益气固脱颗粒联合盆底肌训练治疗盆底器官脱垂30例临床分析

Yiqi Gutuo Granules Combined with Pelvic Floor Muscle Training Therapy for 30 Cases with Pelvic Organ Prolapse

目的:观察益气固脱颗粒联合盆底肌训练治疗盆底器官脱垂(POP)的临床疗效。方法:将60例符合纳入标准的Ⅰ、Ⅱ度盆底器官脱垂患者随机分为观察组、对照组各30例。对照组采用盆底肌训练治疗;观察组在此基础上给予中药益气固脱颗粒口服治疗,两组均以10天为1个疗程,连续治疗2个疗程后判定疗效。结果:治疗后观察组总有效率为93.33%,对照组总有效率为73.33%(P<0.05);两组患者治疗后盆底功能指标(最大收缩力及持续时间)均较治疗前明显升高(P<0.05),其中观察组提高幅度明显大于对照组(P<0.05);两组治疗后尿失禁ICIQ-SF评分均较治疗前明显降低(P<0.05),其中观察组降低幅度明显大于对照组(P<0.05)。结论:益气固脱颗粒联合盆底肌康复训练治疗盆底器官脱垂疗效显著,安全、有效,尤其对Ⅰ、Ⅱ度脱垂程度治疗效果更佳。

Objective： To observe Yiqi Gutuo granules combined with pelvic floor muscle training for the treatment of pelvic organ prolapse. Methods： 60 cases with pelvic organ prolapse of Ⅰand Ⅱdegrees were randomly divided into an observation group and a control group with 30 cases in each group. The control group was treated by pelvic floor muscle training; the observation group was based on the therapy in the control group and treated by Yiqi Gutuo granules orally. In two groups the treatment was for 10 days as a period of treatment,after2 courses to have a judgment. Results： After treatment the total effective rate was 93. 33% in the observation group,and in the control group the total effective rate was 73. 33%（ P 0. 05）; in two groups after treatment the pelvic floor functional index（ maximum contraction force and duration） was significantly increased（ P 0. 05）,and the level of increase in the observation group was obviously greater than that in the control group（ P 0. 05）. In two groups after treatment the score of urinary incontinence ICIQ-SF was significantly decreased（ P 0. 05）,and the level of reduction in the observation group was more obvious than that in the control group（ P 0. 05）. Conclusion： Yiqi Gutuo granules combined with pelvic floor muscle rehabilitation training has a good effect in the treatment of pelvic organ prolapse. It is safe and effective,especially for levelⅠand Ⅱdegrees.