首页|盆底肌锻炼联合生物反馈电刺激对产妇产后盆底功能障碍的治疗效果探讨

盆底肌锻炼联合生物反馈电刺激对产妇产后盆底功能障碍的治疗效果探讨

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目的 探究盆底肌锻炼联合生物反馈电刺激在产妇产后盆底功能障碍中的应用价值.方法 选取 2021 年6 月—2022 年 12 月我院收治的 160 例产后盆底功能障碍产妇为研究对象,按随机数字表法将其分为对照组与观察组,各 80 例.对照组采用常规盆底肌锻炼,观察组在对照组基础上联合生物反馈电刺激.比较两组的盆底肌肌电压、盆底肌肌力、阴道动态压、盆底器官脱垂程度、尿失禁程度、性生活质量.结果 治疗后,观察组Ⅰ类和Ⅱ类肌纤维肌电压、盆底肌肌力分级、阴道动态压均高于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组盆底器官脱垂程度轻于对照组,差异有统计学意义(P<0.05).治疗后,观察组尿失禁频率低于对照组,残余尿量少于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组女性功能评估量表评分高于对照组,差异有统计学意义(P<0.05).结论 产后盆底功能障碍产妇进行盆底肌锻炼联合生物反馈电刺激治疗,能够有效改善产妇的盆底功能,减轻盆底器官脱垂及尿失禁程度,提高性生活质量.
Exploration of the Therapeutic Effect of Pelvic Floor Muscle Exercise Combined with Biofeedback Electrical Stimulation on Postpartum Pelvic Floor Dysfunction in Parturients
Objective To explore the application value of pelvic floor muscle exercise combined with biofeedback electrical stimulation in the treatment of postpartum pelvic floor dysfunction in parturients.Methods Selecting 160 postpartum women with pelvic floor dysfunction admitted to our hospital from June 2021 to December 2022 as the research subjects,divide them into a control group and an observation group using a random number table method,with 80 cases in each group.The control group received routine pelvic floor muscle exercise,while the observation group received a combination of biofeedback electrical stimulation on the basis of the control group.Compare the pelvic floor muscle voltage,pelvic floor muscle strength,vaginal dynamic pressure,degree of pelvic floor organ prolapse,degree of urinary incontinence,and quality of sexual life between two groups.Results After treatment,the observation group showed higher levels of ClassⅠand ClassⅡmuscle fiber voltage,pelvic floor muscle strength grading,and vaginal dynamic pressure compared to the control group,the differences between groups were statistically significant(P<0.05).After treatment,the degree of pelvic floor organ prolapse in the observation group was lighter than that in the control group,the differences was statistically significant(P<0.05).After treatment,the frequency of urinary incontinence in the observation group was lower than that in the control group,and the residual urine volume was less than that in the control group,the differences between groups were statistically significant(P<0.05).After treatment,the Brief Index of Sexual Functioning for Women score in the observation group was higher than that in the control group,the differences was statistically significant(P<0.05).Conclusion Postpartum pelvic floor dysfunction in parturients undergoing pelvic floor muscle exercise combined with biofeedback electrical stimulation therapy can effectively improve pelvic floor function,reduce pelvic floor organ prolapse and urinary incontinence,and improve sexual quality of life.

Pelvic floor dysfunctionPostpartumPelvic floor muscle exerciseBiofeedback electrical stimulationPelvic floor function

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京山仁和医院妇产科,湖 北京山 431899

盆底功能障碍 产后 盆底肌锻炼 生物反馈电刺激 盆底功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)