生物反馈电刺激联合盆底肌锻练对产后盆底器官康复的研究  

Study on effect of bio-feedback electric stimulation combined with pelvic floor muscle exercise on recovery of pelvic organs after delivery

作　　者：杨素勉[1] 赵桂英[1] 赵秀娟[1] 王亚珍[1] 王敬联[1] 李季滨[1] 张卫红[1] 唐增军[1] 

机构地区：[1]河北省人民医院,050071

出　　处：《中国妇幼保健》2010年第10期1419-1421,共3页Maternal and Child Health Care of China

基　　金：河北省科学技术厅专项课题(062761217)

摘　　要：目的:探讨生物反馈电刺激联合盆底肌锻练促进产后盆底组织器官功能恢复的效果观察。方法:245例初产妇随机分为观察组和对照组,对照组120例在产后第7天进行盆底肌训练,观察组125例在对照组基础上于产后42天进行生物反馈电刺激;产后3个月进行盆底组织器官评定。结果:观察组产妇盆底Oxford肌力评分、压力性尿失禁与对照组进行比较,差异有统计学意义(P<0.01);观察组产妇子宫复旧不良、子宫脱垂、阴道壁膨出、痔疮的发生率比对照组明显低(P<0.01),子宫后倾后屈、腰骶痛的发生率也比对照组低(P<0.05),膀胱膨出、腰围恢复孕前两组差异无统计学意义(P>0.05)。结论:生物反馈电刺激联合盆底肌训练有利于产后盆底组织器官功能的恢复,降低盆底功能障碍性疾病(PFD)的发生。Objective： To explore the effect of bio - feedback electric stimulation combined with pelvic floor muscle exercise on recovery of pelvic organs after delivery. Methods ： 245 primiparous women were divided into observation group and control group randomly, 120 primiparous women in control group received pelvic floor muscle exercise on the seventh day after delivery, while 125 primiparous women in observation group received bio -feedback electric stimulation on the 42nd day on the basis of control group ; then pelvic organs were evaluated on the third month after delivery. Results： There was significant difference in Oxford score of pelvic floor muscle and incidence of stress urinary incontinence between observation group and control group （P 〈 0. 01 ） ; the incidences of subinvolution of uterus, uterine prolapse, vaginal wall prolapse and hemorrhoids in observation group were significantly lower than those in control group （P 〈 0. 01 ） ; the incidences of uterine retroversio flexio and lumbosacral pain in observation group were significantly lower than those in control group （ P 〈 0. 05 ） ; there was no significant difference in incidence of cystocele and time of waist circumference back to pre - pregnancy between the two groups （ P 〉 0. 05 ） . Conclusion： Bio - feedback electric stimulation combined with pelvic floor muscle exercise is beneficial to recovery of pelvic organs after delivery, which may reduce the incidence of pelvic floor dysfunction （PFD） .

关 键 词：生物反馈电刺激 盆底肌训练 盆底组织器官 压力性尿失禁 

分 类 号：R711.3[医药卫生—妇产科学]