摘要
目的:探讨低频脉冲电刺激联合补中益气丸治疗全子宫切除术后盆底功能障碍(PFD)的临床效果。方法:选择2021年8月—2022年12月阳江市中医医院收治的110例全子宫切除术后PFD患者,根据随机数表法分为对照组、治疗组,各55例。对照组给予常规康复训练治疗,治疗组给予低频脉冲电刺激联合补中益气丸治疗。比较两组治疗前后盆底肌肌力、盆腔器官脱垂(POP)分度、压力性尿失禁(SUI)分级,性生活满意度及治疗效果。结果:治疗前,两组盆底肌肌力比较,差异无统计学意义(P>0.05);治疗后,两组盆底肌肌力均优于治疗前,且治疗组优于对照组,差异有统计学意义(P<0.05)。治疗前,两组阴道前壁膨出、阴道后壁膨出分度比较,差异无统计学意义(P>0.05);治疗后,两组阴道前壁膨出、阴道后壁膨出分度均优于治疗前,且治疗组优于对照组,差异有统计学意义(P<0.05)。治疗前,两组SUI分级比较,差异无统计学意义(P>0.05);治疗后,两组SUI分级均优于治疗前,且治疗组优于对照组,差异有统计学意义(P<0.05)。治疗前,两组女性性功能量表(FSFI)评分比较,差异无统计学意义(P>0.05);治疗后,两组FSFI评分均高于治疗前,且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。结论:低频脉冲电刺激联合补中益气丸治疗全子宫切除术后PFD的临床效果显著,能够有效提升患者盆底肌肌力,改善POP与SUI程度,提升性生活满意度。
Objective:To investigate the clinical effect of low frequency pulse electrical stimulation combined with Buzhong Yiqi Pills in the treatment of pelvic floor dysfunction(PFD)after total hysterectomy.Method:A total of 110 patients with PFD after total hysterectomy treated in Yangjiang Hospital of Traditional Chinese Medicine from August 2021 to December 2022 were selected and divided into control group and treatment group according to random number table method,with 55 cases in each group.The control group was given routine rehabilitation training,and the treatment group was given low frequency pulse electrical stimulation combined with Buzhong Yiqi Pills.Pelvic floor muscle strength,pelvic organ prolapse(POP)grading,stress urinary incontinence(SUI)grading,sexual satisfaction before and after treatment and therapeutic effect were compared between the two groups.Result:Before treatment,there was no significant difference in pelvic floor muscle strength between the two groups(P>0.05).After treatment,the pelvic floor muscle strength in both groups were better than those before treatment,and the treatment group was better than that in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences between the two groups in anterior vaginal wall bulge grading and posterior vaginal wall bulge grading(P>0.05).After treatment,anterior vaginal wall bulge grading and posterior vaginal wall bulge grading in both groups were better than those before treatment,and the gradings in the treatment group were better than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in SUI grading between the two groups(P>0.05).After treatment,SUI grading in both groups were better than those before treatment,and the grading in the treatment group was better than the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in female se
作者
陆凤连
邓梅兰
沙芝柳
LU Fenglian;DENG Meilan;SHA Zhiliu(Yangjiang Hospital of Traditional Chinese Medicine,Yangjiang 529500,China;不详)
出处
《中外医学研究》
2024年第1期1-5,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
阳江市医疗卫生类科技计划项目(SF2021085)。
关键词
全子宫切除术
盆底功能障碍
低频脉冲电刺激
补中益气丸
盆腔器官脱垂
压力性尿失禁
Total hysterectomy
Pelvic floor dysfunction
Low frequency pulse electrical stimulation
Buzhong Yiqi Pills
Pelvic organ prolapse
Stress urinary incontinence
