四子散热熨对初产妇阴道分娩后压力性尿失禁患者盆底功能康复效果的影响

Effect of Sizi Powder hot compress on the rehabilitation effect of pelvic floor function in patients with stress urinary incontinence after vaginal delivery in primipara

目的探讨四子散热熨对初产妇阴道分娩后压力性尿失禁(SUI)患者盆底功能康复效果的影响。方法选取2022年1月至2022年9月泉州市第一医院收治的50例初产妇SUI患者为对照组,2022年10月至2023年6月泉州市第一医院收治的50例初产妇SUI患者为观察组。对照组采用常规干预,观察组在对照组基础上采用四子散热熨,两组均干预1个月。于干预前后比较两组患者的国际尿失禁咨询委员会问卷表简表(ICI-Q-SF)评分、1 h尿失禁量、24 h尿失禁次数、盆底肌力分级(Ⅰ类、Ⅱ类肌纤维肌力),记录并比较两组患者干预后的疗效。结果干预前,两组患者ICI-Q-CF评分、1 h尿失禁量、24 h尿失禁次数、盆底肌力分级比较,差异无统计学意义(P>0.05)。两组患者干预后的ICI-Q-CF评分、1 h尿失禁量、24 h尿失禁次数均低于同组干预前,差异有统计学意义(P<0.05);观察组干预后的ICI-Q-CF评分、1 h尿失禁量、24 h尿失禁次数均低于对照组,差异有统计学意义(P<0.05)。观察组干预后的盆底肌Ⅰ类和Ⅱ类肌纤维肌力正常率及总有效率均高于对照组,差异有统计学意义(P<0.05)。结论四子散热熨可有效改善初产妇阴道分娩后SUI患者的SUI严重程度及促进患者盆底功能的康复。

Objective To explore the effect of Sizi Powder hot compress on the rehabilitation effect of pelvic floor function in patients with stress urinary incontinence(SUI)after vaginal delivery in primipara.Methods A total of 50 primipara with SUI admitted to Quanzhou First Hospital from January 2022 to September 2022 were selected as the control group,and 50 prim-ipara with SUI admitted to Quanzhou First Hospital from October 2022 to June 2023 were selected as the observation group.The control group was given routine intervention,and the observation group was given Sizi Powder hot compress on the basis of the control group.Both groups were given intervention for 1 month.The International Consultation on Incontinence ques-tionnaire short form(ICI-Q-SF)score,1 h urinary incontinence volume,24 h urinary incontinence frequency,pelvic floor muscle strength classification(typeⅠand typeⅡmuscle fiber strength)were compared between the two groups before and after the intervention.The efficacy after intervention was recorded and compared between the two groups.Results Before in-tervention,there were no statistically significant differences in ICI-Q-CF score,1 h urinary incontinence volume,24 h uri-nary incontinence frequency and pelvic floor muscle strength grading between the two groups(P>0.05).The ICI-Q-CF scores,1 h urinary incontinence volume and 24 h urinary incontinence frequency of the two groups after intervention were lower than those before intervention,and the differences were statistically significant(P<0.05).The ICI-Q-CF score,1 h urinary incontinence volume and 24 h urinary incontinence frequency of the observation group after intervention were lower than those of the control group,and the differences were statistically significant(P<0.05).The normal rate of muscle strength and the total effective rate of pelvic floor muscle fiber typeⅠand typeⅡin the observation group after intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Sizi Powder hot compress can effectively improve the severity of SUI and promote the recovery of pelvic floor function in patients with SUI after primigravida vaginal delivery.