生物反馈电刺激联合Kegel训练促进初产妇盆底功能的恢复效果评价  

Evaluation of the Effect of Biofeedback Electrical Stimulation Combined with Kegel Training on the Recovery of Pelvic Floor Function in Primiparas

作　　者：张利丰 ZHANG Lifeng(Traditional Chinese Medicine Hospital of Taicang,Taicang 215400,China)

机构地区：[1]太仓市中医医院,江苏太仓215400

出　　处：《中外医学研究》2021年第4期119-121,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：江苏省太仓市科技发展计划项目(TC2018JCYL09)。

摘　　要：目的:探讨生物反馈电刺激联合Kegel训练促进初产妇盆底功能的恢复的价值。方法:2019年4月-2020年4月自愿接受产后康复初产妇142例,随机分为观察组及对照组,各71例。两组均于产后42 d恶露自净后开展为期3个月的早期盆底肌康复训练,对照组采用传统的Kegel法康复,观察组在对照组的基础上联合实施生物反馈电刺激治疗。观察指标包括盆底肌电压、盆底功能障碍性疾病发生情况、治疗效果及焦虑抑郁情况。结果:治疗3个月,观察组盆底肌最大电压(23.20±4.03)μV、盆底肌平均电压(16.65±2.30)μV,高于对照组的(18.22±3.96)、(12.03±3.03)μV(t=8.346、7.036,P<0.05);观察组盆底功能障碍性疾病发生率8.45%,低于对照组的22.54%(P<0.05);治疗优良率95.77%,高于对照组的77.46%(P<0.05);焦虑评分(35.09±2.54)分、抑郁评分(36.25±3.34)分,低于对照组的(42.09±4.02)、(43.56±4.56)分(P<0.05)。结论:产后早期实施生物反馈电刺激联合Kegel训练可有效恢复盆底功能,降低并发症的,值得应用。Objective:To explore the value of biofeedback electrical stimulation combined with Kegel training in promoting the recovery of pelvic floor function in primipara.Method:From April 2019 to April 2020,142 primiparas who voluntarily accepted postpartum rehabilitation were randomly divided into the observation group and the control group,71 cases in each group.Both groups received early pelvic floor muscle rehabilitation training for 3 months after lochia purification 42 days after delivery.The control group received traditional Kegel method for rehabilitation,and the observation group received biofeedback electrical stimulation therapy on the basis of the control group.The observation indexes included pelvic floor muscle voltage,pelvic floor dysfunction,treatment effect,anxiety and depression.Result:After 3 months of treatment,the observation group maximum and average voltage of pelvic floor muscle (23.20±4.03) μV and (16.65±2.30) μV were higher than the control group (18.22±3.96) μV and (12.03±3.03) μV (t=8.346,7.036,P<0.05).The incidence of pelvic floor dysfunction of 8.45% was lower than the control group of 22.54% (P<0.05).The excellent and good rate 95.77% of the observation group was higher than 77.46% of the control group (P<0.05).Anxiety score (35.09±2.54) points and depression score (36.25±3.34) points of the observation group were lower than (42.09±4.02),(43.56±4.56) points of the control group (P<0.05).Conclusion:Early postpartum implementation of biofeedback electrical stimulation combined with Kegel training can effectively restore pelvic floor function and reduce complications,which is worthy of application.

关 键 词：初产妇 盆底功能生物反馈 电刺激 Kegel训练 

分 类 号：R711.5[医药卫生—妇产科学]