中医康复治疗盆腔器官脱垂气虚证的临床研究

Clinical study on the treatment of qi deficiency syndrome of pelvic organ prolapse by traditional Chinese medicine

目的运用中药盆底方联合电刺激生物反馈、针灸联合电刺激生物反馈治疗盆腔器官脱垂(POP)气虚证患者,通过研究不同中医康复治疗前后的盆底肌电值、盆底功能障碍问卷(PFDI-20)评分、气虚积分差异性,探讨不同中医康复方案治疗POP气虚证的临床疗效。方法选取90例POP气虚证患者,根据随机数字表法分为A组、B组、C组,每组30例。A组予以单纯电刺激生物反馈治疗,B组予以盆底方联合电刺激生物反馈治疗,C组予以针灸联合电刺激生物反馈治疗。治疗前后均进行盆底表面肌电评估、盆底功能障碍问卷调查、气虚积分记录,比较不同中医康复治疗方案前后各指标。结果A、B、C三组治疗后气虚积分均较治疗前明显降低(P<0.05);治疗后A、B组相比较,B组优于A组(P<0.05);A、C组相比较,C组优于A组(P<0.05);B、C组相比较,两组的治疗效果比较,差异无统计学意义(P>0.05)。A、B、C三组治疗后盆底肌电值均较治疗前得到改善(P<0.05);治疗后A、B组相比较,B组的盆底肌电值改善优于A组(P<0.05);A、C组相比较,C组的盆底肌电值改善优于A组(P<0.05);B、C组相比较,两组的治疗效果比较,差异无统计学意义(P>0.05)。A、B、C三组治疗后PFDI-20评分均较治疗前明显降低(P<0.05);治疗后A、B组相比较,B组优于A组(P<0.05);A、C组相比较,C组优于A组(P<0.05);B、C组相比较,两组的治疗效果比较,差异无统计学意义(P>0.05)。结论与单纯运用电刺激生物反馈治疗相比,在此基础上联合盆底方、针灸治疗的效果均更优于前者。电刺激生物反馈联合中药、针灸两种治疗方案均可进一步改善患者的临床症状,在一定程度上提高患者的生活质量。

Objective Traditional Chinese medicine pelvic floor prescription combined with electrical stimulation biofeedback and acupuncture combined with electrical stimulation biofeedback were used to treat patients with pelvic organ proslip(POP)qi deficiency syndrome.By studying the differences of pelvic floor muscle electrical value,pelvic floor dysfunction questionnaire(PFDI-20)score and Qi deficiency score before and after difFerent TCM rehabilitation treatment,the clinical efficacy of different TCM rehabilitation programs in the treatment of POP qi deficiency syndrome was discussed.Methods Selected 90 patients with qi deficiency POP card,according to random number table method is divided into group A and group B,group C,30 cases in each group.Group A was given pure electrical stimulation biofeedback therapy,group B was given pelvic floor prescription combined with electrical stimulation biofeedback therapy,and group C was given acupuncture combined with electrical stimulation biofeedback therapy.The pelvic floor before and after the treatment methods of assessment,questionnaire survey,the deficiency of integral pelvic floor dysfunction records,comparing the indexes before and after rehabilitation treatment in TCM.Results Qi-deficiency scores in groups A,B and C were significantly lower after treatment than before treatment(P<0.05);After treatment,group B was better than group A compared with Group B(P<0.05).Compared with group A and C,group C was better than group A(P<0.05).There was no statistical significance in the therapeutic effect between group B and group C(P>0.05).The electromyography value of pelvic floor in groups A,B and C after treatment was improved compared with that before treatment(P<0.05).After treatment,compared with group A and B,the improvement of pelvic floor electromyography value in group B was better than that in group A(P<0.05).Compared with group A and Group C,the improvement of pelvic floor electromyography value in group C was better than that in group A(P<0.05).There was no statistical significance in the therapeutic effect between group B and group C(P>0.05).PFDI-20 scores in groups A,B and C were significantly lower after treatment than before treatment(P<0.05);After treatment,group B was better than group A compared with Group B(P<0.05).Compared with group A and C,group C was better than group A(P<0.05).There was no statistical significance in the therapeutic effect between group B and group C(P>0.05).Conclusion Compared with the simple use of electrical stimulation bioieedback therapy,the combined pelvic floor prescription and acupuncture treatment on this basis are better than the former.Electrostimulation biofeedback combined with traditional Chinese medicine and acupuncture can further improve patients*clinical symptoms and improve patients*quality of life to a certain extent.