益气固脱方联合电针治疗轻中度盆腔器官脱垂的临床研究

发布时间：2018-04-21 12:25

本文选题：益气固脱方 + 电针　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：通过观察患者治疗前后的临床症状(调查问卷表)、盆腔器官脱垂程度的POP-Q评分及盆底肌电评估(盆底肌最大收缩力和肌肉持续收缩时间)的变化来探讨益气固脱方联合电针治疗轻中度盆腔器官脱垂的临床效果。方法：选择40-65岁轻中度脾肾两虚型盆腔器官脱垂患者60例,随机分为治疗组、对照组各30例。治疗组给予益气固脱方联合电针治疗2个疗程,对照组给予电针治疗2个疗程。通过观察两组患者治疗前、治疗后及治疗后3个月的临床症状(各个调查问卷评分)、盆底POP-Q评分及盆底肌电评估(盆底最大收缩力及肌肉持续收缩时间)的变化,对两组进行治疗前、治疗后的自身对照和两组组间的对比。结果：治疗后治疗组总有效率为93%,对照组总有效率为73% (P0.05)；两组治疗后盆底功能指标(最大收缩力及持续时间)均较治疗前明显升高(P0.05),其中治疗组上升幅度显著高于对照组(P0.05);在改善临床症状方面,两组治疗后中医症候评分、尿失禁ICIQ-SF评分及盆底器官脱垂症状影响评分均较治疗前明显降低(P0.05),其中治疗组降低程度显著高于对照组(P0.05)。此外,通过对POP致病因素相关性分析发现POP的发生与年龄、病程、体重指数、阴道分娩次数、绝经与否、慢性便秘等因素有关。结论：益气固脱方联合电针治疗轻中度盆腔器官脱垂疗效显著,具有安全、简单、无副作用的优势。
[Abstract]:Objective: to observe the changes of clinical symptoms (questionnaire scale, POP-Q score of pelvic organ prolapse and pelvic floor electromyography) before and after treatment (maximal contractility of pelvic floor muscle and duration of continuous muscle contraction). Clinical effect of Qi Gu Tu Fang combined with electroacupuncture on mild and moderate pelvic organ prolapse. Methods: sixty patients aged 40 to 65 with pelvic organ prolapse were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with Yiqi Gu Tu Fang combined with electroacupuncture for 2 courses, while the control group was treated with 2 courses of electroacupuncture. The changes of clinical symptoms (questionnaire scores, pelvic floor POP-Q scores and pelvic floor electromyography) were observed before, after and 3 months after treatment in the two groups. The self-control before and after treatment was compared with that between the two groups. Results: the total effective rate was 93% in the treatment group and 73% in the control group, and the pelvic floor function index (maximum contractility and duration) in both groups was significantly higher than that before treatment, especially in the treatment group. In the control group, P0.05, in the improvement of clinical symptoms, After treatment, the scores of TCM symptoms, urinary incontinence ICIQ-SF and pelvic floor organ prolapse symptoms in both groups were significantly lower than those before treatment, and the degree of decrease in the treatment group was significantly higher than that in the control group. In addition, it was found that the incidence of POP was related to age, course of disease, body mass index, vaginal delivery times, menopause or not, chronic constipation and so on. Conclusion: Yiqi Gu Tu Fang combined with electroacupuncture is effective in the treatment of mild and moderate pelvic organ prolapse, and has the advantages of safety, simplicity and no side effects.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R271.9

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