盆底肌电刺激生物反馈技术联合凯格尔运动在产后盆底功能重建中的应用  

作　　者：洪敏 陆佳红[2] 万齐鸿 顾美玲 张薏 

机构地区：[1]浙江中医药大学第一临床医学院,310053 [2]杭州市萧山区第一人民医院妇科,311200 [3]浙江大学医学院,310016 [4]杭州师范大学钱江学院,310018

出　　处：《浙江临床医学》2018年第2期312-314,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨盆底肌电刺激与生物反馈技术联合凯格尔运动在产后盆底功能障碍性疾病盆底功能重建中的应用价值。方法2015年1月至2016年6月就诊的产后42d诊断为盆底功能障碍性疾病患者150例，按知情同意原则分为观察组（80例）和对照组（70例），观察组给予盆底肌电刺激与生物反馈技术联合凯格尔运动治疗，对照组仅予凯格尔运动治疗，3个月疗程后观察两组盆底肌肉功能相关指标改善情况。结果1个月、3个月疗程后，观察组盆底肌力重建情况明显优于对照组，差异有显著性（P均〈0．05）；治疗后观察组下腹不适、尿失禁、排尿异常、排便异常、阴道分泌物异常等发生率少于对照组，差异有显著性（P〈0．05）；治疗后观察组FSFI评分高于对照组，性功能障碍发生率少于对照组，差异有统计学意义（P均〈0．05）。结论盆底肌电刺激、生物反馈技术以及凯格尔运动均为产后盆底功能障碍性疾病康复治疗的有效措施，将其联合用于产后盆底功能重建效果更显著，值得临床上推广运用。Objective Discuss the application value of pelvic floor electrical stimulation and biofeedback application technology combined with Kegel exercises in postpartum pelvic floor reconstruction. Methods 150 cases who were Postpartum 42d and diagnosed as pelvic floor dysfunction recived in our hospital from January 2015 to June 2016 were randomly selected. According to the informed consent principle, they were divided into experimental group （ 80 cases ） and control group （ 70 cases ） . The experimental group was treated with the pelvic floor electrical stimulation biofeedback therapy, on the basis of Kegel exercises, and the control group was only given Kegel exercises, then observing the improvement of the related indexes of two groups of pelvic floor muscle function after 3 months treatment. Results 1 and 3 months＇ treamaent later, the experimental groups＇ pelvic floor muscle strength was improved obviously better than that in the control grotap with significant difference （all P〈0.05 ） ; After treatment, the incidence of lower abdominal discomfort, urinary incontinence, abnormal urination, abnormal defecation and abnormal vaginal discharge in experimental group was less than that in the control group with significant difference （ P〈0.05 ） ; After treatment, the FSFI score of experimental group was higher than that of the control group, and the incidence rate of sexual dysfunction was less than that of the control group, and the difference was statistically significant （P〈0.05） . Conclusion Pelvic floor electrical stimulation, biofeedback, and Kegel exercises are all postpartum pelvic floor rehabilitation treatment. The effect is more remarkable when these treatment are combined to use in the reconstruction of pelvic floor fimction after delivery, which is worth extending and applying in clinic.

关 键 词：盆底功能障碍性疾病 电刺激 生物反馈 盆底功能重建 凯格尔运动 

分 类 号：R694.5[医药卫生—泌尿科学]