The effect of Buzhong Yiqi pills combined with moxibustion on pelvic floor function after total hysterectomy

Abstract

Objective To observe the effect of Buzhong Yiqi pills combined with moxibustion on pelvic floor function after total hysterectomy (TH). Methods 62 cases of inpatients with TH without prolapse of uterus in our department from March 2015 to December 2016 were selected as the study subjects and were randomly divided into two groups: blank control group and treatment group. The treatment group was treated with oral Buzhong Yiqi pills and moxibustion (Qihai, Energy Pass, Baihui). Through the preoperative and postoperative every 3 months for a total of 12 months of stress urinary incontinence (SUI) and pelvic floor function related gynaecology - urinary cases questionnaire were conducted, pelvic floor muscle strength, POP-Q degree, sexual dysfunction diagnostic scale were analyzed, the effect of Buzhong Yiqi pills combined with moxibustion on pelvic floor function after TH was objectively evaluated from urinary incontinence, vaginal apical prolapse, pelvic floor muscle strength, sexual function and so on. Results There were no SUI cases in the two groups within 1 year after surgery. Aa, Ap, Ba and Bp points of anterior and posterior vaginal walls showed a progressive decline trend in the blank control group, with statistically significant differences before and after surgery (P 0.05). The measurement value of C point decreased with time in the blank control group, with statistically significant differences before and 3, 6, 9, 12 months after surgery (P 0.05). The pelvic floor muscle strength showed a progressive decline trend in the blank control group, with statistically significant differences before and 3, 6, 9, 12 months after surgery (P 0.05). Sexual life score showed a progressive decline trend in the blank control group, with statistically significant differences before and 3, 6, 9, 12 months after surgery (P<0.05); sexual life score in the treatment group 12 months after surgery was higher than that before surgery, with statistically significant difference (P<0.05). Conclusion The recent influence of TH on the pelvic floor function of women results in vaginal relaxation, reduction of pelvic floor muscle strength and sexual quality. Buzhong Yiqi pills combined with moxibustion can reduce or delay the occurrence of pelvic floor dysfunction diseases after TH, simple, easy to grasp, and worthy of clinical promotion. Key words: Buzhong Yiqi pill; Moxibustion; Total hysterectomy; Female pelvic floor function