中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
27期
51-53
,共3页
失笑散合四物汤%盆底康复训练%盆底功能障碍
失笑散閤四物湯%盆底康複訓練%盆底功能障礙
실소산합사물탕%분저강복훈련%분저공능장애
Shixiaosan and Siwu decoction%Rehabilitation intervention%Pelvic floor dysfunction
目的：探讨中西医结合治疗盆底功能障碍性疾病的疗效。方法将126例产妇随机分成实验组63例，对照组63例，实验组应用活血祛瘀类中药口服1个疗程配合盆底康复治疗2个疗程，对照组则应用盆底康复治疗2个疗程，疗程结束后观察两组产妇的盆底肌力恢复情况，1年后随访两组产妇压力性尿失禁的发生率。结果实验组产妇的盆底肌力评价Ⅲ级以上58例，对照组41例，压力性尿失禁实验组发生5例，发生率7.9%，对照组14例，发生率22.2%，直肠肛门功能障碍实验组发生3例，发生率4.8%，对照组11例，发生率17.5%，盆腔脏器脱垂实验组发生4例，发生率6.3%，对照组13例，发生率20.6%，两组比较差异有统计学意义(P<0.05)。结论失笑散合四物汤配合盆底康复治疗盆底功能障碍性疾病的疗效优于单纯盆底康复治疗法。
目的：探討中西醫結閤治療盆底功能障礙性疾病的療效。方法將126例產婦隨機分成實驗組63例，對照組63例，實驗組應用活血祛瘀類中藥口服1箇療程配閤盆底康複治療2箇療程，對照組則應用盆底康複治療2箇療程，療程結束後觀察兩組產婦的盆底肌力恢複情況，1年後隨訪兩組產婦壓力性尿失禁的髮生率。結果實驗組產婦的盆底肌力評價Ⅲ級以上58例，對照組41例，壓力性尿失禁實驗組髮生5例，髮生率7.9%，對照組14例，髮生率22.2%，直腸肛門功能障礙實驗組髮生3例，髮生率4.8%，對照組11例，髮生率17.5%，盆腔髒器脫垂實驗組髮生4例，髮生率6.3%，對照組13例，髮生率20.6%，兩組比較差異有統計學意義(P<0.05)。結論失笑散閤四物湯配閤盆底康複治療盆底功能障礙性疾病的療效優于單純盆底康複治療法。
목적：탐토중서의결합치료분저공능장애성질병적료효。방법장126례산부수궤분성실험조63례，대조조63례，실험조응용활혈거어류중약구복1개료정배합분저강복치료2개료정，대조조칙응용분저강복치료2개료정，료정결속후관찰량조산부적분저기력회복정황，1년후수방량조산부압력성뇨실금적발생솔。결과실험조산부적분저기력평개Ⅲ급이상58례，대조조41례，압력성뇨실금실험조발생5례，발생솔7.9%，대조조14례，발생솔22.2%，직장항문공능장애실험조발생3례，발생솔4.8%，대조조11례，발생솔17.5%，분강장기탈수실험조발생4례，발생솔6.3%，대조조13례，발생솔20.6%，량조비교차이유통계학의의(P<0.05)。결론실소산합사물탕배합분저강복치료분저공능장애성질병적료효우우단순분저강복치요법。
Objective To explore the therapeutic efficacy of Shixiaosan and Siwu decoction combined with rehabilita-tion intervention used for pelvic floor dysfunction. Methods The 126 cases were randomly divided into test and control groups. There were 63 patients in every group. The control group accepted only two courses of pelvic floor rehabilitation therapy. However treatment of traditional Chinese medicine combined with two courses of pelvic floor rehabilitation therapy were used in the test group. Then the therapeutic effect of all cases was estimated. The incidence of stress in-continence was investigated after one year. Results The amount of pelvic floor muscle strength up to Ⅲ in the test group was 58 cases, however only 41 cases in the control group. There were 5 cases suffered stress incontinence, and the incidence was 7.9% in the test group. But there were 14 cases suffered stress incontinence, and the incidence was 22.2% in the control group. 3 cases occurred anorectum dysfunction, and the incidence was 4.8% in the test group,however there were 11 cases occurred anorectum dysfunction, and the incidence was 17.5% in the control group. 4 cases suffered pelvic organ prolapse,and the incidence was 6.3% in the test group,while there were 13 cases suffered pelvic organ prolapse, and the incidence was 20.6% in the control group. The difference between the two groups was statistically significant (P<0.05). Conclusion Our study indicated that the therapeutic efficacy of Shixiao san and Siwu decoction combined with rehabilitation intervention used for pelvic floor dysfunction was significantly better than simple rehabilitation intervention.
