CAJ | 학술논문

目的观察盆底肌肉训练联合中药治疗轻-中度盆腔器官脱垂的疗效.方法采用前瞻性病例对照研究方法,选择2012年10月至2014年5月湖南省妇幼保健院门诊诊断为轻-中度盆腔器官脱垂103例患者为研究对象,按随机数字表法分为研究组(52例)和对照组(51例).两组患者均进行盆底肌肉训练,包括凯格尔运动(Kegel)、生物反馈、电刺激治疗2个疗程,研究组在此基础上给予补中益气汤治疗.对两组治疗前后盆底肌力、肌电位的测定、盆腔器官脱垂分度(POP-Q)进行评估,比较其临床疗效.结果两组治疗前的Ⅰ类肌纤维肌力、Ⅱ类肌纤维肌力及肌电位值比较差异均无统计学意义(P＞0.05).治疗后两组各项指标均高于治疗前(P＜0.05),研究组各项指标均明显高于对照组(P＜0.05),有效率(71.2％)也明显高于对照组(56.9％,P ＜0.05).结论盆底肌肉训练联合PHENIX USB 4治疗仪及补中益气汤治疗轻-中度盆腔器官脱垂能提高患者盆底肌力和肌电位,71.2％的患者临床症状有不同程度改善,其治愈率50.0％,值得临床推广应用.
목적 관찰분저기육훈련연합중약치료경-중도분강기관탈수적료효.방법 채용전첨성병례대조연구방법,선택2012년10월지2014년5월호남성부유보건원문진진단위경-중도분강기관탈수103례환자위연구대상,안수궤수자표법분위연구조(52례)화대조조(51례).량조환자균진행분저기육훈련,포괄개격이운동(Kegel)、생물반궤、전자격치료2개료정,연구조재차기출상급여보중익기탕치료.대량조치료전후분저기력、기전위적측정、분강기관탈수분도(POP-Q)진행평고,비교기림상료효.결과 량조치료전적Ⅰ류기섬유기력、Ⅱ류기섬유기력급기전위치비교차이균무통계학의의(P＞0.05).치료후량조각항지표균고우치료전(P＜0.05),연구조각항지표균명현고우대조조(P＜0.05),유효솔(71.2％)야명현고우대조조(56.9％,P ＜0.05).결론 분저기육훈련연합PHENIX USB 4치료의급보중익기탕치료경-중도분강기관탈수능제고환자분저기력화기전위,71.2％적환자림상증상유불동정도개선,기치유솔50.0％,치득림상추엄응용.
Objective To explore the rehabilitation effect of pelvic floor muscle training combined with traditional Chinese medicine in the treatment of mild-moderate pelvic organ prolapse.Methods A prospective ease-control study,choosing 103 patients of mild-moderate pelvic organ prolapse from October 2012 to May 2014 in Maternal and Child Health Hospital Outpatient of Hunan Province,which were randomly divided into study group (52 cases) and control group (51 cases).All of the patients underwent two courses of pelvic floor muscle training,including Kegel exercise,biofeedback,electrical stimulation therapy,the study group combined with traditional Chinese medicine (Buzhongyiqitang) at the same time.The efficacy was analyzed before and after treatment of pelvic floor muscle strength,myoelectric potential and indexing of pelvic organ prolapse quantification (POP-Q) changes.Results There werent statistically significant differences in type Ⅰ and Ⅲ muscle fiber muscle strength and myoelectric potential of two groups before treatment,while the shrinkage index improved significantly after treatment,and the study group was significantly higher with statistically significant difference (P ＜ 0.05).The effective rates of POP-Q indexing changes in two groups were 71.2％ and 56.9％,respectively.The effective rate of the study group was significantly higher than the control group(P ＜ 0.05).Conclusions The clinical efficacy of pelvic floor muscle training combined with Buzhongyiqitang in the treatment of mild-moderate pelvic organ prolapse was significant,and it had a good clinical value.