no significant differences in the parameters of the pelvic floor muscle, vaginal tension, vaginal pressure and nocturia before treatment.and the maximal muscle voltage of the pelvic floor muscle and the pelvic floor muscle contraction were 60 s, the mean muscle voltage values of the pelvic floor muscle were significantly increased (P<0.05).However, the vaginal muscle tension and vaginal pressure in the observation group were significantly higher than those in the control group (P<0.05), and the vaginal muscle tension and vaginal pressure were significantly higher (P<0.05), but the number of nocturia in the observation group was significantly lower than that in the control group (P<0.05), and the FS-FI score of the observation group was significantly higher than that of the control group (P<0.05).The incidence of urinary incontinence was 4.26% and 6.38% in the observation group were significantly lower than those in the control group (16.67%, 18.75%, P<0.05).ConclusionBuzhong Yiqi Fang combined with low-frequency shock and electric stimulation, rehabilitation training treatment is conducive to promoting maternal postpartum pelvic floor rehabilitation, improve sexual quality of life, and can effectively reduce the incidence of pelvic organ prolapse, urinary incontinence.

Buzhong Yiqi Fanglow frequency shock feedback electric stimulationrehabilitation trainingpostpartumpelvic floor rehabilitation

毛兵兵、张宁海

展开 >

西安市莲湖区红十字会医院康复科,陕西西安710002

陕西省中医医院妇科,陕西西安710002

补中益气方 低频冲击反馈电刺激 康复训练 产后 盆底康复

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(5)
  • 14
  • 10