首页|盆底磁电联合肌筋膜手法治疗产后盆底功能障碍性疾病

盆底磁电联合肌筋膜手法治疗产后盆底功能障碍性疾病

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目的:探讨盆底磁电联合肌筋膜手法治疗产后盆底功能障碍性疾病的效果和安全性。方法:选取 2022 年 3 月—2023 年 2 月深圳市罗湖区妇幼保健院妇女保健科收治的 200 例产后盆底功能障碍性疾病患者作为研究对象。采用随机数表法将患者分为观察组和对照组,各 100 例。对照组给予盆底肌肉康复锻炼,观察组在此基础上实施盆底磁电联合肌筋膜手法治疗。比较两组治疗总有效率、盆底肌肌力、盆底功能障碍问卷(PFDI-20)评分、盆底肌电位及恢复情况、不良反应发生率。结果:观察组治疗总有效率 95。00%,高于对照组的 81。00%,差异有统计学意义(P<0。05)。两组治疗前盆底肌肌力和PFDI-20 评分比较,差异无统计学意义(P>0。05);观察组治疗后盆底肌肌力评分高于对照组,PFDI-20 评分低于对照组,差异有统计学意义(P<0。05)。两组治疗前Ⅰ类、Ⅱ类肌纤维肌电值比较,差异无统计学意义(P>0。05);观察组治疗后两项指标均高于对照组,差异有统计学意义(P<0。05)。观察组症状缓解治疗次数、盆底肌肌电恢复治疗次数均少于对照组,差异有统计学意义(P<0。05)。观察组不良反应率为 5。00%,低于对照组的 20。00%,差异有统计学意义(P<0。05)。结论:盆底磁电联合肌筋膜手法按摩治疗女性产后盆底功能障碍性疾病效果确切且安全性良好。
Pelvic Floor Magnetoelectric Combined with Myofascial Manipulation in the Treatment of Postpartum Pelvic Floor Dysfunction Diseases
Objective:To explore the effectiveness and safety of pelvic floor magnetoelectric combined with myofascial manipulation in the treatment of postpartum pelvic floor dysfunction diseases.Method:A total of 200 postpartum pelvic floor dysfunction diseases patients admitted to the Women's Health Department of Shenzhen Luohu District Maternal and Child Health Hospital from March 2022 to February 2023 were selected as the research subjects.The patients were divided into observation group and control group according to random number table method,with 100 cases in each group.The control group received pelvic floor muscle rehabilitation exercise,while the observation group received pelvic floor magnetoelectric combined with myofascial manipulation on this basis.The total effective rate,pelvic floor muscle strength,pelvic floor dysfunction questionnaire(PFDI-20)score,pelvic floor muscle potential and recovery,and incidence of adverse reactions were compared between the two groups.Result:The total effective rate of observation group was 95.00%,which was higher than 81.00%of control group,the difference was statistically significant(P<0.05).There was no significant difference in the strength of pelvic floor muscle and PFDI-20 score between the two groups(P>0.05);after treatment,the pelvic floor muscle score of the observation group was higher than that of the control group,and the PFDI-20 score was lower than that of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the electromyography values of classⅠ and class Ⅱ muscle fibers between the two groups before treatment(P>0.05);the two indexes in the observation group were higher than those in the control group after treatment,and the differences were statistically significant(P<0.05).The number of symptom relief treatment and pelvic floor electromyography recovery treatment in the observation group were less than those in the control group,the differences were statistically significant(P<0.05).The adverse reaction rate of observation group was 5.00%,which was lower than 20.00%of control group,the difference was statistically significant(P<0.05).Conclusion:Pelvic floor magnetoelectric combined with myofascial manipulation is effective and safe in the treatment of female postpartum pelvic floor dysfunction.

Pelvic floor dysfunction diseasesPelvic floor magnetoelectricMyofascial manipulationAdverse reactions

陈艳梅、余咏宜、蔡依婵

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深圳市罗湖区妇幼保健院 广东 深圳 518000

广州中医药大学深圳医院(福田)

盆底功能障碍性疾病 盆底磁电 肌筋膜手法 不良反应

深圳市罗湖区妇幼保健院新技术新项目(2023)

ZL03-2023

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(6)
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