Application effects of biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation training in patients with postpartum pelvic floor dysfunction
Objective:To observe application effects of biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation training in patients with postpartum pelvic floor dysfunction(PFD).Methods:A prospective study was conducted on 106 patients with PFD after natural childbirth who were admitted to this hospital from June 2021 to June 2023.According to the random envelope method,they were divided into control group and study group,53 cases in each group.The control group was treated with pelvic floor muscle rehabilitation training,while the study group was treated with biofeedback electrical stimulation on the basis of that of the control group.The clinical efficacy,the pelvic floor muscle strength indexes(maximum value of rapid contraction stage,average value of tension contraction stage,average value of endurance contraction stage)levels,the pelvic floor function indexes[pelvic floor dysfunction scale(PFDI),vaginal dynamic pressure,vaginal continuous contraction time]levels,the urinary incontinence improvement indexes[abdominal leak point pressure(ALPP),bladder compliance(BC),maximum urethral closure pressure(MUCP),international consultation on in-continent questionnaire-short form(ICIQ-SF)]levels were compared between the two groups before and after the treatment.Results:The total effective rate of the study group was 96.23%(51/53),which was higher than the control group of 83.02%(44/53),and the difference was statistically significant(P<0.05).After the treatment,the maximum value of rapid contraction stage,the average value of tension contraction stage and the average value of endurance contraction stage in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the PFDI score of the study group was lower than that of the control group,the vaginal dynamic pressure was higher than that of the control group,the vaginal continuous contraction time was longer than that of the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the ICIQ-SF score of the study group was lower than that of the control group,the levels of BC,MUCP and ALPP were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:The biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation training for the postpartum PFD patients can improve the total effective rate of treatment and the levels of pelvic floor muscle strength indexes and improve the levels of pelvic floor function indexes and urinary incontinence improvement indexes.Moreover,it is superior to simple pelvic floor muscle rehabilitation training.
万方数据
维普
