[1]张琪,吴晓春,周玉珍.补中益气丸联合物理治疗在产后盆底功能障碍康复治疗中的运用[J].西部中医药,2023,36(04):105-109.[doi:10.12174/j.issn.2096-9600.2023.04.24]
　ZHANG Qi,WU Xiaochun,ZHOU Yuzhen.Application Effects of Buzhong Yiqi Pills Joined with Physiotherapy in the Rehabilitation of Postpartum Pelvic Floor Dysfunction[J].Western Journal of Traditional Chinese Medicine,2023,36(04):105-109.[doi:10.12174/j.issn.2096-9600.2023.04.24]
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补中益气丸联合物理治疗在产后盆底功能障碍康复治疗中的运用
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年04期
页码:
105-109
栏目:
出版日期:
2023-04-15

文章信息/Info

Title:
Application Effects of Buzhong Yiqi Pills Joined with Physiotherapy in the Rehabilitation of Postpartum Pelvic Floor Dysfunction
作者:
张琪, 吴晓春, 周玉珍
苏州市中西医结合医院，江苏 苏州 215000
Author(s):
ZHANG Qi, WU Xiaochun, ZHOU Yuzhen
Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou 215000, China
关键词:
盆底功能障碍; 补中益气丸; 物理治疗; 盆底肌力; 盆底功能
Keywords:
pelvic floor dysfunction; pills; physiotherapy; pelvic floor muscle strength; pelvic floor function
分类号:
R271.43
DOI:
10.12174/j.issn.2096-9600.2023.04.24
文献标志码:
B
摘要:
目的分析中药联合物理治疗在产后不同程度盆底功能障碍中的影响。 方法选取盆底肌力减退产妇360例。根据盆底肌力分级分为轻度组（240例）与重度组（120例），再采用随机数字表法分别将轻度、重度组以1∶1∶1比例随机分为物理治疗组、中药组、联合治疗组。通过分析手测横断面肌力、肌电值及疲劳度、盆底肌张力评价其疗效。 结果轻度组中，联合治疗组总有效率为［98.75%（79/80）］优于中药组［78.75%（63/80）］及物理治疗组［80.00%（64/80）］（P＞0.015），中药组与物理治疗组总有效率差异无统计学意义（P＞0.05）；重度组中，联合治疗组总有效率为92.5%（37/40）、物理治疗组为85.00%（34/40）、中药组为70%（28/40），疗效呈递减趋势（P＞0.05）。治疗后各组手测横断面肌力、改善总肌电值、Ⅰ类纤维肌电值、Ⅱ类纤维肌电值、阴道静息电压和阴道收缩压均较治疗前明显改善（P＜0.05），且联合治疗组效果最优。 结论对于轻度盆底功能障碍者，单纯中药治疗、单纯物理治疗或二者联合治疗均可有效改善，而重度盆底功能障碍者，中药联合物理治疗具有协同作用，效果更优。
Abstract:
ObjectiveTo survey the effects of herbs combined with physiotherapy on different degrees of pelvic floor dysfunction after delivery. MethodsAll 360 delivery women suffering pelvic floor muscle weakness were chosen, and assigned to mild group (240 cases) and severe group (120 cases) according to the rating of pelvic floor muscle strength, the mild group and the severe group were allocated to physiotherapy group, herb group, the combination therapy group in light of random number table method in the ratio of 1∶1∶1. To assess clinical effects by analyzing hand-measured cross-sectional muscle strength, EMG value, fatigue and pelvic floor muscle tension. ResultsIn the mild group, total effective rate of the combination therapy group was [98.75%(79/80)], better than [78.75%(63/80)] of the herb group and [80.00%(64/80)] of physiotherapy group (P>0.05), the difference had no statistical meaning in total effective rate of herb group and physiotherapy group (P>0.05); in the severe group, total effective rates of the combination therapy group, the herb group and physiotherapy group were [92.5%(37/40)], [85.00%(34/40)] and [70%(28/40)], the efficacy showed a decreasing trend (P>0.05). After the treatment, hand-measured cross-sectional muscle strength, total EMG values, EMG values of type Ⅰ fiber, EMG values of type Ⅱ fiber, vaginal resting voltage and vaginal systolic pressure improved remarkably than before the treatment (P<0.05), and the effects of the combination therapy were the best. ConclusionFor the patients with mild pelvic floor dysfunction, single herbal therapy, single physiotherapy or the combination of both could effectively improve the symptoms, however, for severe patients, herb in combination with physiotherapy could produce synergistic action, and the effects are more noticeable.

相似文献/References:

[1]魏旭军,安金兰,张翠兰.补中益气丸治疗习惯性流产150例[J].西部中医药,2016,29(04):94.
　WEI Xujun,AN Jinlan,ZHANG Cuilan.Treating 150 Patients with Habitual Abortion by BuZhong YiQi Pills[J].Western Journal of Traditional Chinese Medicine,2016,29(04):94.

备注/Memo

备注/Memo:
张琪（1986—），女，硕士学位，主治医师。研究方向：女性盆底功能障碍性疾病、不孕不育、子宫颈病变。江苏省卫生厅科研基金项目（FYX201712）。
更新日期/Last Update: 2023-04-15