盆底肌电刺激联合凯格尔运动对产后盆底功能障碍患者的康复作用观察
Observation on the rehabilitation effect of pelvic floor myoelectric stimulation combined with Kegel exer-cise on postpartum patients with pelvic floor dysfunction
李艳 1褚璐璐 1刘越1
作者信息
- 1. 郑州市第三人民医妇产科 河南郑州 450000
- 折叠
摘要
目的 分析盆底肌电刺激联合凯格尔运动在产后盆底功能障碍康复中的应用价值及对排尿功能的影响.方法 选取2021年9月～2023年9月郑州市第三人民医院接受治疗的80例产后盆底功能障碍患者为研究对象,按照随机数字表法分为观察组和对照组,各40例,对照组采用凯格尔运动治疗,观察组采用凯格尔运动联合盆底肌电刺激治疗.比较两组临床疗效及治疗前后尿动力学指标、阴道收缩持续时间、性生活质量及盆底肌Ⅰ类、Ⅱ类纤维电位值.结果 观察组总有效率高于对照组(95％vs 77.5％,P＜0.05);观察组尿道最大测量压(PMU)、膀胱顺应性(BC)、尿道最大闭合压力(PMUC)、阴道收缩持续时间、性生活满意及盆底肌Ⅰ类、Ⅱ类纤维电位值高于对照组(P＜0.05);性交痛评分及盆底肌功能障碍评分(PFDI-20)低于对照组(P＜0.05).结论 盆底肌电刺激联合凯格尔运动对产后盆底功能障碍患者盆底肌功能及排尿功能具有较好康复作用.
Abstract
Objective To analyze the application value of pelvic floor EMG stimulation combined with Kegel exercise in the rehabilitation of postpartum pelvic floor dysfunction and its influence on uri-nation function.Methods A total of 80 patients treated with postpartum pelvic floor dysfunction from September 2021 to September 2023 were selected as the study objects,all patients were randomly di-vided into two groups that each contain 40 cases according to random number table method.The pa-tients in control group were treated with Kegel exercise,and the those of observation group were trea-ted with Kegel exercise combined with pelvic floor EMG stimulation.The clinical efficacy,urodynamic indexes,duration of vaginal contraction,quality of sexual life,Class Ⅰ and Class Ⅱ fiber potentials of pelvic floor were compared between the two groups before and after treatment.Results The total ef-fective rate in the observation group was higher than that of the control group(95％vs77.5％,P＜0.05);The maximum measured urethral pressure(PMU),bladder compliance(BC),maximum closed urethral pressure(PMUC),duration of vaginal contraction,satisfaction of sexual life,and Class Ⅰ and Ⅱ muscle fiber potential values of pelvic floor in observation group were higher than those in control group,while Coital pain score and pelvic floor muscle dysfunction score(PFDI-20)were lower than those of control group(P＜0.05).Conclusion It is believed that the pelvic floor EMG stimulation combined with Kegel exercise plays a positive and effective role in the rehabilitation of postpartum pelvic floor dysfunction,and has a better effect on the pelvic floor function and urination function recovery of patients.
关键词
盆底肌电刺激/凯格尔运动/产后盆底功能障碍/排尿功能Key words
Pelvic floor EMG stimulation/Kegel exercise/Postpartum pelvic floor dysfunction/Urinary function引用本文复制引用
出版年
2024
NETL
NSTL
万方数据