生物反馈电刺激治疗老年女性盆腔脏器脱垂的临床研究  

Clinical study on the treatment of prolapse in pelvic organs in elderly women by biofeedback and electronic stimulation

作　　者：王陶然[1] 周新[2] 蒋丽君[1] 郝增平[3] 

机构地区：[1]北京老年医院妇科,北京100095 [2]中央财经大学校医院保健科,北京100081 [3]首都医科大学附属北京友谊医院妇产科,北京100050

出　　处：《临床和实验医学杂志》2017年第11期1076-1079,共4页Journal of Clinical and Experimental Medicine

基　　金：北京市属医院科研培育计划项目(PX2016049)

摘　　要：目的研究联合生物反馈电刺激和盆底肌肉锻炼法治疗老年女性轻中度盆腔脏器脱垂的临床效果及对生活质量的影响。方法收集68例老年女性轻中度阴道前壁脱垂患者,随机分成两组,分别用联合生物反馈电刺激加盆底肌肉锻炼法和单独的盆底肌肉锻炼法进行治疗并随访3个月,比较治疗前后及随访3个月后盆底肌表面肌电位的变化、盆腔器官脱垂定量(POP-Q)分级的变化及生活质量评分的改变。结果治疗后试验组收缩期盆底肌表面肌电位值明显高于对照组(P<0.05)。试验组治疗后盆腔脏器脱垂的分度较治疗前明显改善(Z=4.76,P<0.05)。试验组在治疗后及随访3月的生活质量评分平均值为41.6分和49.4分,对照组试验组在治疗后及随访3个月的生活质量评分平均值为72.2分和74.3分。试验组在治疗后及随访3月的生活质量评分均明显低于对照组(t=4.59,t=3.71,P<0.05)。结论联合生物反馈电刺激的盆底康复治疗对老年女性轻中度盆腔脏器脱垂患者有较好的治疗作用,能避免盆腔脏器脱垂的进一步加重,并有效改善老年患者的生活质量。Objective To explore the effect of biofeedback and electronic - stimulation in treatment of mild or moderate pelvic organ prolapse in elderly women and its impact on their quality of life. Methods Sixty - eight elderly female patients suffering from mild or moderate pro-lapse of pelvic organs were randomly received different therapy such as biofeedback - electronic stimulation or simple pelvic floor muscle training for three months and they were followed up for three months after treatment. The indexes as figures of surface electromyography, value of pelvic floor muscle, grades of POP - Q and quality of life in these patients were individually assessed. Results The mean value of surface electromyography of pelvic floor muscle during contraction in patients of trial group was significantly higher than that of control group after treatment （ P〈 0.05） . The grades of POP - Q in trial group after treatment were statistically higher than those of control group （ Z = 4 .1 6, P 〈0.05） . The mean scores of quality of life in trial group after treatment and after follow - up for 3 months were 41.6 and 49. 4 respectively; the mean scores of quality of life in control group after treatment and follow - up for 3 months were 72. 2 and 74. 3 respectively. The mean scores of quality of life in trial group after treatment and follow - up for 3 months were significantly lower than those of control group （t = 4 .59 ,t= 3.71 ,P〈0.05） . Conclusion The treatment with biofeedback and electronic stimulation on pelvic floor has good effect in elderly female patients suffering from mild or moderate pro-lapse of pelvic organs, thus it may avoid the exacerbation and raise their life quality.

关 键 词：盆腔脏器脱垂 生物反馈 电刺激 生活质量 

分 类 号：R711.2[医药卫生—妇产科学]