Effect of Chinese Medicine Fumigation at Governor Vessel Combined with Kegel Motion Rehabilitation Exercise on Recovery of Pelvic Floor Function and Quality of Life in Primiparas After Delivery
Abstract:Objective:To observe the clinical effect of Chinese medicine fumigation at Governor Vessel combined with Kegel motion rehabilitation exercise on the improvements in pelvic floor function in primiparas after delivery. Methods:A total of 150 primiparas who gave birth at Anji Women's and Children's Hospital from May 2023 to May 2024 were randomly divided into the control group (60 cases) and the observation group (60 cases). Both groups were given Kegel motion rehabilitation exercise from 42 days after delivery,and the observation group was additionally treated with Chinese medicine fumigation at Governor Vessel. Both groups were treated for two weeks. Before and after treatment,the muscle strength of pelvic floor muscle was evaluated;the voltage of pelvic floor muscle,fatigue degree of pelvic floor muscle and ultrasound indicators of pelvic floor morphology were detected;the quality of life [scores of Pelvic Floor Impairment Questionnaire-7 (PFIQ-7) and Pelvic Floor Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12 (PISQ-12)] and the improvement effect on urinary incontinence symptoms were evaluated. Results:After treatment,the total effective rate of improving urinary incontinence symptoms in the observation group was higher than that in the control group (P<0.05). The muscle strength of pelvic floor muscle in the two groups were improved when compared with those before treatment (P<0.05), the improvements in the muscle strength of pelvic floor muscle in the observation group were better than those in the control group (P<0.05). The voltage of typeⅠandⅡ muscle fiber of pelvic floor muscle in the two groups was elevated when compared with that before treatment,and the fatigue degree of type Ⅰ and Ⅱ muscle fiber of pelvic floor muscle was decreased when compared with that before treatment,differences being significant (P<0.05);the voltage of typeⅠandⅡmuscle fiber of pelvic floor muscle in the observation group was higher than that in the control group,and the fatigue degree of typeⅠandⅡmuscle fiber of pelvic floor muscle was lower than that in the control group,differences being significant (P<0.05). The bladder neck mobility and urethral rotation angle in the two groups were reduced when compared with those before treatment,and the formation rate of internal urethral orifice funnel dwindled when compared with those before treatment,differences being significant (P<0.05). The bladder neck mobility and urethral rotation angle in the observation group were smaller than those in the control group,and the formation rate of internal urethral orifice funnel in the observation group was lower than that in the control group,differences being significant (P<0.05). The scores of PFIQ-7 and PISQ-12 in the two groups were down-regulated when compared with those before treatment (P<0.05), and the above two scores in the observation group were lower than those in the control group (P<0.05). Conclusion: In addition to Kegel motion rehabilitation exercise, Chinese medicine fumigation at Governor Vessel can effectively alleviate the urinary incontinence symptoms caused by pelvic floor dysfunction in primiparas after delivery,improve the muscle strength and fatigue degree of pelvic floor muscle, repair the pelvic floor muscle, and improve the postpartum rehabilitation condition and the quality of life.