Observation On The Curative Effect On Uterine Prolapse Of Spleen And Kidney Deficiency Type Treated With Traditional Chinese Medicine Combined With U4 Therapeutic Apparatus

Objective : This project aims to observe the efficacy and safety of Chinese medicine combined with U4 therapeutic apparatus in the treatment of uterine prolapse of spleen and kidney deficiency type,in order to explore a more effective and safe method for the treatment of uterine prolapse with the combination of Chinese and Western medicine,and to provide better clinical diagnosis and treatment Many ideas and basis,and promote to clinical applications.Methods:In this project,the cases that meet the inclusion criteria were randomly divided into treatment group,control group 1 and control group 2.The treatment group was given Chinese medicine + U4 therapeutic apparatus + Kegel exexcise,the control group 1 was given U4 therapeutic apparatus + Kegel exexcise,and control 2 Group to Kegel exexcise.Record and observe the patients’ TCM symptoms,POP-Q scale,pelvic floor muscle strength,PFDI-20,safety indicators and recurrence before and after treatment,and perform statistical analysis.Results:A total of 108 patients were enrolled in this study,2 cases were dropped,and 106 cases were finally effective.There were 36 cases in the treatment group,36 cases in the control group 1,and 34 cases in the control group 2.The three groups of patients had no significant differences in age and severity of illness(P>0.05),and they were comparable.1.In terms of clinical efficacy: the treatment group achieves a total effective rate of91.67%,the control group 1 achieves a total effective rate of 83.33%,and the control group2 achieves a total effective rate of 64.71%.The clinical efficacy of the three groups is statistically significant,and the treatment group is significantly better than the other two.Group(P<0.05),the control group 1 is better than the control group 2(P<0.05).2.In terms of TCM symptoms: the primary and secondary symptoms of the three groups of patients were improved to varying degrees before and after treatment,and the difference was statistically significant(P<0.05).The total effective rate of the treatment group was 88.89%,the total effective rate of the control group 1 was 77.78%,and the total effective rate of the control group 2 was 55.88%.After comparison between groups,the treatment group was significantly better than the other two groups in improving the main symptoms and secondary symptoms(P<0.05),except for the control group 1 was better than the control group 2 in improving the main symptoms and the secondary symptom of frequent urination(P<0.05),there was no significant difference between the control group1 and the control group2 in improving the other symptoms(P>0.05).3.In terms of POP-Q scale: the POP-Q scale of the three groups of patients before and after treatment was lower than before,and the difference was statistically significant(P<0.05).After comparison between groups,the treatment group was significantly better than the other two groups(P<0.05),and the control group 1 was better than the control group 2(P<0.05).4.In terms of pelvic floor muscle strength: the pelvic floor muscle strength of the three groups of patients before and after treatment increased compared with before,and the difference was statistically significant(P<0.05).After comparison between groups,the treatment group was significantly better than the other two groups(P<0.05),and the control group 1 was better than the control group 2(P<0.05).5.In terms of PFDI-20: the scores of the three groups of patients before and after treatment were lower than before,prompt to reduce the impact on quality of lifel,and the difference was statistically significant(P<0.05).After comparison between groups,the treatment group was significantly better than the other two groups(P<0.05),and the control group 1 was better than the control group 2(P<0.05).6.In terms of recurrence rate: the recurrence rate of the treatment group was significantly lower than that of the other two groups(P<0.05),and there was no significant difference between the control group 1 and the control group 2(P>0.05).7.In terms of safety: there were no abnormalities in the safety indicators of the three groups of patients before and after treatment.Conclusion:In this study,through clinical observations,the patients’ TCM symptoms,POP-Q scale,pelvic muscle strength,PFDI-20,safety indicators and recurrence were compared before and after treatment.The comprehensive analysis reached the following conclusions:1.Chinese medicine + U4 therapeutic apparatus + Kegel exexcise,U4 therapeutic apparatus + Kegel exexcise,Kegel exexcise these three treatment programs have certain curative effect on patients with spleen and kidney deficiency type uterine prolapse.2.Chinese medicine + U4 therapeutic apparatus + Kegel exexcise can significantly improve the patient’s TCM symptoms,reduce POP-Q scale,strengthen pelvic floor muscle strength,reduce the impact on quality of life,ensure safety,reduce recurrence rate,and has better efficacy than the other two programs.It is a more effective and safe method for treating uterine prolapse,and it is worthy of clinical application.3.Kegel exexcise alone has limited efficacy,but combined with U4 therapy instrument can enhance the efficacy.