盆底康复治疗仪联合盆底肌肉锻炼治疗女性盆底功能障碍疗效观察  

Effect of pelvic floor rehabilitation therapy instrument combined with pelvic floor muscle exercise in the treatment of female pelvic floor dysfunction

作　　者：冯立雪[1] 王丹 高淑丽[1] FENG Lixue;WANG Dan;GAO Shuli(Physical Examination Center for Pregnant Women and Children,Xinxiang Central Hospital,Xinxiang 453000,Henan Province,China)

机构地区：[1]新乡市中心医院孕妇儿童体检中心,河南新乡453000

出　　处：《新乡医学院学报》2021年第7期634-638,共5页Journal of Xinxiang Medical University

摘　　要：目的探讨盆底康复治疗仪联合盆底肌肉锻炼治疗女性盆底功能障碍的临床疗效。方法选择2018年10月至2020年2月新乡市中心医院收治的70例女性盆底功能障碍患者为研究对象,采用随机数字表法将患者分为对照组和观察组,每组35例。对照组患者施以盆底肌肉锻炼治疗,观察组施以盆底康复治疗仪联合盆底肌肉锻炼治疗。治疗2个月后,比较2组患者的临床治疗总有效率、盆底肌力评分、生活质量评分、性功能障碍缓解率、尿失禁缓解率、慢性盆腔痛缓解率及临床治疗满意度。结果观察组患者的临床治疗总有效率显著高于对照组(χ^(2)=7.467,P<0.05)。治疗前,观察组患者手测盆底肌力评分、盆底Ⅰ类肌纤维肌电值、盆底Ⅱ类肌纤维肌电值、盆底Ⅰ类肌纤维疲劳度评分、盆底Ⅱ类肌纤维疲劳度评分与对照组比较差异无统计学意义(P>0.05)。治疗2个月后,2组患者手测盆底肌力评分、盆底Ⅰ类肌纤维肌电值、盆底Ⅱ类肌纤维肌电值均显著高于治疗前(P<0.05),盆底Ⅰ类肌纤维疲劳度评分、盆底Ⅱ类肌纤维疲劳度评分均显著低于治疗前(P<0.05)。治疗2个月后,观察组患者手测盆底肌力评分、盆底Ⅰ类肌纤维肌电值、盆底Ⅱ类肌纤维肌电值显著高于对照组(P<0.05),盆底Ⅰ类肌纤维疲劳度评分及盆底Ⅱ类肌纤维疲劳度评分显著低于对照组(P<0.05)。治疗2个月后,观察组患者躯体化强迫、人际关系、敌对、抑郁、恐怖、焦虑、偏执、精神病性方面评分均显著低于对照组(P<0.05);观察组患者的性功能障碍缓解率、尿失禁缓解率、慢性盆腔痛缓解率均显著高于对照组(P<0.05)。观察组患者的临床治疗总满意度显著高于对照组(P<0.05)。结论盆底康复治疗仪联合盆底肌肉锻炼治疗对女性盆底功能障碍患者具有良好的临床疗效,能够有效提高临床治疗有效率,改善患者盆底肌力状况,提升患者生�Objective To investigate the clinical effect of pelvic floor rehabilitation therapy instruments combined with pelvic floor muscle exercise in the treatment of female pelvic floor dysfunction.Methods A total of 70 female patients with pelvic floor dysfunction admitted to Xinxiang Central Hospital from October 2018 to February 2020 were selected as the research objects.The patients were randomly divided into the control group and observation group,with 35 cases in each group.The patients in the control group received pelvic floor muscle exercise therapy,and the patients in the observation group received pelvic floor rehabilitation therapy instruments combined with pelvic floor muscle exercise therapy.After two months of treatment,the total effective rate,pelvic floor muscle strength score,quality of life score,rate of sexual dysfunction remission,rate of urinary incontinence remission,rate of chronic pelvic pain remission and patients′satisfaction for clinical treatment were compared between the two groups.Results The total effective rate of clinical treatment in the observation group was significantly higher than that in the control group(χ^(2)=7.467,P<0.05).Before treatment,there was no significant difference in the hand-measured pelvic floor muscle strength score,myoelectric value of pelvic floor typeⅠmuscle fiber,myoelectric value of pelvic floor typeⅡmuscle fiber,pelvic floor typeⅠmuscle fiber fatigue score,and pelvic floor typeⅡmuscle fiber fatigue score of patients between the control group and observation group(P>0.05).After two months of treatment,the hand-measured pelvic floor muscle strength score,myoelectric value of pelvic floor typeⅠmuscle fiber and myoelectric value of pelvic floor typeⅡmuscle fiber of patients were significantly higher than those before treatment in the two groups(P<0.05),the pelvic floor typeⅠmuscle fiber fatigue score and pelvic floor typeⅡmuscle fiber fatigue score of patients were significantly lower than those before treatment in the two groups(P<0.05).After

关 键 词：盆底康复治疗仪 盆底肌肉锻炼 女性盆底功能障碍 

分 类 号：R711.5[医药卫生—妇产科学]