首页|电极片阴部电刺激疗法联合凯格尔盆底康复训练对产妇产后盆底功能康复的影响

电极片阴部电刺激疗法联合凯格尔盆底康复训练对产妇产后盆底功能康复的影响

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目的:探讨电极片阴部电刺激疗法联合凯格尔盆底康复训练对产妇产后盆底功能康复的影响.方法:选取 2020 年 6 月—2022 年 6 月于松滋市妇幼保健院接受治疗产后盆底功能康复的患者 92 例,使用随机数字表法将其分为观察组及对照组,各 46 例.对照组接受凯格尔盆底康复训练,观察组在对照组基础上加用电极片阴部电刺激疗法.对比两组的盆底功能指标、性生活质量及压力性尿失禁疗效.结果:治疗前,两组的总肌电值、Ⅰ类肌纤维肌电值、Ⅱ类肌纤维肌电值、Ⅰ类肌纤维疲劳度及Ⅱ类肌纤维疲劳度相较,差异均无统计学意义(P>0.05);治疗后,两组的总肌电值、Ⅰ类肌纤维肌电值、Ⅱ类肌纤维肌电值均显著升高,且观察组均高于对照组,差异均有统计学意义(P<0.05),两组的Ⅰ类肌纤维疲劳度及Ⅱ类肌纤维疲劳度均显著更优,且观察组均优于对照组,差异均有统计学意义(P<0.05).治疗前,两组的各项中国女性性功能指数问卷(FSFI)评分相较,差异均无统计学意义(P>0.05);治疗后,两组的各项评分均升高,且观察组均高于对照组,差异均有统计学意义(P<0.05).观察组压力性尿失禁治疗总有效率(93.48%)高于对照组(78.26%),差异有统计学意义(P<0.05).结论:电极片阴部电刺激疗法联合凯格尔盆底康复训练有利于产妇产后盆底功能恢复,提高性生活质量,减少压力性尿失禁,整体效果优异.
Effect of Electrode Pad Pubic Electrical Stimulation Therapy Combined with Kegel Pelvic Floor Rehabilitation Training on the Postpartum Pelvic Floor Function Rehabilitation of Parturients
Objective:To investigate the effect of electrode pad pubic electrical stimulation therapy combined with Kegel pelvic floor rehabilitation training on postpartum pelvic floor function rehabilitation of parturients.Method:A total of ninety-two patients who received treatment for postpartum pelvic floor function rehabilitation in Maternal and Child Health Hospital in Songzi City from June 2020 to June 2022 were selected and divided into observation group and control group by random number table method,with 46 cases in each group.The control group received Kegel pelvic floor rehabilitation training,and the observation group added electrode pad pubic electrical stimulation therapy on the basis of the control group.The pelvic floor function indexes,quality of sexual life and efficacy of stress urinary incontinence in the two groups were compared.Result:Before treatment,the total electromyographic value,class Ⅰ muscle fiber electromyographic value,class Ⅱ muscle fiber electromyographic value,class Ⅰ muscle fiber fatigue and class Ⅱ muscle fiber fatigue of the two groups were compared,the differences were not statistically significant(P>0.05);after treatment,the total electromyographic value,class Ⅰ muscle fiber electromyographic value and class Ⅱ muscle fiber electromyographic value of the two groups were significantly higher,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);class Ⅰ muscle fiber fatigue and class Ⅱ muscle fiber fatigue were significantly better in both groups,and those in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences between the two groups in each Chinese female sexual function index(FSFI)score(P>0.05);after treatment,the scores of both groups were increased,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment for stress urinary incontinence in the observation group(93.48%)was higher than 78.26%in the control group,the difference was statistically significant(P<0.05).Conclusion:Electrode pad pubic electrical stimulation therapy combined with Kegel pelvic floor rehabilitation training is beneficial to the recovery of postpartum pelvic floor function,improving the quality of sexual life and reducing stress urinary incontinence,with excellent overall effect.

Pelvic floor functionElectrode pad pubic electrical stimulationMuscle fiber electromyographic valueMuscle fiber fatigueSexual function

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松滋市妇幼保健院妇女康复科 湖北 松滋 434200

盆底功能 电极片阴部电刺激 肌纤维肌电值 肌纤维疲劳度 性功能

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(6)
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