Effect of the pelvic floor muscle exercise combined with the bionic electrical stimulation for treating puerperae with vaginal delivery on their postpartum pelvic floor function rehabilitation
Objective:To explore the effect of the postpartum pelvic floor(PF)function rehabilitation of the pelvic floor muscle exercise(PFME)combined with the bionic electrical stimulation(BES)for treating puerperae with vaginal de-livery(VD).Methods:The clinical data of 102 puerperae with VD and postpartum pelvic floor dysfunction from De-cember 2021 to December 2023 were analyzed retrospectively.According to the different treatment regimens,these pu-erperae were divided 53 puerperae with treatment of PFME in control group and 49 puerperae with treatment of PFME combined with BES in observation group.The puerperae in both groups were begun to treat in 42-50 days after delivery and were continued treatment for 1 month.The PF muscle strength by Oxford pressure hand test,the electromyogra-phy amplitude of PF muscle,the fatigue degree of PF muscle evaluated by pelvic floor electromyography variation coef-ficient and the ultrasound parameters of PF muscle,such as bladder neck mobility and urethral rotation angle,of the puerperae before and after treatment were compared between groups.Results:The parameters values of PF muscle of the puerperae in the two groups after treatment had improved significantly,and the PF muscle strength(3.37±1.02)of the PF muscle of the puerperae in the observation group was significantly higher than that(2.98±0.88)of the puer-perae in the control group and the potential activity value of the PF muscle in the observation group was also signifi-cantly higher.The degree of the pelvic PF fatigue of the puerperae in the observation group was significantly lower than that of the puerperae in the control group,and the bladder neck mobility(12.47±3.34 mm)and the urethral rotation angle(25.65±6.90°)of the puerperae in the observation group were significantly lower than those(14.39±3.70 mm and 29.26±7.21°)of the puerperae in the control group(all P＜0.05).Conclusion:PFME combined with BES for treating the puerperae with VD can effectively restore their PF muscle systolic function,enhance their PF muscle ten-sion and improve their PF muscle fatigue and can correct the structure of their bladder neck and urethra construction,and thus can relieve their PF muscle disorder.
Postpartum women with vaginal deliveryPostpartum pelvic floor dysfunctionPelvic floor muscle exer-ciseBionic electrical stimulationPelvic floor muscle parametersRehabilitation effect
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