中药熏洗配合温针灸治疗产后盆腔器官脱垂的疗效观察
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摘要
目的:探讨中药熏洗配合温针灸治疗产后盆腔器官脱垂的疗效。方法:选取2016年12月至2018年1月贵港市妇幼保健院收治的产后盆腔器官脱垂患者70例,以随机数字表法分为观察组和对照组,每组35例。对照组患者给予肌电生物反馈及电刺激治疗,观察组患者在对照组的基础上加用中药熏洗配合温针灸治疗。对比两组患者治疗前后临床症状积分、中医证候积分、盆底肌力评估结果、POP-Q分度情况、脱垂疗效及不良反应发生情况的差异。结果:治疗后,两组患者临床症状积分、中医证候积分较治疗前明显降低,且观察组患者明显低于对照组;两组患者肌肉收缩持续时间、收缩次数较治疗前明显改善,且观察组患者肌肉收缩维持时间明显长于对照组,肌肉收缩次数明显多于对照组;两组POP-Q分度0度患者所占比例较治疗前明显提高,且观察组患者明显高于对照组,上述差异均有统计学意义(P<0.05)。观察组患者的脱垂总有效率为91.43%(32/35),明显高于对照组的80.00%(28/35),差异有统计学意义(P<0.05);两组患者均未出现明显不良反应。结论:在西医治疗基础上加用中药熏洗配合温针灸治疗产后盆腔器官脱垂的疗效显著,能改善患者盆底肌力,安全性高。
OBJECTIVE: To probe into the efficacy of traditional Chinese medicine for fumigation and washing combined with warm acupuncture in treatment of postpartum pelvic organ prolapse. METHODS: 70 patients with postpartum pelvic organ prolapse admitted into Guigang Maternal and Child Health-Care Hospital from Dec. 2016 to Jan. 2018 were selected and divided into observation group and control group via random number table, with 35 cases in each group. The control group was given EMG biofeedback and electrophotoluminescence, while the observation group was given traditional Chinese medicine for fumigation and washing combined with warm acupuncture based on the control group. Differences in clinical symptom scores, scores of TCM syndrome, evaluation results of pelvic floor muscle strength, POP-Q indexing, efficacy of pelvic organ prolapse and incidences of adverse drug reactions between two groups were compared. RESULTS: After treatment, the clinical symptom scores and scores of TCM syndrome of both groups had been significantly decreased, and those of the observation group were significantly lower than the control group; the duration and frequency of muscular contraction of both groups had been significantly improved, the duration of muscular contraction of observation group was significantly longer than that of the control group, while the frequency of muscular contraction was significantly more than the control group; the proportion of patients with POP-Q indexing of 0-degree had been significantly increased, and that of the observation group was significantly higher than the control group, with statistically significant differences(P<0.05). The total effective rate of pelvic organ prolapse of observation group was 91.43%(32/35), which was significantly higher than that of the control group(80.00%, 28/35), with statistically significant differences(P<0.05); no significant adverse drug reactions were observed in both groups. CONCLUSIONS: The efficacy of traditional Chinese medicine for fumigation and washing combined with warm acupuncture based on western medicine in treatment of postpartum pelvic organ prolapse is remarkable, which can improve patients' pelvic floor muscle strength, with high safety.
OBJECTIVE: To probe into the efficacy of traditional Chinese medicine for fumigation and washing combined with warm acupuncture in treatment of postpartum pelvic organ prolapse. METHODS: 70 patients with postpartum pelvic organ prolapse admitted into Guigang Maternal and Child Health-Care Hospital from Dec. 2016 to Jan. 2018 were selected and divided into observation group and control group via random number table, with 35 cases in each group. The control group was given EMG biofeedback and electrophotoluminescence, while the observation group was given traditional Chinese medicine for fumigation and washing combined with warm acupuncture based on the control group. Differences in clinical symptom scores, scores of TCM syndrome, evaluation results of pelvic floor muscle strength, POP-Q indexing, efficacy of pelvic organ prolapse and incidences of adverse drug reactions between two groups were compared. RESULTS: After treatment, the clinical symptom scores and scores of TCM syndrome of both groups had been significantly decreased, and those of the observation group were significantly lower than the control group; the duration and frequency of muscular contraction of both groups had been significantly improved, the duration of muscular contraction of observation group was significantly longer than that of the control group, while the frequency of muscular contraction was significantly more than the control group; the proportion of patients with POP-Q indexing of 0-degree had been significantly increased, and that of the observation group was significantly higher than the control group, with statistically significant differences(P<0.05). The total effective rate of pelvic organ prolapse of observation group was 91.43%(32/35), which was significantly higher than that of the control group(80.00%, 28/35), with statistically significant differences(P<0.05); no significant adverse drug reactions were observed in both groups. CONCLUSIONS: The efficacy of traditional Chinese medicine for fumigation and washing combined with warm acupuncture based on western medicine in treatment of postpartum pelvic organ prolapse is remarkable, which can improve patients' pelvic floor muscle strength, with high safety.
引文
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[13] 闫秀艳,梁学军,欧阳彩琴,等.中药熏洗配合温针灸治疗子宫脱垂疗效观察及护理体会[J].四川中医,2016,34(3):150-151.
[14] 白洁,李艳霞,陈燕.黑升麻提取物治疗102例围绝经期潮热盗汗患者的疗效分析[J].中国妇幼保健,2018,33(21):4942-4944.
[15] 黄彦肖,任青玲,孙凤丹,等.加昧蛇床子散联合高强度聚焦超声治疗外阴白斑临床疗效观察[J].中国计划生育学杂志,2017,25(6):404-407.
[16] 刘敏,彭慧娟,程思.益气升提法对全子宫切除术后性功能的影响[J].广州中医药大学学报,2019,36(3):353-359.
[17] 徐荣海.关元百会穴的配伍运用举隅[J].针灸临床杂志,2007,23(7):56.
[18] 罗晓丹,林少梅,邵晓红.针灸联合盆底康复治疗仪对子宫脱垂的治疗研究[J].中医临床研究,2018,10(8):112-113.
[19] 毛越,江花.近20年子宫脱垂针灸治疗的研究进展[J].内蒙古中医药,2017,36(4):142-143.
[20] 王梅,马振旺,白妍.八髎穴为主隔姜灸治疗慢性盆腔炎的疗效观察[J].中国中医药科技,2018,25(6):920-921.
[2] 木其尔,史铁梅,张原溪,等.超声评估盆腔器官脱垂的进展[J].中国介入影像与治疗学,2017,14(12):772-775.
[3] 蒋小慧,刘青,毛宝宏,等.盆腔器官脱垂患者生活质量的影响因素研究现况[J].国际妇产科学杂志,2018,45(4):431-434.
[4] 潘丁晨,杨碧蓉,马庆良,等.子宫脱垂的中西医治疗进展[J].中国医药导报,2018,15(32):38-41.
[5] 北京大学妇产科学系,北京大学人民医院女性盆底疾病诊疗中心.北京大学盆腔器官脱垂诊疗指南(草案)[J].中国妇产科临床杂志,2012,13(2):155-157.
[6] 中华人民共和国卫生部.中药新药临床研究指导原则[S].北京:人民卫生出版社,1993:210-214.
[7] 李志毅,朱兰,徐涛,等.中国城市地区女性盆腔器官脱垂临床流行病学调查[J].中华医学杂志,2019,99(11):857-861.
[8] 史红霞.不同分娩方式对产后盆底功能影响及康复治疗的效果分析[J].实用医技杂志,2017,24(1):94-95.
[9] 刘成,洪莉.女性盆底功能障碍性疾病发病机制研究进展[J].中华生物医学工程杂志,2017,23(6):505-512.
[10] 朱雅佩,孙智晶,朱兰,等.盆底结缔组织的分子生物学变化在盆腔器官脱垂发病机制中的研究进展[J].中华妇产科杂志,2017,52(11):785-788.
[11] 丁敏,邱玉霞.针罐配合艾灸治疗阴挺22例[J].中国民间疗法,1998(2):17-18.
[12] 宁佳,谷福根.补中益气汤(丸)加减的临床应用研究进展[J].中国医院用药评价与分析,2016,16(9):1286-1289.
[13] 闫秀艳,梁学军,欧阳彩琴,等.中药熏洗配合温针灸治疗子宫脱垂疗效观察及护理体会[J].四川中医,2016,34(3):150-151.
[14] 白洁,李艳霞,陈燕.黑升麻提取物治疗102例围绝经期潮热盗汗患者的疗效分析[J].中国妇幼保健,2018,33(21):4942-4944.
[15] 黄彦肖,任青玲,孙凤丹,等.加昧蛇床子散联合高强度聚焦超声治疗外阴白斑临床疗效观察[J].中国计划生育学杂志,2017,25(6):404-407.
[16] 刘敏,彭慧娟,程思.益气升提法对全子宫切除术后性功能的影响[J].广州中医药大学学报,2019,36(3):353-359.
[17] 徐荣海.关元百会穴的配伍运用举隅[J].针灸临床杂志,2007,23(7):56.
[18] 罗晓丹,林少梅,邵晓红.针灸联合盆底康复治疗仪对子宫脱垂的治疗研究[J].中医临床研究,2018,10(8):112-113.
[19] 毛越,江花.近20年子宫脱垂针灸治疗的研究进展[J].内蒙古中医药,2017,36(4):142-143.
[20] 王梅,马振旺,白妍.八髎穴为主隔姜灸治疗慢性盆腔炎的疗效观察[J].中国中医药科技,2018,25(6):920-921.