补气调气散联合盆底康复治疗盆腔器官脱垂临床研究

Clinical Study on Buqi Tiaoqi Powder Combined with Pelvic Floor Rehabilitation for Pelvic Organ Prolapse

目的:观察补气调气散联合盆底康复治疗盆腔器官脱垂的临床疗效。方法:选取盆腔器官脱垂患者80例,按随机数字表法分成观察组和对照组各40例。对照组采用盆底康复治疗仪进行常规电刺激、生物反馈治疗,观察组在对照组基础上加用补气调气散治疗。比较2组治疗前后气虚症状评分、盆底表面肌电值、尿失禁严重程度和性功能及盆腔器官脱垂定量分度(POP-Q分度)情况。结果:治疗后,2组气虚症状评分较治疗前下降(P<0.05),且观察组气虚症状评分低于对照组(P<0.05)。治疗后,2组快速收缩阶段、紧张收缩阶段、耐力收缩阶段的盆底表面肌电值均较治疗前升高(P<0.05),且观察组快速收缩阶段、紧张收缩阶段、耐力收缩阶段的盆底表面肌电值均高于对照组(P<0.05)。治疗后,2组国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分较治疗前降低,女性性功能指数调查量表(FSFI)评分较治疗前升高(P<0.05);且观察组ICIQ-SF评分低于对照组,FSFI评分高于对照组(P<0.05)。治疗后,2组POP-Q分度情况优于治疗前(P<0.05),且观察组POP-Q分度情况优于对照组(P<0.05)。结论:补气调气散联合盆底康复治疗盆腔器官脱垂能有效提高盆底肌力,改善症状,提高生活质量。

Objective:To observe the clinical effect of Buqi Tiaoqi Powder combined with pelvic floor rehabilitation for pelvic organ prolapse.Methods:A total of 80 cases of patients with pelvic organ prolapse were divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The control group was routinely treated with electrical stimulation and biofeedback by pelvic floor rehabilitation instrument,and the observation group was additionally treated with Buqi Tiaoqi Powder based on the treatment of the control group.The symptom scores of qi deficiency,the pelvic floor muscle surface electromyography value,the severity of urinary incontinence,sex function and the grading of Pelvic Organ Prolapse Quantification(POP-Q grading)were compared between the two groups before and after treatment.Results:After treatment,the symptom scores of qi deficiency in the two groups were decreased when compared with those before treatment(P<0.05),and the symptom score of qi deficiency in the observation group was lower than that in the control group(P<0.05).After treatment,the pelvic floor muscle surface electromyography values in fast-twitch stage,tension contraction stage,and endurance contraction stage in the two groups were increased when compared with those before treatment(P<0.05),and the pelvic floor muscle surface electromyography values in fasttwitch stage,tension contraction stage,and endurance contraction stage in the observation group were higher than those in the control group(P<0.05).After treatment,the scores of International Consultation on Incontinence Questionnaire-Short Form(ICIQ-SF)in the two groups were decreased when compared with those before treatment,and the scores of Female Sexual Function Index(FSFI)were increased when compared with those before treatment(P<0.05);the ICIQ-SF score in the observation group was lower than that in the control group,and FSFI score was higher than that in the control group(P<0.05).After treatment,the POP-Q grading in the two groups was better than that before treatment(P<0.05),and the POP-Q grading in the observation group was better than that in the control group(P<0.05).Conclusion:Buqi Tiaoqi Powder combined with pelvic floor rehabilitation can effectively improve pelvic floor muscle strength,symptoms and quality of life.