Effect of fresh motherwort herb capsules on the rehabilitation of pelvic floor dysfunction in women among puerperae after vaginal delivery
Objective To evaluate the effect of motherwort capsule on the rehabilitation of pelvic floor function in parturients with pelvic floor dysfunction(PFD)after vaginal delivery by transperineal three-dimensional ultrasound.Methods A retrospective analysis was conducted on the clinical data of 130 parturients who gave birth through vagina in Hangzhou Normal University Affiliated Hospital from September 2021 to July 2022.They were divided into a study group(oral administration of fresh motherwort capsules combined with pelvic floor reha-bilitation training)and control group(pelvic floor rehabilitation training),with 70 and 60 cases respectively.Both groups were treated for 3 months.The uterine prolapse and urine leakage,the area,left and right diameters,and anterior-posterior diameters of the pelvic hiatus under resting state and during anal contraction,quality of life,sex-ual function,and pelvic floor muscle strength(Type Ⅰ and Type Ⅱ muscles)were compared between the two groups after 3 months of rehabilitation.Results After 3 months of treatment,the uterine prolapse grading in the study group(10 cases of degree Ⅱ,19 cases of degree Ⅰ,no 41 cases)and the proportion of parturients with urinary leakage(22/70,31.4％)were both lower than those in the control group[6 cases of degree Ⅲ,12 cases of degree 11,24 cases of grade 1,18 cases of none,32/60(53.3％)](P＜0.05).After 3 months of treatment,(13.0±2.0)cm2,left-right diameter(4.3±1.3)cm,and anterior-posterior diameter(4.3±1.1)cm of the control group during rest and anal contraction were all biger than those of the study group[(9.2±1.3)cm2,(3.0±0.7)cm,(3.1±1.0)cm](P＜0.05),the FSFI score of the study group(19.2±2.1)was higher than that of the control group(14.2±2.1),and the PFDI-20 score(54.9±10.3)was lower than that of the control group(62.6±10.8)(P＜0.05).After 3 months of treatment,the muscle strength of Type Ⅰ and Ⅱ in the study group[(3.59±0.62),(3.31±0.20)]were both greater than those in the control group[(3.02±0.23),(3.03±0.82)](P＜0.05).Conclusion The combination of oral administration of fresh motherwort capsules and pelvic floor rehabilitation training can improve the pelvic floor muscle tissue mor-phology and function of parturients with pelvic floor dysfunction after vaginal delivery,effectively reduce the severity of uterine prolapse,decrease the proportion of urinary leakage and uterine prolapse grading,improve the quality of life of parturients after childbirth,and enhance the level of sexual function.It can be used as a treat-ment measure for postpartum pelvic floor function recovery.
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