Objective To observe the clinical effect of different rehabilitation methods in the treatment of postpartum cystocele.Methods A total of 160 patients with postpartum cystocele who were treated in Jiangbin Hospital of Guangxi Zhuang Autonomous Region from July 2021 to July 2023 were selected as the research objects.According to different rehabilitation treatment methods,they were divided into the electric stimulation biofeedback therapy(ESBT)group,ESBT combined with rehabilitation manipulation group,ESBT combined with electroacupuncture group and electroacupuncture group,with 40 cases in each group.The bladder neck mobility,posterior bladder angle and pelvic floor muscle function were compared among the four groups.Results At the end of treatment and 3 months after treatment,the bladder neck mobility of the four groups was shorter than that before treatment,and the posterior bladder angle was smaller than that before treatment(P<0.05).At 3 months after treatment,the bladder neck mobility in the ESBT combined rehabilitation manipulation group,the ESBT group and the electroacupuncture group was shorter than that at the end of treatment,and the posterior bladder angle was smaller than that at the end of treatment(P<0.05).There was no significant difference in bladder neck mobility and posterior bladder angle between the ESBT combined with electroacupuncture group at 3 months after treatment and the end of treatment(P>0.05).At the end of treatment and 3 months after treatment,the bladder neck mobility in the ESBT combined with electroacupuncture group and the ESBT combined rehabilitation manipulation group was shorter than that in the ESBT group and the electroacupuncture group,and the posterior bladder angle was smaller than that in the ESBT group and the electroacupuncture group(P<0.05).The average electromyography value of 60 s endurance contraction of type Ⅰ muscle fiber and the maximum electromyography value of rapid contraction of type Ⅱ muscle fiber at the end of treatment and 3 months after treatment were higher than those before treatment in the four groups(P<0.05).The average electromyography value of 60 s endurance contraction of typeⅠmuscle fiber and the maximum electromyography value of rapid contraction of type Ⅱ muscle fiber at 3 months after the end of the ESBT combined rehabilitation therapy group,the ESBT group and the electroacupuncture group were lower than those at the end of treatment(P<0.05).There were no significant differences in the average electromyography value of 60 s endurance contraction of typeⅠmuscle fiber and the maximum electromyography value of rapid contraction of type Ⅱ muscle fiber between 3 months after the end of treatment in the ESBT combined with electroacupuncture group(P>0.05).At the end of treatment and 3 months after treatment,the average electromyography value of 60 s endurance contraction of typeⅠmuscle fiber and the maximum electromyography value of rapid contraction of type Ⅱ muscle fiber in the ESBT combined with electroacupuncture group and the ESBT combined rehabilitation manipulation group were higher than those in the ESBT group and the electroacupuncture group(P<0.05).Conclusion ESBT combined with electroacupuncture in the treatment of postpartum cystocele has significant effect on the durability of efficacy,and can more stably restore the bladder structure and pelvic floor muscle function.It can be used as the first choice for the rehabilitation of postpartum cystocele.
关键词
电刺激生物反馈疗法联合电针/康复手法/产后/膀胱膨出
Key words
Electric stimulation biofeedback therapy combined with electroacupuncture/Rehabilitation manipulation/Postpartum/Cystocele
维普
万方数据