产后盆底功能障碍防治中肌电刺激加生物反馈盆底技术对性生活质量和盆底功能的影响及临床观察  

The influence on and clinical observation of quality of sexual life and pelvic floor function by myoelectric stimulation and biofeedback pelvic floor technique in the prevention of postpartum pelvic floor dysfunction

作　　者：胡俊[1] 杨欣慰 潘伟[3] HU Jun;YANG Xinwei;PAN Wei(Department of Obstetrics and Gynecology,Xiaogan Hospital Affiliated to Wuhan University of Science and Technology,Xiaogan 432100,Hubei,China;Department of Obstetrics and Gynecology,Second People＇s Hospital of China Three Gorge University,Yichang 443000,Hubei,China;Department of Reproductive Medical Center,Huangshi Central Hospital Affiliated to Hubei Polytechnic University,Edong Healthcare Group,Huangshi 435000,Hubei,China)

机构地区：[1]武汉科技大学附属孝感医院产科,湖北孝感432100 [2]宜昌市第二人民医院(三峡大学第二人民医院)妇产科,湖北宜昌443000 [3]鄂东医疗集团黄石市中心医院(湖北理工学院附属医院)生殖中心,湖北黄石435000

出　　处：《中国性科学》2018年第7期104-109,共6页Chinese Journal of Human Sexuality

摘　　要：目的:研究产后盆底功能障碍防治中肌电刺激加生物反馈盆底技术对性生活质量和盆底功能的影响及临床观察。方法:选取2013年5月至2016年10月于武汉科技大学附属孝感医院收治的产后PFD患者194例作为研究对象,按随机数字表法将所有患者分为对照组(n=89例)和研究组(n=105例)。其中,对照组患者采用盆底肌肉训练,研究组患者采用肌电刺激联合生物反馈盆底技术。对比两组患者性生活质量、生活质量评分、盆底肌力及临床症状改善情况。结果:研究组患者性功能低水平比例明显低于对照组,另高水平比例明显高于对照组,且均具有统计学意义(均P<0.05),而两组患者一般水平比例对比无统计学意义(P>0.05)。对照组患者生活质量评分,如生理功能、生理职能、躯体疼痛、活力、情感职能等方面均明显低于研究组,且有统计学差异(P<0.05)。研究组患者Ⅰ、Ⅱ级比例明显低于对照组,Ⅲ、Ⅳ、Ⅴ级比例明显高于对照组,且均具有统计学意义(均P<0.05).对照组患者治疗后盆底肌电(23.17±3.17)uV明显低于研究组(28.83±6.47)uV,且具有统计学意义(P<0.05)。两组患者治疗前阴道动态压力对比无统计学意义(P>0.05),产后6个月时研究组阴道动态压力明显高于对照组,且具有统计学意义(P<0.05)。两组患者治疗前POP-Q分度AP指示点对比无统计学意义(P>0.05),产后6个月时研究组POP-Q分度AP指示点明显优于对照组,且具有统计学意义(P<0.05)。两组患者治疗前Ⅰ类与Ⅱ类肌纤维疲劳度对比无统计学意义(P>0.05),产后6个月时研究组Ⅰ类与Ⅱ类肌纤维疲劳度明显优于对照组,且具有统计学意义(P<0.05)。两组患者治疗前盆底超声检查UVJ-M、BDN、PUVA-S、PUVA-R、BSD-S和BSD-R等结果对比无统计学意义(P>0.05),研究组患者产后6个月BSD-S明显高于对照组,UVJ-M、PUVA-S、PUVA-R和BND等明显低于对照组,且具有统计学意义(P<0.05)。对照�Objective： To study the influence on and clinical observation of quality of sexual life and pelvic floor function by myoelectric stimulation and biofeedback pelvic floor technique in the prevention of postpartum pelvic floor dysfunction （PFD）. Methods： 194 PFD patients in Xiaogan Hospital Affiliated to Wuhan University of Science and Technology between May 2013 and October 2016 were selected and divided into control group （n = 89）and research group （n = 105） randomly. The control group was given pelvic floor muscle training while the research group received myoelectric stimulation and biofeedback pelvic floor technique. The quality of sexual life,score of life quality,and improvements in pelvic floor muscle strength and clinical symptom between the two groups were compared. Results： The proportion of low level of sexual function in the research group was much lower than that of the control group while the proportion of high level of sexual function was significantly higher than the control group,both with statistically significant difference （P〈 0. 05）. Difference in the proportion ofaverage level of sexual function between the two groups was not statistically significant （P〉 0. 05）. The scores of life quality in the control group,such as physiological function,physiological role,body pain,vigour and emotional role were much lower than those of the research group,with statistically significant difference （P〈 0. 05）. The proportions oflevel Ⅰ and Ⅱ of research group were much lower than those of control group,while the proportions of level Ⅲ,Ⅳ and Ⅴ of research group were much higher than those of control group,with statistically significant difference （P〈 0. 05）. The pelvic floor myoelectricity of control group was （23. 17 ± 3. 17） u V,much lower than the research group of （28. 83 ± 6. 47）u V,with statistically significant difference （P〈 0. 05）. Difference in the vaginal dynamic pressure between the two groups before treatment was not statistical

关 键 词：产后 盆底功能障碍 生物反馈 性生活质量 盆底功能 

分 类 号：R714.6[医药卫生—妇产科学]