四物汤加味内服联合生物反馈疗法治疗女性盆底功能障碍性便秘的临床研究

Clinical Study on the Treatment of Female Pelvic Floor Dysfunction Constipation with Siwu Tang Modified and Biofeedback Therapy

目的:探讨四物汤加味内服联合生物反馈疗法治疗盆底功能障碍性便秘的临床疗效。方法:选择2020年1月至2022年4月我院诊治的80例女性盆底功能障碍性便秘患者作为研究对象,根据随机数字表法分为观察组和对照组,每组40例,对照组接受生物反馈疗法治疗,观察组接受四物汤加味联合生物反馈疗法治疗。比较2组临床疗效、治疗前后Bristol粪便性状、便秘患者症状自评量表(PAC-SYM)评分及盆底肌力。结果:观察组治疗总有效率(95.00%)明显高于对照组(77.50%),P<0.05。2组治疗前Bristol粪便性状评分、PAC-SYM评分及盆底肌力评分均无明显差异,P>0.05。治疗后,治疗2周、4周、6周及治疗后1个月和3个月时,2组患者Bristol粪便性状评分均明显升高,PAC-SYM评分均明显降低(P<0.05),其中观察组Bristol粪便性状评分更高(P<0.05),PAC-SYM评分更低(P<0.05)。治疗后1个月、3个月患者盆底肌力均较治疗前明显改善,其中观察组盆底肌力评分更高(P<0.05)。结论:四物汤加味内服联合生物反馈疗法治疗盆底功能障碍性便秘,可改善患者盆底肌力,更好地改善便秘症状,提高治疗效果。

Objective To explore the clinical efficacy of modified Siwu Tang combined with biofeedback therapy in the treatment of pelvic floor dysfunction constipation.Methods 80 female patients with pelvic floor dysfunction constipation diagnosed and treated in our hospital from January 2020 to April 2022 were selected as the research subjects.They were randomly divided into observation group and control group,with 40 cases in each group.The control group received biofeedback therapy,while the observation group received modified Siwu Tang combined with biofeedback therapy.Compared the clinical efficacy,Bristol fecal characteristics before and after treatment,PAC-SYM score,and pelvic floor muscle strength between two groups.Results The total effective rate of the observation group(95.00%)was significantly higher than that of the control group(77.50%),P<0.05.There was no significant difference in Bristol fecal trait score,PAC-SYM score,and pelvic floor muscle strength score between the two groups before treatment,P>0.05.After treatment,at 2,4,and 6 weeks,as well as 1 and 3 months after treatment,Bristol fecal trait scores were significantly increased and PAC-SYM scores were significantly reduced in both groups of patients(P<0.05).Among them,Bristol fecal trait scores were higher in the observation group(P<0.05)and PAC-SYM scores were lower(P<0.05).After 1 month and 3 months of treatment,the pelvic floor muscle strength of patients improved significantly compared to before treatment,with the observation group having a higher pelvic floor muscle strength score(P<0.05).Conclusion The combination of Siwu Tang modified and biofeedback therapy for pelvic floor dysfunction constipation can improve the pelvic floor muscle strength of patients,better improve constipation symptoms,and enhance treatment effectiveness.