中药熏蒸联合盆底康复治疗盆底功能障碍性疾病临床研究
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R711.5

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浙江省杭州市卫计委项目(20163501Y31)


Clinical Study on Chinese Herbal Fumigation Combined with Pelvic Floor Rehabilitation for Pelvic Floor Dysfunction
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    摘要:

    目的:观察中药熏蒸联合盆底康复治疗盆底功能障碍性疾病的临床疗效。方法:选取盆底功能障 碍性疾病患者80 例,采用随机数字表法分为对照组和观察组各40 例。对照组于产后43 d 行盆底康复治疗, 观察组在对照组基础上采用中药熏蒸治疗。评价2 组临床疗效,比较2 组盆底肌纤维肌力、盆底肌纤维收缩 压、盆底功能及生活质量。结果:观察组总有效率为95.00%,高于对照组80.00%,差异有统计学意义(P< 0.05)。治疗1 个月后及产后半年,2 组盆底Ⅰ、Ⅱ类肌纤维收缩压呈逐渐上升趋势(P<0.05),且观察组盆底 Ⅰ、Ⅱ类肌纤维收缩压高于同时间点对照组(P<0.05)。治疗1 个月后和产后半年,2 组盆底Ⅰ和Ⅱ类肌纤 维肌力均呈逐渐增强趋势(P<0.05),且观察组盆底Ⅰ类和Ⅱ类肌纤维肌力优于对照组(P<0.05)。治疗1 个 月后及产后半年,2 组盆底功能障碍问卷(PFDI-20) 评分均呈逐渐下调趋势,且观察组低于对照组(P< 0.05);而生活质量测定量表(WHOQOL-BREF) 评分均呈逐渐上调趋势,且观察组高于对照组(P<0.05)。 结论:中药熏蒸联合盆底康复能够提高盆底功能障碍性疾病患者盆底肌纤维收缩压,增强盆底肌纤维肌力,改 善盆底功能和生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese herbal fumigation combined with pelvic floor rehabilitation for pelvic floor dysfunction. Methods: A total of 80 cases of patients with pelvic floor dysfunction were selected and divided into the control group and the observation group according to the random number table method,with 40 cases in each group. At 43 days after delivery,the control group was treated with pelvic floor rehabilitation,and the observation group was additionally treated with Chinese herbal fumigation based on the treatment of the control group. The clinical effects were evaluated in the two groups. The muscle fiber strength and systolic pressure of pelvic floor,the pelvic floor function and quality of life were compared between the two groups. Results: The total effective rate was 95.00% in the observation group,higher than that of 80.00% in the control group,the difference being significant (P< 0.05). After one month of treatment and six months after delivery, the systolic pressure of type I and II muscle fibers in pelvic floor in the two groups showed a gradual upward trend (P<0.05),and the systolic pressure of type I and II muscle fibers in pelvic floor in the observation group was higher than that in the control group at the same time point (P<0.05). After one month of treatment and six months after delivery, the muscle strength of type I and type II muscle fibers in pelvic floor in the two groups showed a gradual increasing trend (P<0.05),and the muscle strength of type I and type II muscle fibers in pelvic floor in the observation group was better than that in the control group (P<0.05). After one month of treatment and six months after delivery,the scores of Pelvic Floor Distress Inventory Questionnaire-20 (PFDI-20) in the two groups showed a downward trend,and the score in observation group was lower than that in the control group (P<0.05); the score of World Health Organization Quality of Life Brief Version (WHOQOL- BREF) showed a gradual upward trend,and the score in the observation group was higher than that in the control group (P<0.05). Conclusion: Chinese herbal fumigation combined with pelvic floor rehabilitation can enhance the systolic pressure of pelvic floor of patients with pelvic floor dysfunction,enhance the muscle strength of pelvic floor,and improve the pelvic floor function and quality of life.

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朱聪茶,王丽惠,刘玲.中药熏蒸联合盆底康复治疗盆底功能障碍性疾病临床研究[J].新中医,2023,55(9):134-138

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  • 在线发布日期: 2023-05-24
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