补中益气颗粒联合盆底康复技术治疗产后盆底功能障碍性病变的疗效

Curative effect of Buzhongyiqi granule combined with pelvic floor rehabilitation on postpartum pelvic floor dysfunction

目的探讨补中益气颗粒联合盆底康复技术治疗产后盆底功能障碍性病变的治疗方法和效果。方法将2017年1月至12月收治的82例产后盆底功能障碍性病变患者分为观察组和对照组各41例。对照组采用盆底康复技术治疗,观察组采用补中益气颗粒联合盆底康复技术治疗。采用神经肌肉刺激治疗仪评估患者治疗前后Ⅰ类和Ⅱ类肌纤维肌力和平均电压变化。采用盆底障碍影响简易问卷(PFIQ-7)评估两组患者的盆底功能变化。采用性生活质量问卷(PISQ-12)评估两组患者治疗前后性生活质量变化。结果两组治疗后Ⅰ类肌纤维和Ⅱ类肌纤维肌力分级较治疗前明显提高(Z观察组=7. 250、6. 506,Z对照组=5. 266、5. 233,P均<0. 05);观察组治疗后Ⅰ类肌纤维和Ⅱ类肌纤维的肌力分级优于对照组(Z=3. 644、1. 799,P均<0. 05)。两组治疗后Ⅰ类肌纤维和Ⅱ类肌纤维平均电压值较治疗前显著升高(P均<0. 05);治疗后,观察组的Ⅰ类肌纤维和Ⅱ类肌纤维平均电压值高于对照组(P均<0. 05);两组治疗后PFIQ-7评分明显降低,ISQ-12评分明显升高(P均<0. 05);观察组治疗后PFIQ-7评分和ISQ-12评分改善程度优于对照组(P均<0. 05)。结论补中益气颗粒联合盆底康复技术治疗产后盆底功能障碍性病变的疗效确切。

Objective To investigate the curative effects of Buzhongyiqi granule combined with pelvic floor rehabilitation on postpartum pelvic floor dysfunction. Methods Eighty-two patients with postpartum pelvic floor dysfunction admitted from January to December 2017 were divided into observation group and control group( n = 41,each). The pelvic floor rehabilitation was given in control group,and Buzhongyiqi granule was added on the basis of pelvic floor rehabilitation in observation group. Neuromuscular stimulation therapy instrument( stimulator) was applied to evaluate the changes of typeⅠ and Ⅱ muscle fibers strength and average voltage before and after treatment;Pelvic Floor Impact Questionnaire-7( PFIQ-7) was used to evaluate pelvic floor function;Pelvic Incontinence Sexual Questionnaire-12( PISQ-12) was used to evaluate the changes of sexual quality of life before and after treatment in two groups. Results After treatment,the muscle strength of type Ⅰ and type Ⅱ muscle fibers increased significantly in both groups( all P < 0. 05) and was obviously higher in observation group than that in control group( P < 0. 05);the average voltage of type Ⅰ and type Ⅱ muscle fibers increased significantly compared with before treatment in both groups( all P < 0. 05) and was statistically higher in observation group than that in control group( all P < 0. 05);PFIQ-7 score significantly decreased,and ISQ-12 score significantly increased in both groups( all P < 0. 05);the scores of PFIQ-7 and ISQ-12 in observation group were superior to those in control group( all P < 0. 05). Conclusion The effect of Buzhongyiqi granule combined with pelvic floor rehabilitation technique is obvious in the treatment of postpartum pelvic floor dysfunction.