盆底肌锻炼联合电刺激及生物反馈治疗产后盆底肌力下降的疗效分析  

Outcomes of pelvic floor muscle exercise combined with electrical stimulation and biofeedback for treatment of postpartum pelvic floor muscle dysfunction

作　　者：林蓓蓓[1] 祖月娥[1] 范幸[1] 宋玉莹[1] 徐扬[1] 周燕飞[1] 

机构地区：[1]长沙市妇幼保健院妇女健康中心,410007

出　　处：《中华生物医学工程杂志》2015年第6期549-552,共4页Chinese Journal of Biomedical Engineering

基　　金：湖南省发展与改革委员会科技基本建设项目（2013766）

摘　　要：目的探讨常规盆底康复治疗联合电刺激及生物反馈治疗对产后盆底肌力下降的治疗效果。方法以2014年1月至6月于本院顺产分娩后诊断为盆底肌力下降的产妇198例为研究对象，根据自愿原则分为治疗组（n=99）与对照组（n=99）。产后42d，对照组给予盆底肌锻炼等常规盆底康复治疗，治疗组在常规盆底康复治疗的基础上联合电刺激及生物反馈治疗。治疗前及产后3个月进行两组患者盆底肌力检测。产后3个月和6个月检测两组患者的阴道静息压、阴道收缩压、阴道收缩持续时间，比较两组患者的尿失禁、盆腔脏器脱垂发生率与性生活满意率。结果治疗前两组患者盆底肌力组间比较，差异无统计学意义（P〉O．05）。产后3个月治疗组患者盆底肌力显著高于对照组（P〈0．05）。产后3个月和6个月，治疗组患者的阴道静息压、阴道收缩压、阴道收缩持续时间均显著高于对照组；治疗组患者尿失禁发生率低于对照组，性生活满意率高于对照组（均P〈0.05）。产后6个月，治疗组与对照组患者盆腔脏器脱垂发生率分别为3．0％（3／99）、10．1％（10／99），组间比较差异有统计学意义（χ^2=2．234，P〈0．05）。结论采用盆底肌锻炼联合电刺激及生物反馈治疗产后盆底肌力下降疗效较好。Objective To investigate the outcomes of conventional pelvic floor rehabilitation combined with electrical stimulation and biofeedback for treatment of postpartum pelvic floor muscle dysfunction. Methods A total of 198 women diagnosed with pelvic floor muscle dysfunction after natural labor at our hospital between January 2014 and June 2014 were included in this study. According to personal intention, the patients were divided into the treatment group （n=99） and the control group （n=99）. On day 42 postpartum, the control group received conventional pelvic floor rehabilitation （pelvic floor muscle exercise） , whereas the treatment group received electrical stimulation and biofeedback in addition to the conventional pelvic floor rehabilitation. Before treatment and at 3 months postpartum, the two groups of patients were measured for muscle strength of the pelvic floor. At 3 and 6 months postpartum, the vaginal resting pressure, vaginal squeezing pressure and duration of vaginal contractions of the two groups were examined. The incidences of urinary incontinence, pelvic organ prolapsed and sex satisfaction were compared between the two groups. Results Before treatment, the pelvic floor muscle strength did not differ significantly between the two groups （P〉0.05）. At 3 months postpartum, patients in the treatment group had higher pelvic floor muscle strength than the controls （P〈0.05）. At 3 and 6 months postpartum, the treatment group showed significantly higher vaginal resting pressure, vagina squeezing pressure, and longer duration of vaginal contractions, less urinary incontinence and better sex satisfaction （all P〈0.05）, compared with the control group. At 6 months postpartum, the rate of pelvic organ prolapsed was 3.0% （3/99） in the treatment group vs 10.1% （10/99） in the control group, with statistically significant difference between two groups （χ^2= 2.234, P〈0.05）. Conclusion Pelvic floor muscle exercise combined with electrical stimulation and biofeedback may yield

关 键 词：生物反馈 电刺激 盆底功能障碍 治疗结果 

分 类 号：R714.6[医药卫生—妇产科学]