首页|Glazer评估指导的磁电联合治疗对改善产后盆底肌功能的临床观察

Glazer评估指导的磁电联合治疗对改善产后盆底肌功能的临床观察

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目的 探讨Glazer评估指导的磁电联合治疗在改善产后盆底肌功能中的临床效果。方法 选择2021年3月—2022年3月在本院足月经阴分娩,产后42d盆底肌电评估异常的90例产妇为研究对象,随机分为两组:观察组45例(磁电联合治疗)和对照组45例(电刺激治疗),对照组有2例因失访被排除,最终确定观察组45例,对照组43例。并在治疗前后行标准的盆底表面肌电Glazer评估及改良牛津肌力分级评估,比较两组治疗效果。结果 两组治疗后静息肌电位均降低,快速放松时间缩短,快速收缩、紧张收缩及耐力收缩阶段肌电值均上升,与治疗前比较差异有统计学意义(P<0。001),且观察组治疗后快速收缩、紧张收缩和耐力收缩阶段变化幅值均高于对照组,差异有统计学意义(P<0。001);观察组异常率低于对照组,差异有统计学意义(P<0。05)。结论 基于Glazer评估指导的磁电联合治疗能显著改善产后盆底肌肉功能,提升肌力,改善异常情况。
Clinical Observation on Glazer Evaluation Guided Magnetoelectric Combined Therapy for Improving Postpartum Pelvic Floor Muscle Function
Objective To explore clinical effect of Glazer guided magnetoelectric combined therapy in improving postpartum pelvic floor muscle function.Methods The paper chose 88 parturients with delivery during menstrual cycle in our hospital and divided them into observation group of 45 cases(magneto electric combined group)and control group of 43 cases(electric stimulation group).Standard pelvic floor surface electromyography Glazer and modified Oxford muscle strength grading was evaluated before and after treatment,curative effect was compared between two groups.Results After treatment,both groups showed a decrease in resting muscle potential,a shortened rapid relaxation time,and an increase in electromyographic values during the rapid contraction,tense contraction,and endurance contraction stages.The difference was statistically significant compared to before treatment(P<0.001),and the amplitude of changes in the rapid contraction,tense contraction,and endurance contraction stages in the observation group was higher than that in the control group after treatment,with a statistically significant difference(P<0.001);The abnormal rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Based on Glazer evaluation guidance,magneto electric combined therapy can significantly improve postpartum pelvic floor muscle function,enhance muscle strength,and improve abnormal conditions.

Glazer evaluationPostpartum pelvic floor functionPelvic floor rehabilitationMagnetic stimulationElectrical stimulation

张晶、寇晨光、李昌生

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寿光市人民医院 母婴健康管理中心,山东 寿光 262700

寿光市人民医院 普外科,山东 寿光 262700

Glazer评估 产后盆底功能 盆底康复 磁刺激 电刺激

潍坊市卫生健康委科研项目

WFWSJK-2022-128

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(17)