Clinical Study Of Modified Taohe Chengqi Decoction Combined With Electrical Stimulation And Manual Massage In The Treatment Of Female Pelvic Floor Myofascial Pelvic Pain Syndrome Of Damp-heat And Blood Stasis

Objective To observe the clinical efficacy of modified Taohe Chengqi decoction combined with electrical stimulation and manual massage in the treatment of female pelvic floor myofascial pelvic pain syndrome of damp-heat stasis,and to compare traditional Chinese medicine combined with western medicine physiotherapy and simple western medicine physiotherapy to provide a new idea of comprehensive therapy for clinic.Methods Sixty female patients with pelvic floor myofascial pain syndrome of damp-heat stasis type were randomly divided into control group and observation group.The control group was treated with electrical stimulation and manual massage,while the observation group was treated with modified Taohe Chengqi decoction combined with electrical stimulation and manual massage.The changes of subjective pain visual analogue score,pelvic floor muscle tenderness score,pelvic floor muscle strength,sexual function score and TCM syndrome score were observed before and after treatment.The experimental data of the two groups were statistically analyzed with the help of SPSS26.0 to evaluate the clinical effect of modified Taohe Chengqi decoction combined with electrical stimulation and manual massage.Results 1.There was no significant difference in age,body mass index and delivery times between the two groups(P<0.05).2.After treatment,the visual analogue score of subjective pain and the score of pelvic floor tenderness in the two groups were lower than those before treatment,and there was significant difference between the two groups after treatment(P<0.05).After treatment,the visual analogue score of subjective pain and the score of pelvic floor tenderness in the observation group were significantly lower than those in the control group(P<0.05).3.After treatment in the two groups,there were 17 patients with pelvic floor muscle strength<grade Ⅲ and 13 patients with pelvic floor strength≥ grade Ⅲ in the control group,in the observation group,there were 4 patients whose pelvic floor muscle strength was(?)grade Ⅲ,and 26 patients with pelvic floor muscle strength≥ grade Ⅲ.There was a significant difference in pelvic floor muscle strength between the two groups in(?)Ⅲ grade and≥ Ⅲ grade(P<0.05).4.The FSFI score of sexual life in the two groups after treatment was higher than that before treatment,and there was significant difference between the two groups after treatment.The FSFI score of sexual function in the observation group after treatment was significantly higher than that in the control group(P<0.05).5.The TCM syndrome scores of the two groups after treatment were lower than those before treatment,and there was significant difference between the two groups after treatment(P<0.05).After treatment,the TCM syndrome score of the observation group was significantly lower than that of the control group(P<0.05),and the difference was statistically significant.6.The effective rate of the control group was 76.67%,and that of the observation group was 93.33%.The curative effect of the observation group was significantly better than that of the control group.Conclusion Modified Taohe Chengqi decoction combined with electrical stimulation and manual massage can reduce the pain symptoms of female patients with pelvic floor myofascial pelvic pain syndrome of damp-heat stasis type,improve the patients’ pelvic floor muscle strength and quality of sexual life,and improve the score of TCM symptoms.the clinical effect is better than that of simple electrical stimulation and manual massage.