瑜伽训练联合低频电刺激在产后盆底康复中应用效果  

Effect of yoga training combined with low frequency electrical stimulation in the rehabilitation of pelvic floor

作　　者：张娣 陈冰杰 刘云岩 ZHANG Di;CHEN Bing-jie;LIU Yun-yan(Department of Obstetrics and Gynecology,Jiaozuo Second People's Hospital,Jiaozuo 471000,P.R.China)

机构地区：[1]焦作市第二人民医院妇产科,河南焦作471000

出　　处：《社区医学杂志》2020年第11期815-818,共4页Journal Of Community Medicine

基　　金：2019开封市科技发展计划(1903056)。

摘　　要：目的经阴道手术治疗盆底功能障碍效果不佳且容易复发。本研究探讨瑜伽训练联合低频电刺激在产后盆底康复治疗中的应用效果。方法选取焦作市第二人民医院2017-06-01-2018-06-30收治的86例盆底功能障碍初产妇为研究对象,按照两组年龄、孕周和疾病类型匹配的原则分为观察组和对照组,每组43例。对照组产妇给予常规健康教育、盆底肌功能训练以及低频电刺激治疗,观察组在对照组基础上进行瑜伽训练,持续12周。比较两组治疗前后盆底肌力、盆底肌收缩持续时间、收缩力变化以及盆底功能障碍问卷简短版-20(pelvic floor distress inventory-20,PFDI-20)和盆底功能影响问卷简短版-7(pelvic floor impact questionnaire-short form 7,PFIQ-7)评分,并比较两组盆底肌功能治疗有效率。结果治疗后观察组产妇肌力提升效果优于对照组,差异有统计学意义,Z=12.839,P<0.001。观察组盆底肌收缩持续时间为(3.16±0.82)s,高于对照组的(2.21±0.71)s,t=5.743,P<0.001;盆底肌收缩力为(51.42±9.61)cm H2O,优于对照组的(42.19±8.18)cm H2O,t=5.316,P<0.001。观察组PFDI-20评分为(4.58±1.02)分,低于对照组的(10.26±2.17)分,t=15.534,P<0.001;观察组PFIQ-7评分为(5.42±1.13)分,低于对照组的(12.38±3.18)分,t=13.524,P<0.001。观察组盆底肌功能治疗总有效率为93.02%,高于对照组的76.74%,χ^2=4.440,P=0.035。结论孕妇产后进行瑜伽训练联合低频电刺激能够更好地改善盆底功能障碍,提高产后生活质量。OBJECTIVE Transvaginal surgery for pelvic floor dysfunction is ineffective and easy to recur.The purpose of this study is to investigate the effect of yoga training combined with low frequency electrical stimulation on the rehabilitation of the pelvic floor after delivery.METHODS A total of 86 primiparas with pelvic floor dysfunction who were admitted to Jiaozuo Second People’s Hospital from June 1,2017 to June 30,2018 were enrolled as study objects.They were divided into observation group and control group by random number table method,43 cases in each group.The control group was given routine health education,pelvic floor muscle function training and low-frequency electrical stimulation,while observation group was given yoga training on basis of control group.They were continuously treated for12 weeks.Changes in pelvic floor muscle strength,duration of pelvic floor muscle contraction and contractility,scores of Pelvic Floor Distress Inventory-20(PFDI-20)and Pelvic Floor Impact Questionnaire-Short Form 7(PFIQ-7)before and after treatment were analyzed and compared.The response rates of pelvic floor function treatment in both groups were recorded.RESULTS After treatment,the improvement effect of the observation group was better than that of the control group,the difference was statistically significant,Z=12.839,P<0.001.The contraction duration of pelvic floor muscle in the observation group was(3.16±0.82)s,which was higher than that in the control group(2.21±0.71)s,t=5.743,P<0.001;the contraction force of pelvic floor muscle was(51.42±9.61)cm H2 O,which was better than that in the control group(42.19±8.18)cm H2 O,t=5.316,P<0.001.The PFDI-20 score of the observation group was(4.58±1.02),lower than that of the control group(10.26±2.17),t=15.534,P<0.001;the PFIQ-7 score of the observation group was(5.42±1.13),lower than that of the control group(12.38±3.18),t=13.524,P<0.001.The total effective rate of pelvic floor muscle function treatment in the observation group was 93.02%,higher than 76.74%in the contro

关 键 词：盆底功能障碍 康复治疗 瑜伽 低频电刺激 

分 类 号：R714.6[医药卫生—妇产科学] R493[医药卫生—临床医学]