Buzhongyiqi Pill Combined Physical Therapy Used For Assessment Of Postpartum Pelvic Floor Rehabilitation Assessment

Objective: Pregnancy and delivery are the most dangerous and independent factors of pelvic floor dysfunction disease.Pelvic Floor dysfunction has a very significant relationship to pelvic support tissue defect caused by damage of the levator ani muscle tissue.This study was to evaluate the Vaginal delivery on the pelvic floor muscle damage,investigate the effect of Buzhongyiqi pill combined physical therapy on postpartum pelvic floor rehabilitat-ion,and provide a theoretical basis for the prevention and treatm-ent of female pelvic floor dysfunction.Methods: A total of 308 post-partum women 42 days after delivery were recruited from the Wuhan General Hospital of Guangzhou Milita-ry Region,among whom the pelvic pelvic muscle strength,muscle fa-tigue level below levels III(include level III) evaluated by Neuro-muscular stimulation therapy instrument and symptom of Qi deficien-cy were included in this study.These individuals were randomly divided into four groups:Buzhongyiqi pill group(A group),physical therapy group(group B),Buzhongyiqi pill combined physical therapy group(AB group),control group(C group).The control group was untr-eated and only followed general guidance postpartum recovery.The post-partum women at 42 days in A group were given Buzhongyiqi Pill a month.The post-partum women at 42 days in B group were given Buzhongyiqi Pill a course of treatment,the post-partum women at 42 days in AB group were given Buzhongyiqi Pill combined physical therapy a course of treatment.Deficiency symptoms score table of Chinese medicine,anteroposterior diameter of Levator hiatal antero-posterinr diameter、lateral diameter of Levator hiatal 、circle of Levator hiatal、area of Levator hiatal area measured by Trans perineal three-dimensional ultrasonography,I and II pelvic muscle strength,muscle fatigue level and vaginal dynamic pressure measur-ed by Neuromuscular stimulation therapy instrument were used to assess the effects of therapy to the post-partum women at 42 days、3months and 6 months.Result: 1)About deficiency symptoms score table of Chinese medicin e in the post-partum women at 42 days、3 months、6 months,all treatment group at 3 months、6 months compared with C group have statistically significant(P<0.05),there were no statistically significant differences in all treatment group after their treatments(P>0.05).2)About levator hiatal anteroposterior diame ter、levator hiatal lateral diameter、levator hiatal circle、levator hiatal area in the post-partum women at 42 days、3 months、6 months in rest、valsalva movement and contractional state,all treatment group of levator hiatal lateral diameter in rest、valsalva movement and contractional state、levator hiatal anteroposterior diameter in rest、valsalva movement and contractional state、levator hiatal circle in rest 、 valsalva movement 、 Levator hiatal area in contractional state at 3 months、6 months compared with C group have statistically significant(P<0.05),others have no statistically significant differences(P>0.05).levator hiatal lateral diameter of AB group in contractional state at 3 months、levator hiatal anteroposterior diameter of AB group in rest at 3 months、Levator hiatal lateral diameter of AB group in rest at 6 months are better than A、B group,levator hiatal anteroposterior diameter of AB group in rest at 3 months is better than A group,have statistically significant differences(P<0.05),the others have no statistically significant differences(P>0.05).Overall,traditional chinese medi-cine and physical therapy have a synergistic effect.Contrast the degree of recovery,Buzhongyiqi pill combined physical therapy group is the best in the degree of recovery.3)About I、II pelvic muscle strength 、muscle fatigue level and vaginal dynamic pressure in post-partum women at 42 days、3 months、6 months,all treatment group compared with C group have statistically significant(P<0.05),I、II pelvic muscle fatigue level of AB group at 6 months are better than A、B group,have statistically significant difference(P<0.05).The others have no statistically significant differences(P>0.05).Conclusions:1)The research confirms the pregnancy and delivery cause a certain extent of damage in female pelvic floor muscles. 2)Postpartum pelvic floor muscles can gradually recover over time, but the degree of recovery is slow. Buzhongyiqi pill or physical therapy has effect for postpartum pelvic floor rehabilitation, especially Buzhongyiqi pill combined with physical therapy has the most significant effect.This subject provide a theoretical basis for Western medicine combineing chinese medicine to prevent and treat female pelvic floor dysfunction.