Objective:To analyze the influence of CHENs'Penle Decoction on pelvic floor muscle strength and urodynamics in patients with postpartum pelvic floor dysfunction(PFD).Methods:Between January 2018 and October 2019,116 patients with PFD were selected and randomly divided into observation group and control group,58 cases in each group.The control group received electrical stimulation combined with biofeedback pelvic floor muscle exercise.The observation group received CHENs'Penle Decoction combined with biofeedback pelvic floor muscle exercise.Both groups were treated for 8 weeks.The Pelvic Floor Distress Inventory-Short Form 20(PFDI-20)scores,the Pelvic Organ Prolapse Quantification(POP-Q)scores,and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12(PISQ-12)scores of the 2 groups were compared.Pelvic floor muscle strength[bladder neck-symphyseal distance(BSD),posterior urethrovesical angle(PUVA),and the mobility of the ureterovesical junction(UVJ-M)]was measured by pelvic floor three-dimensional ultrasound,pelvic floor muscle strength and muscle fatigue were determined with a biostimulation feedback instrument,and adverse reactions were recorded.Results:After 8 weeks of treatment,at 6 months and 12 months after delivery,the PFDI-20 scores and POP-Q scores of the two groups decreased(P＜0.05),while PISQ-12 scores(except for the control group after 8 weeks of treatment)increased(P＜0.05).Meanwhile,the observation group had lower PFDI-20 scores and POP-Q scores,and higher PISQ-12 scores than the control group(P＜0.05).Significant changes in BSD,PUVA,and UVJ-M were observed in the two groups after delivery,and BSD was higher while PUVA and UVJ-M(except for the control group after 8 weeks of treatment)were lower in the observation group than in the control group after 8 weeks of treatment,at 6 months and 12 months after delivery(P＜0.05).The pelvic floor electromyography activity values of class Ⅰ and class Ⅱ muscle fibers of the observation group at postpartum 6 months and 12 months were greater than those of the control group(P＜0.05),while the pelvic floor muscle fatigue value was lower than that of the control group(P＜0.05).No obvious adverse reactions were observed in the two groups.Conclusion:CHENs'Penle Decoction applied in the treatment of postpartum PFD can significantly improve the pelvic floor muscle strength and urodynamics,and pelvic floor muscle fatigue,thereby improving the patients'quality of life.Additionally,it is safe and reliable.
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