转化医学杂志2025，Vol.14Issue(5)：121-125,5.DOI:10.3639/j.issn.2095-3097.2025.05.025
升阳固脱方联合抗阻夹腿训练治疗产后压力性尿失禁疗效观察
Observation on the Efficacy of Shengyang Gutuo Decoction Combined with Resistance Leg-Clamping Training on Postpartum Stress Urinary Incontinence
摘要
Abstract
Objective To investigate the clinical efficacy of ShengYang GuTuo Decoction combined with resistance leg-clamping training for postpartum stress urinary incontinence(PSUI)in patients with spleen-kidney yang deficiency and Qi sinking in the middle Jiao pattern.Methods Eighty-two patients diagnosed with PSUI of spleen-kidney yang deficiency and Qi sinking in the middle Jiao pattern,admitted to the Cangzhou Integrated Traditional Chinese and Western Medicine Hospi-tal from April 2021 to April 2022,were enrolled and randomly divided into a control group and a treatment group via a random number table method,with 41 patients in each group.The control group received resistance leg-clamping training,while the treatment group received ShengYang GuTuo Decoction orally in addition to resistance leg-clamping training.Both groups un-derwent treatment for 8 weeks.The following parameters were evaluated:Clinical efficacy,Traditional Chinese Medicine(TCM)syndrome scores,Sandvik Incontinence Severity Index,and pelvic floor muscle strength scores(including anterior resting ten-sion,fast muscle fiber activity,slow muscle fiber activity,posterior resting tension,and total score)before treatment,as well as at weeks 4 and 8 of treatment.Results The total effective rate was 82.93%in the treatment group,significantly higher than the 60.98%rate in the control group(P<0.05).After treatment,the TCM syndrome scores(including fatigue,soreness and weakness of waist and knees,shortness of breath,and aversion to cold)and total scores were significantly lower in the treatment group compared to the control group(P<0.05).At weeks 4 and 8 post-treatment,the Sandvik Index was lower in both groups than at baseline,with the treatment group showing a lower index than the control group(P<0.05).Notably,at week 8 post-treatment,the Sandvik Index was predominantly at a mild level in the treatment group.After treatment,the pelvic floor muscle strength scores(including anterior resting tension,fast muscle fiber activity,slow muscle fiber activity,posterior resting tension,and total score)increased in both groups compared to baseline,with the treatment group achieving higher scores than the control group(P<0.05).Conclusion ShengYang GuTuo Decoction combined with resistance leg-clamping training can effectively improve the clinical symptoms,reduce the severity of urinary incontinence,and enhance pelvic floor muscle strength in PSUI patients with spleen-kidney yang deficiency and Qi sinking in the middle Jiao pattern.This therapeutic effect is superior to that of resis-tance leg-clamping training alone.关键词
尿失禁,压力性/产后期/抗阻夹腿训练/盆底肌训练/升阳固脱方Key words
Postpartum stress urinary incontinence/Observation of therapeutic efficacy/Resistance leg-clamping train-ing/Pelvic floor muscle training/Shengyang Guduo Decoction分类
医药卫生引用本文复制引用
赵静,狄树平..升阳固脱方联合抗阻夹腿训练治疗产后压力性尿失禁疗效观察[J].转化医学杂志,2025,14(5):121-125,5.基金项目
河北省中医药管理局科研计划项目(2021292) （2021292）
