盆底神经肌肉刺激治疗对产后盆底康复的疗效评价  

Rehabilitation Outcomes of Postpartum Pelvic Floor by Neuromuscular Stimulation Treatment

作　　者：刘春旺[1] 陈林香 洪莉[1] 吴德斌[1] 丁文娟[1] 洪莎莎[1] 张晓红[1] 闵洁[1] 方桂[1] 

机构地区：[1]武汉大学人民医院妇Ⅱ科,湖北武汉430060 [2]武汉江夏区中西医结合医院妇产科,湖北武汉430200

出　　处：《武汉大学学报（医学版）》2013年第5期794-797,共4页Medical Journal of Wuhan University

基　　金：武汉市科技攻关计划项目(编号:201260523178-1);湖北省卫生厅科研项目(编号:NX2011-5)

摘　　要：目的:探讨产后盆底神经肌肉刺激治疗对产后早期盆底功能康复的疗效及临床意义。方法:将60例产后42d的产妇随机分为治疗组(n=30例)和对照组(n=30例),对照组进行单纯的Kegel运动,治疗组进行盆底神经肌肉刺激治疗,疗程均为2月,疗程结束后应用PHENIXJ压力探头检测阴道静息压、阴道收缩压及阴道收缩持续时间。结果:治疗组阴道静息压与阴道收缩压均高于对照组(P<0.05),阴道收缩持续时间亦长于对照组(P<0.05)。结论:产后盆底神经肌肉刺激治疗能显著提高盆底肌力,有效促进盆底肌肉功能的康复。Objective： To explore postpartum pelvic nerve-muscle stimulation treatment for postpartum early pelvic floor functional rehabilitation, and to evaluate its effect. Methods： Sixty puerperae randomly received pelvic nerve-muscle stimulation （n= 30） or Kegel exercise （n= 30） from the 42th day postpartum for two months＇ pelvic floor functional rehabilitation. After the treatment, PHENIXJ pressure probe test was adopted to evaluate pelvic floor muscle function, and vaginal resting pressure （VRP）, vaginal squeezing pressure （VSP）, and vaginal contraction duration were measured. Results： VRP and VSP in stimulation group were higher than the control group （both P〈0.05）, vaginal contraction duration was also longer （P〈0.05）. Conclusion： Postpar- tum pelvic floor neuromuscular stimulation treatment can improve the pelvic floor muscle strength significantly, and promote the recovery of the pelvic floor muscle function effectively.

关 键 词：产后盆 底康复 盆底神经肌肉刺激治疗 

分 类 号：R711.2[医药卫生—妇产科学]