Clinical value of Ju Yuan granule combined with biofeedback and electrical stimulation in the treatment of postpartum pelvic floor dysfunction

Objective To investigate the clinical efficacy of JuYuanJian combined with biofeedback and electrical stimulation in the treatment of postpartum pelvic floor dysfunction(PFD) and its effect on pelvic floor muscle strength. Methods Total 605 cases of puerperae with the level of pelvic floor muscle strength ≤ 3 in our hospital were collected and assigned into the observation group(298 cases) and the control group(307 cases)in accordance with the voluntary principle.The puerperae in the observation group received JuYuanJian combined with Biofeedback and electrical stimulation,while the control group received only biofeedback and electrical stimulation.The difference of vaginal contraction electromyogram,vaginal contraction duration and vaginal dynamic pressure were compared between the two groups,and the changes of stress urinary incontinence symptoms and deficiency syndrome were analyzed. Results After the treatment,the incidence of stress urinary incontinence in the observation group was 0.34%(1/298) and in the control group 0.98%(3/307),which was significantly lower than 6.38%(19/298) and 7.17%(22/307) before the treatment(P<0.05),but there was no significant difference between the two groups after the treatment(P>0.05).The level of vaginal contraction electromyogram,vaginal contraction duration and vaginal dynamic pressure after the treatment were significantly higher than those before the treatment(P<0.05),and there was significant difference between the two groups after the treatment(P<0.05).After the treatment,the score for every Qi-deficiency syndrome(TCM) were significant improved in both groups(P<0.05),the score for spiritlessness and spontaneous perspiration in the observation group were significantly lower than those in the control group(P<0.05),but the score for breathe hard,lacking in strength and emaciation were not significant difference between the two groups(P>0.05).The overall quantization scores for Qi-deficiency syndrome in the observation group was significantly lower than the control group(P<0.01). Conclusion JuYuan granule combined with biofeedback and electrical stimulation in PFD can effectively promote postpartum pelvic floor muscle function recovery,improve the treatment of postpartum PFD,which is better than only biofeedback and electrical stimulation,and it is worthy of further application.