Abstract
Effects of traditional Chinese medicine fumigation on Du meridian combined with biofeedback training on pelvic floor muscle strength and urodynamics in patients with postpartum pelvic floor dysfunction
  
DOI:10.3870/zgkf.2024.08.009
EN KeyWords: Chinese medicine fumigation  Du meridian  biofeedback training  postpartum pelvic floor dysfunc-tion  pelvic floor muscle strength  urodynamics
Fund Project:河北省中医药管理局科研计划项目(2021347)
作者单位
邢玉红 沧州中西医结合医院产二科河北 沧州 061001 
杨艳艳 沧州中西医结合医院产二科河北 沧州 061001 
靳亚慈 沧州中西医结合医院产二科河北 沧州 061001 
聂风华 沧州中西医结合医院产二科河北 沧州 061001 
田城 沧州中西医结合医院产二科河北 沧州 061001 
朱照梅 沧州中西医结合医院产二科河北 沧州 061001 
李宝祥 沧州医学高等专科学校外科教研室河北 沧州 061001 
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EN Abstract:
  Objective: To observe the effect of traditional Chinese medicine fumigation on Du meridian combined with biofeedback training on postpartum pelvic floor dysfunction (PPFD). Methods: A total of 180 patients with PPFD were collected and divided into three groups using a random number table method: A, B and C. All three groups were given routine treatment for 8 weeks, including Kegel exercise 3 times a day and vaginal dumbbell pelvic floor muscle exercise once a day. In group A, Chinese medicine fumigation on Du meridian was given on the basis of conventional treatment. In group B, the biofeedback training was given on the basis of routine treatment. In group C, the combined treatment was given. Pelvic floor muscle strength, urodynamics, pelvic floor neuromuscular electrophysiological indicators, pelvic floor dysfunction impact questionnaire (PFIQ-7), pelvic floor symptom impact questionnaire (PFDI-20), and pelvic organ prolapse and urinary incontinence function questionnaire (PISQ-12) were compared. Results: After treatment, the normal rate of pelvic floor muscle strength, maximum urethral closure pressure (MUCP), functional urethral length (FUL), bladder compliance (BC), stress leakage point pressure (SLPP), maximum fast muscle contraction, average 10-s slow muscle contraction, and PISQ-12 in all three groups were significantly higher than before treatment (P<0.05), and those in group C were significantly higher than those in group A and group B (P<0.05). After treatment, the PFIQ-7 and PFDI-20 of the three groups were lower than before treatment (P<0.05), and those in group C were lower than in group A and group B (P<0.05). Conclusion: Traditional Chinese medicine fumigation on Du meridian combined with biofeedback training can improve pelvic floor muscle strength, urodynamics, pelvic floor neuromuscular electrophysiological indicators, pelvic floor function, sexual function of patients with PPFD, and alleviate PPFD related symptoms.
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