电刺激联合生物反馈对不同分娩方式产后盆底功能障碍患者盆底肌功能影响  

The effect of electrical stimulation combined with biofeedback on pelvic floor muscle function in patients with postpartum pelvic floor dysfunction in different delivery methods

作　　者：明雪 刘晓芳[1] 卢宗杰[1] 何泉江[1] MING Xue;LIU Xiaofang;LU Zongjie;HE Quanjiang(Department of Obstetrics and Gynecology,Central Hospital of Suining City,Suining,Sichuan 629000,China)

机构地区：[1]四川省遂宁市中心医院妇产科,629000

出　　处：《重庆医学》2021年第5期767-771,775,共6页Chongqing medicine

基　　金：四川省卫生和计划生育委员会科研课题(16PJ528)。

摘　　要：目的探讨电刺激联合生物反馈治疗对不同分娩方式产后盆底功能障碍性疾病患者的疗效。方法回顾性分析该院176例产后盆底功能障碍患者的临床资料。将98例经阴道产者分为A组,78例剖宫产者分为B组;继而行常规康复联合电刺激及者分为Aa、Ba组,常规康复联合电刺激及生物反馈治疗者为Ab、Bb组。比较各组患者临床疗效、盆底神经肌电生理指标、盆底肌功能指标及氧化应激指标。结果Aa组较Ab组,Ba组较Bb组总有效效率降低(P<0.05)。治疗前Aa组与Ab组比较,Ba组与Bb组比较,患者盆底神经肌电生理指标、盆底肌功能及氧化应激指标差异均无统计学意义(P>0.05),但Ba组及Bb组各盆底神经肌电生理指标、盆底肌功能指标及氧化应激指标中的超氧化物岐化酶(SOD)及谷胱甘肽(GSH)均较对应的Aa组及Ab组高,氧化应激指标丙二醛(MDA)较对应的Aa组及Ab组低(P<0.05)。治疗后各组患者神经电生理指标、盆底肌功能指标、SOD及GSH均较治疗前明显升高,MDA较治疗前均明显下降,但Ab组较Aa组、Bb组较Ba组升高或下降幅度更大,且治疗后Aa组较Ba组、Ab组较Bb组神经电生理指标、盆底肌功能指标及氧化应激指标改善情况更明显(P<0.05)。结论阴道产分娩产妇盆底功能障碍较剖宫产产妇更严重,电刺激联合生物反馈对产后盆底功能障碍性疾病疗效佳,经阴道产者盆底神经肌电生理及氧化应激指标较剖宫产改善更优。Objective To explore the effect of electrical stimulation combined with biofeedback on patients with postpartum pelvic floor dysfunction in different delivery methods.Methods The clinical data of 176 patients with postpartum pelvic floor dysfunction in the hospital were retrospectively analyzed.98 cases of vaginal delivery women were divided into group A,78 cases of cesarean delivery women were divided into group B;those who underwent routine rehabilitation were divided into groups Aa and Ba,and underwent conventional rehabilitation combined with electrical stimulation and biofeedback were groups Ab and Bb.The clinical efficacy,electrophysiological indexes of pelvic floor nerve muscles,functional indexes of pelvic floor muscles and oxidative stress indexes were compared among the groups.Results The total effective rate of Aa and Ba groups was lower than that of Ab and Bb groups,respectively(P<0.05).Before treatment,there was no significant difference in pelvic floor neuromuscular electrophysiological indexes,pelvic floor muscle function and oxidative stress indexes between group Aa and group Ab,group Ba and group Bb(P>0.05),but the electrophysiological indexes of pelvic floor nerve muscles,pelvic floor muscle function index,levels of SOD and GSH were higher and the level of MDA was lower in group A than in group B(P<0.05).After treatment,the electrophysiological indexes of pelvic floor nerve muscles,SOD and GSH of the patients in each group were significantly higher than before treatment,and MDA was significantly lower than before treatment,but group Ab were higher or lower than that of groupAa,and group Bb were higher or lower than group Ba,and the improvement of each index in group A was more obvious than that in group B after treatment(P<0.05).Conclusion The pelvic floor dysfunction of vaginal delivery women is more serious than that of cesarean delivery women.Electrical stimulation combined with biofeedback has a good effect on postpartum pelvic floor dysfunction diseases,and the pelvic floor neuromuscular el

关 键 词：电刺激疗法 生物反馈 剖宫产术 自然分娩 盆底疾病 盆底神经肌电生理 盆底肌功能 

分 类 号：R473.71[医药卫生—护理学]