文章摘要
唐 虹,张 瑜,游丽娇,王 军,朱春兰.盆底康复治疗仪结合中医辨证治疗产后盆底功能障碍性疾病的临床研究[J].,2020,(12):2346-2350
盆底康复治疗仪结合中医辨证治疗产后盆底功能障碍性疾病的临床研究
Clinical Study of Pelvic Floor Rehabilitation Therapeutic Apparatus Combined with TCM Syndrome Differentiation in Treatment of Postpartum Pelvic Floor Dysfunction
投稿时间:2020-01-23  修订日期:2020-02-18
DOI:10.13241/j.cnki.pmb.2020.12.032
中文关键词: 盆底康复治疗仪  中医辨证分型  盆底功能障碍性疾病
英文关键词: Pelvic floor rehabilitation therapeutic apparatus  TCM syndrome differentiation  Pelvic floor dysfunction
基金项目:2017-2020年浦东新区卫计委项目(PWZzb2017-04);2017-2019年上海市妇幼健康中医专项建设项目
作者单位E-mail
唐 虹 上海市第七人民医院(上海中医药大学附属第七人民医院)妇产科 上海 200137 hami2155@sina.com 
张 瑜 上海市第七人民医院(上海中医药大学附属第七人民医院)妇产科 上海 200137  
游丽娇 上海市第七人民医院(上海中医药大学附属第七人民医院)妇产科 上海 200137  
王 军 上海市第七人民医院(上海中医药大学附属第七人民医院)妇产科 上海 200137  
朱春兰 上海市第七人民医院(上海中医药大学附属第七人民医院)妇产科 上海 200137  
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中文摘要:
      摘要 目的:评价盆底康复治疗仪结合中医辨证分型施治产后盆底功能障碍性疾病(PFD)的临床疗效,为中西医结合治疗产后PFD提供临床依据。方法:连续选择2017年6月至2018年6月入我院诊断产后PFD的患者共115例作为观察组,根据中医辨证分型将其分为气虚型60例和肾虚型55例,两组患者均给予盆底康复治疗仪进行产后康复,气虚型患者给予补中益气汤加减,肾虚型患者给予大补元煎加减,另选择50例仅进行盆底康复治疗仪干预作为对照组,疗程为产后12周。比较两组治疗前后盆底功能障碍问卷(PFDI20)评分、国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)评分、盆腔器官脱垂POP-Q量表评分、盆底肌力分级及中医症候积分的变化,临床疗效以及中医证候疗效。结果:对照组和观察组患者治疗后PFDI20、ICI-Q-SF和POP-Q评分均较治疗前明显降低(P<0.05),盆底肌力明显增加(P<0.05),中医症候积分明显降低(P<0.05);与对照组比较,观察组改善更明显(P<0.05),但气虚型和肾虚型患者比较改善程度不明显(P>0.05)。与对照组比较,观察组临床疗效和中医证候疗效明显提高(P<0.05),但是气虚型和肾虚型患者临床疗效和中医证候疗效比较差异无统计学意义(P>0.05)。结论:盆底康复治疗仪结合中医辨证分型施治产后PFD有较好的安全性和有效性。
英文摘要:
      ABSTRACT Objective: To evaluate the clinical efficacy of pelvic floor rehabilitation therapeutic apparatus combined with TCM syndrome differentiation in treatment of postpartum pelvic floor dysfunction(PFD), in order to bring evidences and inform standardized plan for PFD with integrated traditional Chinese and Western medicine treatment. Methods: A total of 115 consecutives as PFD from June 2017 to June 2018 were enrolled as observation group, 60 cases of Qi deficiency type and other 55 cases of Kidney deficiency type by TCM syndrome differentiation; they all received pelvic floor rehabilitation therapeutic apparatus, and they of Qi deficiency type got Buzhong Yiqi Decoction, they of Kidney deficiency type adopted Dabu Yuan Decoction; other 50 patients only received pelvic floor rehabilitation therapeutic apparatus intervention as control group, the course was 12 weeks. Then to compare scores of Pelvic floor distress inventory-short form 20(PFDI-20), International urinary incontinence Advisory Committee urinary incontinence questionnaire form(ICI-Q-SF) and pelvic organ prolapse quantitive examination(POP-Q), Pelvic floor muscle strength classification, clinical effect, TCM symptom score and TCM syndrome effect. Results: The scores of PFDI-20, ICI-Q-SF and POP-Q in control and observation groups after treatment were all significantly lower than before(P<0.05). What's more, the pelvic floor muscle strength in the two groups after treatment were both higher, TCM symptom scores were lower, too(P<0.05). Compared with control group, the improvements of above indicators in observation group were more higher (P<0.05), but the improvements in patients with Qi deficiency and kidney deficiency were no differences (P>0.05). Furtherly, the clinical effect and TCM syndrome effect in observation group were more than control group(P<0.05), while there were no differences between Qi deficiency and kidney deficiency patients(P>0.05). Conclusion: It is better safety and efficacy of pelvic floor rehabilitation therapeutic apparatus combined with TCM syndrome differentiation in treatment of postpartum PFD.
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