聚丙烯网片全盆底悬吊术联合补中益气汤修复盆腔器官脱垂患者的效果

Effect of total pelvic floor suspension of polypropylene mesh combined with Buzhong Yiqi Decoction in the repair of patients with pelvic organ prolapse

目的探讨聚丙烯网片全盆底悬吊术联合补中益气汤修复盆腔器官脱垂患者的效果。方法收集2017年1月~2018年4月陕西省宝鸡市妇幼保健院妇科住院患者90例,按照随机数字表法分为联合组(聚丙烯网片全盆底悬吊术配合补中益气汤)45例和对照组(聚丙烯网片全盆底悬吊术)45例。两组均采用聚丙烯网片全盆底悬吊术,联合组术后3d开始服用补中益气汤,对照组术后不予口服中药。6个疗程后,观察并比较两组疗效、并发症发生情况等。结果联合组疗效优于对照组,差异有统计学意义(P<0.05)。两组治疗后气虚症状分级量化评分较治疗前降低,且联合组明显低于对照组,差异有统计学意义(P<0.05或P<0.01)。联合组阴道分泌物增多、瘙痒、白带3度及以上、阴道疼痛,性生活恢复后不适感等发生率明显低于对照组,差异有高度统计学意义(P<0.01)。结论聚丙烯网片全盆底悬吊术联合补中益气汤治疗盆腔器官脱垂患者效果显著,可明显降低气虚证症状分级量化评分,降低并发症发生率,可在临床推广应用。

Objective To investigate the effect of total pelvic floor suspension of polypropylene mesh tablets combined with Buzhong Yiqi Decoction in the repair of pelvic organ prolapse.Methods From January 2017 to April 2018,90 gynecological inpatients in Baoji Maternal and Child Health Hospital were collected and divided into two groups of combined group(polypropylene mesh total pelvic floor suspension combined with Buzhong Yiqi Decoction,45 patients)and control group(polypropylene mesh total pelvic floor suspension,45 patients)according to the random number table method.Polypropylene mesh was used for total pelvic floor suspension in both groups,and Buzhong Yiqi Decoction was taken after surgery 3 days in combined group,while Buzhong Yiqi Decoction was not taken orally after surgery in control group.After 6 courses of treatment,the efficacy and complications of two groups were observed and compared.Results The efficacy of combined group was better than that of control group,and the difference was statistically significant(P<0.05).After treatment,the quantitative scores of qi deficiency symptoms in two groups were lower than those before treatment,and combined group was significantly lower than that in control group,the difference was statistically significant(P<0.05 or P<0.01).The incidence of vaginal secretion increase,pruritus,leucorrhea 3 degree or more,vaginal pain,discomfort after sexual life recovery in combined group was significantly lower than that in control group,with a highly significant difference(P<0.01).Conclusion Total pelvic floor suspension of polypropylene mesh combined with Buzhong Yiqi Decoction for the treatment of pelvic organ prolapse has a significant effect on patients with pelvic organ prolapse.It can significantly reduce the grading and quantitative score of symptoms of qi deficiency syndrome,reduce the incidence of complications,and can be widely used in clinical practice.