摘要
目的研究补中益气颗粒联合生物反馈盆底肌训练治疗产后压力性尿失禁的疗效及对尿动力学指标水平影响。方法选取来医院就诊的产后压力性尿失禁患者120例,随机分为两组各60例。对照组给予生物反馈盆底肌训练,治疗组在对照组基础上给予补中益气颗粒,两组患者均连续治疗3个月。观察两组患者临床疗效、中医证候积分、尿流动力学指标、日平均单次尿量、日平均排尿次数和日平均尿失禁次数及不良反应发生情况。结果经过治疗后,治疗组治疗总有效率较高(P>0.05);两组患者治疗后神疲、气短、懒言、自汗评分和总评分显著降低(P<0.05);且治疗组降低程度较大(P<0.05);两组患者治疗后最大膀胱容量、充盈期逼尿肌压力、最大尿道闭合压、最大尿流率显著升高,残余尿量显著降低(P<0.05);并且治疗组改善程度较大(P<0.05);两组患者治疗后日平均单次尿量显著升高,日平均排尿次数和日平均尿失禁次数显著降低,(P<0.05);并且治疗组改善程度较大(P<0.05);两组患者治疗后社会功能、情感功能和生理功能评分显著升高(P<0.05);并且治疗组升高程度大于对照组(P<0.05)。结论采用补中益气颗粒联合生物反馈盆底肌训练治疗产后压力性尿失禁具有较好的临床疗效,能够改善对尿动力学指标水平,值得在临床上推广应用。
Objective To study the effect of Buzhong Yiqi granules combined with biofeedback pelvic floor muscle training on postpartum stress urinary incontinence and its effect on the level of urodynamics.Methods A total of 120 patients with postpartum stress incontinence were selected and randomly divided into two groups with 60 patients in each.The control group was given biofeedback pelvic floor muscle training,and the treatment group was given Buzhong Yiqi granules on the basis of the control group.Both groups received continuous treatment for 3 months.The clinical efficacy,TCM syndrome score,indicators of urodynamics,average daily single urine volume,average daily urination frequency and average daily urinary incontinence as well as adverse reactions were observed in the two groups.Results After treatment,the total effective rate was higher in the treatment group(P>0.05).After treatment,patients in the two groups were significantly decreased in spirit exhaustion,shortness of breath,lazy words,spontaneous sweating score or total score(P<0.05).And those of the treatment group decreased significantly(P<0.05).After treatment,the maximum bladder volume,detrusor pressure,maximum urethral closure pressure and maximum urine flow rate were significantly increased and residual urine volume was significantly decreased in the two groups(P<0.05).And those of the treatment group improved significantly(P<0.05).After treatment,the average daily urinary volume of the two groups was significantly increased,and the average daily urinary frequency and average daily urinary incontinence were significantly decreased(P<0.05).And those of the treatment group improved significantly(P<0.05).Social function,emotional function and physiological function scores of the two groups were significantly increased after treatment(P<0.05).And the degree of elevation in the treatment group was greater than that in the control group(P<0.05).Conclusion Buzhong Yiqi granules combined with biofeedback pelvic floor muscle training has a good clinical effect on postpartum stress urinary incontinence,which can improve the levels of urodynamic indicators,and is worthy of clinical application.
作者
刘水清清
叶平
LIU Shuiqingqing;YE Ping(The Second Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang,China;Taizhou Women and Children’s Hospital,Taizhou 318000,Zhejiang,China;Department of Reproductive Immunology,Tongde Hospital,Hangzhou 310000,Zhejiang,China)
出处
《中华中医药学刊》
CAS
北大核心
2020年第10期202-205,共4页
Chinese Archives of Traditional Chinese Medicine
基金
浙江省科学技术厅项目(2016F30031)。
关键词
补中益气颗粒
生物反馈盆底肌训练
产后压力性尿失禁
尿动力学指标水平
Buzhong Yiqi granules
biofeedback pelvic floor muscle training
postpartum stress incontinence
level of urodynamic indicators
