首页|低频脉冲电刺激联合补中益气丸治疗全子宫切除术后盆底功能障碍的临床研究

低频脉冲电刺激联合补中益气丸治疗全子宫切除术后盆底功能障碍的临床研究

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目的:探讨低频脉冲电刺激联合补中益气丸治疗全子宫切除术后盆底功能障碍(PFD)的临床效果。方法:选择 2021 年 8 月—2022 年 12 月阳江市中医医院收治的 110 例全子宫切除术后PFD患者,根据随机数表法分为对照组、治疗组,各 55 例。对照组给予常规康复训练治疗,治疗组给予低频脉冲电刺激联合补中益气丸治疗。比较两组治疗前后盆底肌肌力、盆腔器官脱垂(POP)分度、压力性尿失禁(SUI)分级,性生活满意度及治疗效果。结果:治疗前,两组盆底肌肌力比较,差异无统计学意义(P>0。05);治疗后,两组盆底肌肌力均优于治疗前,且治疗组优于对照组,差异有统计学意义(P<0。05)。治疗前,两组阴道前壁膨出、阴道后壁膨出分度比较,差异无统计学意义(P>0。05);治疗后,两组阴道前壁膨出、阴道后壁膨出分度均优于治疗前,且治疗组优于对照组,差异有统计学意义(P<0。05)。治疗前,两组SUI分级比较,差异无统计学意义(P>0。05);治疗后,两组SUI分级均优于治疗前,且治疗组优于对照组,差异有统计学意义(P<0。05)。治疗前,两组女性性功能量表(FSFI)评分比较,差异无统计学意义(P>0。05);治疗后,两组FSFI评分均高于治疗前,且治疗组高于对照组,差异有统计学意义(P<0。05)。治疗组总有效率高于对照组,差异有统计学意义(P<0。05)。结论:低频脉冲电刺激联合补中益气丸治疗全子宫切除术后PFD的临床效果显著,能够有效提升患者盆底肌肌力,改善POP与SUI程度,提升性生活满意度。
Clinical Study of Low Frequency Pulsed Electrical Stimulation Combined with Buzhong Yiqi Pills in the Treatment of Pelvic Floor Dysfunction after Total Hysterectomy
Objective:To investigate the clinical effect of low frequency pulse electrical stimulation combined with Buzhong Yiqi Pills in the treatment of pelvic floor dysfunction(PFD)after total hysterectomy.Method:A total of 110 patients with PFD after total hysterectomy treated in Yangjiang Hospital of Traditional Chinese Medicine from August 2021 to December 2022 were selected and divided into control group and treatment group according to random number table method,with 55 cases in each group.The control group was given routine rehabilitation training,and the treatment group was given low frequency pulse electrical stimulation combined with Buzhong Yiqi Pills.Pelvic floor muscle strength,pelvic organ prolapse(POP)grading,stress urinary incontinence(SUI)grading,sexual satisfaction before and after treatment and therapeutic effect were compared between the two groups.Result:Before treatment,there was no significant difference in pelvic floor muscle strength between the two groups(P>0.05).After treatment,the pelvic floor muscle strength in both groups were better than those before treatment,and the treatment group was better than that in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences between the two groups in anterior vaginal wall bulge grading and posterior vaginal wall bulge grading(P>0.05).After treatment,anterior vaginal wall bulge grading and posterior vaginal wall bulge grading in both groups were better than those before treatment,and the gradings in the treatment group were better than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in SUI grading between the two groups(P>0.05).After treatment,SUI grading in both groups were better than those before treatment,and the grading in the treatment group was better than the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in female sexual function index(FSFI)scores between the two groups(P>0.05).After treatment,FSFI scores in both groups were higher than those before treatment,and the treatment group was higher than the control group,the differences were statistically significant(P<0.05).The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Low frequency pulse electrical stimulation combined with Buzhong Yiqi Pills has significant clinical effect in the treatment of PFD after total hysterectomy,which can effectively improve the strength of the pelvic floor muscle,improve the degree of POP and SUI,and enhance sexual satisfaction.

Total hysterectomyPelvic floor dysfunctionLow frequency pulse electrical stimulationBuzhong Yiqi PillsPelvic organ prolapseStress urinary incontinence

陆凤连、邓梅兰、沙芝柳

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阳江市中医医院 广东 阳江 529500

全子宫切除术 盆底功能障碍 低频脉冲电刺激 补中益气丸 盆腔器官脱垂 压力性尿失禁

阳江市医疗卫生类科技计划项目

SF2021085

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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