凯格尔训练联合补中益气汤加减治疗女性压力性尿失禁患者的效果及对盆底肌力、尿动力学的影响OA

Objective To study the effect of Kegel training combined with modified Buzhong Yiqi Decoction treating female patients with stress urinary incontinence and its influence on pelvic floor muscle strength and urodynamics.Methods From June 2022 to June 2024,106 female patients with stress urinary incontinence admitted to Suzhou Wujiang District Hospital of Traditional Chinese Medicine were selected and divided into control group(n=53,Kegel training)and observation group(n=53,Kegel training combined with modified Buzhong Yiqi Decoction)by random number table method.The clinical efficacy,pelvic floor muscle strength,1-hour urine leakage volume,urodynamics,traditional Chinese medicine syndrome score,and incontinence quality of life instrument(I-QOL)score were compared between the two groups.Results Compared before treatment,the 1-hour urine leakage volume and traditional Chinese medicine syndrome score after treatment were reduced in the two groups,and the 1-hour urine leakage volume and traditional Chinese medicine syndrome score after treatment in the observation group were lower than those in the control group(P<0.05).Compared before treatment,I-QOL scores,pelvic floor muscle strength,urodynamic parameters,vaginal systolic pressure and resting pressure were increased after treatment in the two groups,and those in the observation group were higher than those in the control group after treatment(P<0.05).The total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion Kegel training combined with modified Buzhong Yiqi Decoction in the treatment of female patients with stress urinary incontinence can improve the clinical effect,pelvic floor muscle strength,urodynamic parameters,and quality of life of patients.