凯格尔运动训练联合生物反馈电刺激治疗对顺产妇盆底肌早期康复的效果研究  

Study on the effect of Kegel exercise training combined with biofeedback electric stimulation in early rehabilitation of pelvic floor muscle in spontaneous labor

作　　者：陈晓丹[1] 李小银[2] 黄少华[3] 洪小娟[4] 曾美霞 刘晓蓓[5] 车晓惠[6] 李小金[7] CHEN Xiao-Dan;LI Xiao-Yin;HUANG Shao-Hua(Department of Rehabilitation Medicine,East Hospital,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong 510700,China;不详)

机构地区：[1]中山大学附属第一医院东院康复医学科,广东广州510700 [2]中山大学附属第一医院放射介入科,广东广州510700 [3]中山大学附属第一医院东院骨科,广东广州510700 [4]中山大学附属第一医院东院妇产科,广东广州510700 [5]中山大学附属第一医院东院药剂科,广东广州510700 [6]中山大学附属第一医院东院爱婴区,广东广州510700 [7]中山大学附属第一医院东院护理部,广东广州510700

出　　处：《中国妇幼保健》2020年第24期4661-4664,共4页Maternal and Child Health Care of China

基　　金：广东省护理学会科研项目(gdhlxueh2019zx245)。

摘　　要：目的探讨凯格尔运动训练联合生物反馈电刺激治疗对顺产妇盆底肌早期康复的效果。方法选取2017年1月-2018年7月顺产并于产后42 d在产科门诊进行盆底电生理检查盆底肌力复查的88例产妇按数字法分为对照组44例与观察组44例,对照组给予行凯格尔运动训练,观察组在此基础上加上盆底生物反馈电刺激治疗。两组顺产妇在治疗前、后均进行电生理盆底肌肌力检查及应用尿失禁生活质量问卷(I-QOL)简体中文版调查行为受限、心理的影响、社交影响等生活质量的影响。结果对照组顺产妇治疗前、后盆底肌力、行为限制、心理影响、社会障碍分别(65.91、76.87)、(29.20、35.09)、(26.42、37.49)、(18.64、22.33)分;观察组顺产妇治疗前、后分别为(66.28、89.56)、(29.19、38.42)、(26.42、44.37)、(18.58、22.33)分,两组顺产妇治疗后盆底肌肌力、行为限制、心理影响、社会障碍均较治疗前有好转,但观察组的效果更优于对照组,差异均有统计学意义(P<0.05)。结论早期的凯格尔运动训练联合生物反馈电刺激治疗对顺产后产妇盆底综合肌力的恢复、减轻尿失禁所致的心理影响、提高生活质量有积极意义。Objective To explore the effect of Kegel exercise training combined with biofeedback electric stimulation in early rehabilitation of pelvic floor muscle in spontaneous labor.Methods From January 2017 to July 2018,88 women of spontaneous labor were selected and divided into control group and observation group according to digital method,44 cases in each group,at 42 days after delivery,they underwent pelvic floor electrophysiological examination in Outpatient of Obstetrics.The women in control group were given Kegel exercise training,and the women in observation group were given Kegel exercise training combined with biofeedback electric stimulation.Before and after treatment,electrophysiological pelvic floor muscle strength test was performed,urinary incontinence quality of life questionnaire(I-QOL)was used to survey the effect on behavioral limitation,psychology,and social intercourse.Results Before and after treatment,the scores of pelvic floor muscle strength,behavioral limitation,psychological influence,and social disorder in control group were(65.91,76.87),(29.20,35.09),(26.42,37.49),and(18.64,22.33),respectively,the scores of pelvic floor muscle strength,behavioral limitation,psychological influence,and social disorder in observation group were(66.28,89.56),(29.19,38.42),(26.42,44.37),(18.58,22.33),respectively.Compared with before treatment,pelvic floor muscle strength,behavioral limitation,psychological influence,and social disorder after treatment were improved in the two groups,the effects in observation group were better(P<0.05).Conclusion Early Kegel exercise training combined with biofeedback electrical stimulation can recover pelvic floor muscle strength,relieve psychological effect of urinary incontinence,improve life quality of women of spontaneous labor.

关 键 词：凯格尔运动训练 生物反馈电刺激治疗 顺产 盆底肌康复 

分 类 号：R173[医药卫生—妇幼卫生保健]