失笑散合四物汤配合康复治疗盆底功能障碍性疾病的疗效观察

目的：探讨中西医结合治疗盆底功能障碍性疾病的疗效。方法将126例产妇随机分成实验组63例，对照组63例，实验组应用活血祛瘀类中药口服1个疗程配合盆底康复治疗2个疗程，对照组则应用盆底康复治疗2个疗程，疗程结束后观察两组产妇的盆底肌力恢复情况，1年后随访两组产妇压力性尿失禁的发生率。结果实验组产妇的盆底肌力评价Ⅲ级以上58例，对照组41例，压力性尿失禁实验组发生5例，发生率7.9%，对照组14例，发生率22.2%，直肠肛门功能障碍实验组发生3例，发生率4.8%，对照组11例，发生率17.5%，盆腔脏器脱垂实验组发生4例，发生率6.3%，对照组13例，发生率20.6%，两组比较差异有统计学意义（P〈0.05）。结论失笑散合四物汤配合盆底康复治疗盆底功能障碍性疾病的疗效优于单纯盆底康复治疗法。

The therapeutic efficacy of Shixiaosan and Siwu decoction combined with rehabilitation intervention used for pelvic floor dysfunction

Objective To explore the therapeutic efficacy of Shixiaosan and Siwu decoction combined with rehabilita-tion intervention used for pelvic floor dysfunction. Methods The 126 cases were randomly divided into test and control groups. There were 63 patients in every group. The control group accepted only two courses of pelvic floor rehabilitation therapy. However treatment of traditional Chinese medicine combined with two courses of pelvic floor rehabilitation therapy were used in the test group. Then the therapeutic effect of all cases was estimated. The incidence of stress in-continence was investigated after one year. Results The amount of pelvic floor muscle strength up to Ⅲ in the test group was 58 cases, however only 41 cases in the control group. There were 5 cases suffered stress incontinence, and the incidence was 7.9% in the test group. But there were 14 cases suffered stress incontinence, and the incidence was 22.2% in the control group. 3 cases occurred anorectum dysfunction, and the incidence was 4.8% in the test group,however there were 11 cases occurred anorectum dysfunction, and the incidence was 17.5% in the control group. 4 cases suffered pelvic organ prolapse,and the incidence was 6.3% in the test group,while there were 13 cases suffered pelvic organ prolapse, and the incidence was 20.6% in the control group. The difference between the two groups was statistically significant （P〈0.05）. Conclusion Our study indicated that the therapeutic efficacy of Shixiao san and Siwu decoction combined with rehabilitation intervention used for pelvic floor dysfunction was significantly better than simple rehabilitation intervention.