Clinical Observation Of Kegel Exercise Combined With Buzhong Yiqi Decoction In The Treatment Of Female Pelvic Floor Relaxation Constipation With Qi Deficiency

Objective:To carry out a randomized controlled trial of Kegel exercise combined with Buzhong Yiqi Decoction in the treatment of female pelvic floor relaxation constipation with qi deficiency,and to compare the clinical efficacy difference between the combined treatment and oral Buzhong Yiqi Decoction alone in the treatment of female pelvic floor relaxation constipation with qi deficiency,and to explore the clinical efficacy of the combined treatment.METHODS:A total of 60 female patients with constipation of qi deficiency type pelvic floor relaxation were collected from the Anorectal Center of Nanjing Hospital of Traditional Chinese Medicine,Nanjing University of Chinese Medicine from May 2020 to December 2020.A randomized controlled study was conducted,and the patients were divided into treatment group and control group,with 30 cases in each group.The treatment group was treated with Kegel exercise combined with Buzhong Yiqi Decoction.The control group was treated with Buzhong Yiqi Decoction.The course of treatment for both groups was 8 weeks.The changes of total constipation symptom score,constipation symptom score and constipation patient quality of life scale score were observed before and after treatment in the two groups.After data collection and sorting,SPSS21.0 software was used for statistical analysis of the data.Results:1.Intra-group comparison between the two groups:After treatment,the total score of constipation symptoms,the score of constipation individual symptoms and the score of the quality of life scale for constipation patients in both groups were statistically significant compared with that before treatment(P<0.05),indicating that both groups were effective in improving constipation symptoms and quality of life.2.Comparison between the two groups:After treatment,the total score of constipation symptoms and the score of PAC-QOL scale for constipation patients in the two groups were statistically analyzed,and the differences were statistically significant(P<0.05),indicating that the treatment group was better than the control group in improving constipation symptoms and quality of life.3.Comparison of single symptoms of constipation:After treatment in both groups,the treatment group had better efficacy than the control group in defecation effort,feeling of endless defecation,feeling of anal distension and abdominal distension(P<0.05),and the two groups had similar efficacy in feeling of defecation,toilet time,shortness of breath during defecation,limb fatigue and lazy speech and stool classification(P>0.05).4.Comparison of the total effective rate:the total effective rate of the treatment group was 86.67%,and the total effective rate of the control group was 70%.The curative effect of the two groups was significantly different(P=0.019<0.05),and the curative effect of the treatment group was better than the control group.Conclusion:The comprehensive treatment of Kegel exercise combined with Buzhongyiqi Decoction has a good clinical effect on female pelvic floor relaxation constipation with qi deficiency.It is safe,reliable,convenient and effective for clinical use,and has the value of clinical promotion and application.