中医定向透药联合康复训练对产妇盆底功能康复的临床疗效及护理体会  

Effect of TCM Directional Penetration and Rehabilitation Training on Postpartum Pelvic Floor Muscle Function

作　　者：陈蓉[1] 马艳[2] 

机构地区：[1]四川省林业中心医院,四川成都610081 [2]遂宁市中医院,四川遂宁629000

出　　处：《中医药导报》2016年第22期104-106,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:探讨中医定向透药联合康复训练对产妇盆底功能康复的临床疗效及护理体会。方法:选取行盆腔肌力检查的180例自然分娩产后患者,采用随机数字表法分为对照组及治疗组各90例。两组均予相同康复训练及护理措施,治疗组再予中医定向透药治疗。比较两组治疗前后盆底肌力肌电压、尿粪失禁情况、婚姻生活质量,评估临床疗效。结果:治疗后两组盆底Ⅰ类、Ⅱ类肌力肌电压均高于同组治疗前(P<0.05),治疗后治疗组盆底Ⅰ类、Ⅱ类肌力肌电压均高于同期对照组(P<0.05)。治疗后对照组、治疗组尿失禁发生率组间比较,差异有统计学意义(P<0.01);治疗后对照组、治疗组粪失禁发生率组间比较,差异无统计学意义(P>0.05)。治疗后两组患者婚姻满意度、性生活、夫妻交流评分均高于同组治疗前(P<0.05);治疗后治疗组患者婚姻满意度、性生活、夫妻交流评分均高于同期对照组(P<0.05)。结论:中医定向透药联合康复训练、有效护理对产妇盆底功能康复的临床疗效显著,能有效增加患者盆底肌力,改善尿粪失禁情况,提高婚姻生活质量。Objective： To explore the effect of TCM directional penetration and rehabilitation training on postpartum pelvic floor muscle function. Methods： The 180 cases of natural childbirth postpartum were selected and randomly divided into the control group and the treatment group, 90 cases in each group. The two groups were given the same rehabilitation training and nursing measures, the treatment group extra treated with TCM directional penetration. The pelvic floor muscle voltage, urinary incontinence, quality of life, evaluation of clinical efficacy was compared before and after the treatment. Results： After treatment the two groups of pelvic floor muscle voltage were higher than that of the same group before treatment （P〈0.05）. After treatment the voltage of the pelvic floor I and II muscle in the treatment group was higher than that in the control group （P〈0.05）. The urinary incontinence rate of control group and treatment group has no statistical significance （P〈0.01）, fecal incontinence rate has no statistically significance （P〉0.05）. After treatment, the two groups of patients with sex, marital satisfaction, marital eommunication scores were higher than those in the same group before treatment （P〈 0.05）; after treatment, the marriage satisfaction, sexual life, marital communication scores of the treatment group were higher than those in the control group （P〈0.05）. Conclusion： TCM directional penetration combined with rehabilitation training can effectively increase the strength of pelvic floor muscle, improve the feces and urine incontinence, and improve the quality of life of marriage.

关 键 词：中医定向透药 康复训练 产妇 盆底功能 

分 类 号：R248[医药卫生—中医临床基础]