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作 者:陈难 李亚琴[1] 宋亚丽[1] CHEN Nan;LI Yaqin;SONG Yali(Women and Infants Hospital of Zhengzhou,Zhengzhou He'nan 450000,China)
出 处:《新中医》2023年第16期70-74,共5页New Chinese Medicine
摘 要:目的:观察四妙散加味联合电刺激生物反馈疗法治疗产后子宫脱垂湿热下注证的临床疗效。方法:选取104例产后子宫脱垂湿热下注证患者,采用随机数字表法分为对照组和观察组各52例。对照组给予电刺激生物反馈疗法治疗,观察组给予四妙散加味联合电刺激生物反馈疗法治疗。3周为1个疗程,2组均治疗3个疗程,随访6个月。比较2组临床疗效,治疗前后中医证候积分、盆底肌肌力、盆底肌电压,记录不良反应发生率。结果:观察组临床疗效总有效率100%,高于对照组88.46%(P<0.05)。治疗后,2组小腹下坠感、阴道有物脱出、黄水淋漓、小便短黄、小便灼热刺痛积分及中医证候总分均较治疗前降低(P<0.05),观察组上述5项中医证候积分及中医证候总分均低于对照组(P<0.05)。2组盆底肌肌力、盆底肌电压最大值及平均值均较治疗前升高(P<0.05),观察组盆底肌肌力、盆底肌电压最大值及平均值均高于对照组(P<0.05)。治疗期间,观察组不良反应发生率7.69%,与对照组3.85%比较,差异无统计学意义(P>0.05)。结论:四妙散加味联合电刺激生物反馈疗法治疗产后子宫脱垂湿热下注证,可增强患者的盆底肌肌力,缓解其临床症状,安全性较好。Objective:To observe the clinical effect of modified Simiao Powder combined with electrical stimulation biofeedback therapy for postpartum uterine prolapse with damp-heat pouring downward syndrome.Methods:A total of 104 cases of patients with postpartum uterine prolapse with damp-heat pouring downward syndrome were selected and divided into the control group and the observation group according to the random number table method,with 52 cases in each group.The control group was treated with electrical stimulation biofeedback therapy,and the observation group was treated with modified Simiao Powder combined with electrical stimulation biofeedback therapy.Both groups were treated for 3 treatment courses,with 3 weeks being 1 course.The follow-up lasted for 6 months.The traditional Chinese medicine(TCM)syndrome scores,pelvic floor muscle strength,the potential and voltage of pelvic floor muscle,as well as the clinical effects were compared between the two groups.The incidence of adverse reactions were recorded.Results:The total clinical effective rate was 100%in the observation group,higher than that of 88.46%in the control group(P<0.05).The scores of bearing down sensation in the lower abdomen,vaginal prolapse,yellow liquid dripping,scanty yellow urine,and burning and stabbing pain during urination,and the total TCM syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the above five TCM syndrome scores and the total TCM syndrome score in the observation group were lower than those in the control group(P<0.05).The muscle strength of pelvic floor muscle,the maximum value of pelvic floor muscle voltage and the average value of pelvic floor muscle voltage in the two groups were increased when compared with those before treatment(P<0.05),and the above indexes in the observation group were higher than those in the control group(P<0.05).During treatment,the incidence of adverse reactions was 7.69%in the observation group and 3.85%in the control group,there being no significan
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