摘要
目的：分析与探讨桂附地黄丸、盆底肌功能锻炼与肌电刺激治疗方案对盆底功能障碍性疾病的应用效果及对患者生活质量的影响。方法：84例盆底功能障碍性疾病患者按数字表法随机分为对照组40例与观察组44例。对照组患者采用盆底肌功能锻炼联合肌电刺激进行治疗,观察组患者则在此基础上加以采用中药桂附地黄丸进行治疗。分析并对比两组患者治疗后盆底肌力情况、治疗前后PFIQ-7评分及PFDI-20评分情况、POP-Q分度及尿失禁发生情况。结果：经过治疗后,观察组患者手测盆底肌力（4.05±0.37）分、盆底Ⅰ类肌纤维肌电压（8.07±1.62）μV、盆底Ⅱ类肌纤维肌电压（8.11±1.50）μV、盆底Ⅰ类肌纤维疲劳度（-0.02±0.01）%等均明显高于对照组患者手测盆底肌力（3.81±0.40）分、盆底Ⅰ类肌纤维肌电压（7.26±1.13）μV、盆底Ⅱ类肌纤维肌电压（7.20±1.37）μV、盆底Ⅰ类肌纤维疲劳度（-0.03±0.02）%,差异有统计学意义（P〈0.05）;经过治疗后,两组各项评分较治疗前相比均有显著下降,且观察组患者PFIQ-7评分（12.10±4.92）分、PFDI-20评分（4.23±1.29）分明显低于对照组PFIQ-7评分（17.33±7.85）分、PFDI-20评分（8.99±3.96）分,差异有统计学意义（P〈0.05）;观察组POP-Q 0度所占比例（88.64%）明显高于对照组的（70.00%）、Ⅱ度所占比例（1.36%）明显低于对照组的（15.00%）;观察组尿失禁发生率（6.82%）明显低于对照组的（22.50%）,差异相比均有统计学意义（P〈0.05）。结论：桂附地黄丸、盆底肌功能锻炼与肌电刺激在盆底功能障碍性疾病治疗上效果显著,有效改善了患者的盆底功能,减少尿失禁发生,生活质量显著提高。
Objective： to analyze and discuss effect of Guifudihuang,pelvic floor muscle functional exercise and electrical stimulation therapy on pelvic floor dysfunction and the influence on the quality of life of patients. Methods： 84 patients with pelvic floor dysfunction were randomly divided into the control group（ 40 cases） and the observation group（ 44 cases） according to the number table method. The patients in the control group was treated with pelvic floor muscle function exercise combined with electrical stimulation treatment,and the patients in the observation group on the basis of the control group was given guifudihuang pills. Before and after treatment the pelvic floor muscle strength,PFIQ-7 score and PFDI-20 score,POP-Q score and urinary incontinence were analyzed and compared between two groups. Results：after treatment,the observation group of patients with hand measured pelvic muscle force（ 4. 05 ± 0. 37）,pelvic floorⅠmuscle voltage（ 8. 07 ± 1. 62） μV,pelvic floor muscle voltage（ 8. 11 ± 1. 50） μV,pelvic floor Ⅰmuscle fiber type fatigue（-0. 02 ± 0. 01） % was significantly higher than The control group with hand measured pelvic floor muscle strength（ 3. 81 ± 0. 40）,pelvic floorⅠmuscle voltage（ 7. 26 ± 1. 13） μV,pelvic floor muscle voltage（ 7. 20 ± 1. 37） μV,pelvic floorⅠmuscle fiber type fatigue（-0. 03 ± 0. 02） %,and there was significant different（ P 〈0. 05）; after treatment,the two group score was significantly decreased than before treatment,and the patients in the observation group with PFIQ-7 score（ 12. 10 ± 4. 92）,PFDI-20 score（ 4. 23 ± 1. 29） was significantly lower than the control group with PFIQ-7 score（ 17. 33 ± 7. 85）,PFDI-20 score（ 8. 99 ± 3. 96）,and the difference was statistically significant（ P 〈0. 05）; the observation group POP-Q 0 degree（ 88. 64%） was significantly higher than the control group（ 70%）,Ⅱdegree proportion（ 1. 36%） was significantly lower than the control group（ 15
作者
蒋惠瑜
黄亚莲
张鸢
刘海潮
J;HUANG Yalian;Zhang Yuan;Liu Haichao(Department of Rehabilitation Therapy,The Second Affiliated Hospital of Hainan Medical University,Haikou 570311,Hainan,China)
出处
《中华中医药学刊》
CAS
北大核心
2018年第9期2269-2272,共4页
Chinese Archives of Traditional Chinese Medicine
基金
海南省卫生厅项目(16A200069)
关键词
生活质量
桂附地黄丸
盆底功能障碍
功能锻炼
肌电刺激
quality of life
Guifudihuang pills
pelvic floor dysfunction
functional exercise
electrical stimulation
