世界中医药

目的:探讨采用黄芪穴位注射对全子宫切除术后盆底功能障碍患者康复的影响。方法:将本院150例行子宫全切术后的患者随机分为治疗组(n=77)与对照组(n=73),对照组均采用生物反馈电刺激疗法联合盆底功能训练(Kegel运动)进行治疗,治疗组在采用与对照组相同干预措施的基础上加用黄芪注射液穴位注射,对比观察2组患者术前、术后3个月、疗程结束即时、术后6、12个月SUI的发生率、1 h尿垫试验漏尿量、盆底肌力改善程度差异。结果:疗程结束即时及术后6个月、12个月时,治疗组压力性尿失禁发生率明显低于对照组,且差异有统计学意义(P<0.05);治疗组1 h尿垫试验漏尿量均低于对照组(P<0.05),治疗组盆底肌肉肌力均高于对照组(P<0.05)。结论:黄芪穴位注射联合生物反馈电刺激疗法及盆底功能训练能明显减少SUI发生率,减少漏尿,改善盆底肌力;表明加用黄芪穴位注射对全子宫切除术后盆底功能障碍患者康复起到了促进作用,值得临床推广应用。

English Summary:

To observe the effect of astragalus injection on acupoints on the rehabilitation of patients with female pelvic floor dysfunction(FPFD). Methods: A total of 150 patients with hysterectomy surgery in our hospital were randomly divided into observation group (n=77) and control group (n=73). The control group were treated by biofeedback therapy combined with pelvic floor training (Kegel sports) and the observation group received astragalus point injection on acupoints plus the same intervention of the control group. To record the incidence of SUI, 1 h pad test leakage of urine volume, pelvic floor muscle strength before the surgery, three month after the surgery, at the end of the treatment, after 6 months of treatment and after 12 months of treatment. Results: 1) At the end of treatment, after 6 months of treatment, after 12 months of treatment, stress urinary incontinence of the observation group were all significantly lower than those of the control group(P<0.05). 2) The results of 1 h pad test of the observation group were lower than the control group(P<0.05) and pelvic floor muscle strength were higher(P<0.05). Conclusion: Astragalus injection on acupoints combined with biofeedback therapy and training can significantly reduce the incidence of SUI, reduce leakage of urine, and improve pelvic floor muscle strength. This means that astragalus injection on acupoints was effective in increasing rehabilitation of FPFD patients, and it could be used in clinical.

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