强化盆底肌功能训练联合电剌激疗法预防产后盆底功能障碍性疾病的效果  

Effect of strengthening pelvic floor muscle function training combined with electric stimulation on prevention of postpartum PFD disease

作　　者：叶云 彭来勤[1] 巫华玉 李丽容[2] 吴丽兰[1] 张迎愉 Ye Yun;Peng Laiqin;Wu Huayu;Li Lirong;Wu Lilan;Zhang Yingyu(Department of Obstetrics and Gynecology,Huizhou Central People’s Hospital,Huizhou 516000,China;Department of Obstetrics,Huizhou Central People’s Hospital,Huizhou 516000,China)

机构地区：[1]广东省惠州市中心人民医院妇产科,516000 [2]广东省惠州市中心人民医院产科,516000

出　　处：《临床医学》2020年第11期8-10,共3页Clinical Medicine

基　　金：2019年度惠州市医疗卫生类科技计划项目(2019Y059)。

摘　　要：目的探讨强化盆底肌功能训练联合电剌激疗法预防产后产妇盆底功能障碍性疾病(PFD)发生的效果。方法选取2017年12月至2019年12月于惠州市中心人民医院复查的80例产后42 d产妇作为研究对象,随机将其分为观察组(强化盆底肌功能训练联合电剌激疗法)和对照组(电刺激治疗),每组40例。治疗后,比较两组产后PFD发生率、盆腔状态[盆腔器官脱垂定量分度法(POP-Q)、盆底障碍影响简易问卷(PFIQ-7)]。结果观察组PFD发生率低于对照组,差异有统计学意义(P <0.05)。观察组POP-Q[(0.82±0.43)分]、PFIQ-7[(28.31±3.14)分]均低于对照组[(1.69±0.50)分、(30.09±3.62)分],差异有统计学意义(P <0.05)。结论强化盆底肌功能训练联合电剌激疗法可有效预防产妇产后发生PFD疾病发生风险,可有效改善产妇产后盆腔状态,值得临床推广。Objective To investigate the effect of strengthening pelvic floor muscle function training combined with electric stimulation on preventing the occurrence of postpartum maternal pelvic floor functional disorder( PFD). Methods Eighty postpartum 42 d pregnant women reviewed in Huizhou Central People’s Hospital from December 2017 to December 2019 were selected as research objects and randomly divided into observation group( enhanced pelvic floor muscle training combined with electrical stimulation therapy) and control group( electrical stimulation therapy),with 40 cases in each group. After treatment,the PFD incidence,pelvic state [quantitative classification of pelvic organ prolapse method( POP-Q),simple Questionnaire on the effects of pelvic floor disorder( PFIQ-7) ] were compared between the two groups.Results The incidence of PFD in the observation group was lower than that in the control group,and the difference was significant( P < 0. 05). The points of POP-Q( 0. 82 ± 0. 43) and Pfi Q-7( 28. 31 ± 3. 14) in the observation group were lower than those in the control group [( 1. 69 ± 0. 50) and( 30. 09 ± 3. 62) ],and the differences were significant( P < 0. 05). Conclusions Strengthening pelvic floor muscle training combined with electric stimulation therapy can effectively prevent the risk of PFD and improve the status of postpartum pelvic cavity,which is worthy of clinical promotion.

关 键 词：盆底功能障碍性疾病 强化盆底肌功能训练 电剌激疗法 盆底肌功能 

分 类 号：R714.6[医药卫生—妇产科学]