文章摘要
王 军,游丽娇,张 瑜,唐 虹,朱春兰.补中益气汤联合生物反馈电刺激在产后盆底功能障碍患者的应用研究[J].,2020,(12):2371-2374
补中益气汤联合生物反馈电刺激在产后盆底功能障碍患者的应用研究
Application of Buzhong Yiqi Decoction Combined with Biofeedback Electrical Stimulation in Patients with Postpartum Pelvic Floor Dysfunction
投稿时间:2020-02-24  修订日期:2020-03-20
DOI:10.13241/j.cnki.pmb.2020.12.038
中文关键词: 盆底功能障碍  产后  生物反馈电刺激  盆底肌锻炼  补中益气汤  中药
英文关键词: Pelvic floor dysfunction  Postpartum  Biofeedback electrical stimulation  Pelvic floor muscle exercise  Buzhong Yiqi Decoction  Traditional Chinese medicine
基金项目:(2017-2020年)上海浦东新区卫计委资助项目(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
王 军 上海中医药大学附属第七人民医院妇产科 上海 200137 fnikk88@sina.com 
游丽娇 上海中医药大学附属第七人民医院妇产科 上海 200137  
张 瑜 上海中医药大学附属第七人民医院妇产科 上海 200137  
唐 虹 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:研究探讨补中益气汤联合生物反馈电刺激对产后盆底功能障碍患者的临床治疗效果及对其盆底肌肉张力的影响。方法:选择我院就诊的90例产后盆底功能障碍气虚证患者(2017年11月~2018年10月),按照随机数字表法划分为30例/组的A组、B组、C组,A组实施常规盆底肌锻炼,B组采用盆底治疗仪实施生物反馈电刺激治疗,C组实施生物反馈电刺激联合中药补中益气汤治疗,比较三组的疗效、盆底肌力评分、阴道最大收缩压、盆腔器官脱垂、尿失禁、性生活质量评分。结果:(1)组间临床疗效、证候疗效比较,C组的临床总有效率、证候改善总有效率均高于A组、B组(P<0.05),而A组与B组之间比较均无统计学差异(P>0.05)。(2)治疗后,C组的盆底肌力评分、阴道最大收缩压、性生活质量评分均高于A组、B组(P<0.05),A组与B组之间比较均无统计学差异(P>0.05)。(3)C组的盆腔器官脱垂、尿失禁等发生率均低于A组、B组(P<0.05),而A组与B组比较均无统计学差异(P>0.05)。结论:生物反馈电刺激联合补中益气汤治疗可有效改善产后盆底功能障碍患者的盆底肌力和阴道压力,达到良好的临床疗效,有利于预防盆腔器官脱垂、尿失禁的发生,改善其性生活质量。
英文摘要:
      ABSTRACT Objective: To study the clinical effect of Buzhong Yiqi Decoction combined with biofeedback electrical stimulation on postpartum pelvic floor dysfunction and its effect on pelvic floor muscle tension. Methods: Ninety patients with postpartum pelvic floor dysfunction and Qi deficiency syndrome (November 2017 to October 2018) were selected and divided into three groups according to random number table: group A, group B and group C. Group A underwent routine pelvic floor muscle exercise, group B underwent biofeedback electric stimulation therapy with pelvic floor therapeutic apparatus, and group C underwent biofeedback electric needling. The curative effect, pelvic floor muscle strength score, maximum vaginal systolic pressure, pelvic organ prolapse, urinary incontinence and quality of sexual life score of the three groups were compared. Results: (1) Compared the clinical efficacy and syndromes efficacy between groups, the total clinical efficiency and syndromes improvement efficiency of group C were higher than those of group A and group B (P<0.05), but there was no statistical difference between group A and group B (P>0.05). (2) After treatment, pelvic floor muscle strength score, vaginal maximum systolic pressure and sexual quality score in group C were higher than those in group A and group B (P<0.05), and there was no significant difference between group A and group B (P>0.05). (3) The incidence of pelvic organ prolapse and urinary incontinence in group C was lower than that in group A and group B (P<0.05), but there was no significant difference between group A and group B (P>0.05). Conclusion: Biofeedback electric stimulation combined with Buzhong Yiqi Decoction can effectively improve pelvic floor muscle strength and vaginal pressure in patients with postpartum pelvic floor dysfunction, achieve good clinical efficacy, and help to prevent pelvic organ prolapse and urinary incontinence, and improve their sexual life quality.
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