生物反馈联合电刺激治疗产后盆底功能障碍的效果  

Effect of biofeedback combined with electrical stimulation in the treatment of postpartum pelvic floor dysfunction

作　　者：程素梅 敖晓兰 余柳音 CHENG Su-mei;AO Xiao-lan;YU Liu-yin(Department of Obstetrics and Gynecology,Dexing Maternal and Child Health Hospital,Jiangxi Province,Dexing334200,China)

机构地区：[1]江西省德兴市妇幼保健院妇产科,江西德兴334200

出　　处：《中国当代医药》2021年第24期269-272,共4页China Modern Medicine

基　　金：江西省上饶市科技指导计划项目(20201CKJ32)。

摘　　要：目的探讨生物反馈联合电刺激治疗产后盆底功能障碍(PFD)的效果。方法选取江西省德兴市妇幼保健院2019年6月—2020年4月收治的60例产后PDF患者作为研究对象,根据随机数字表法分为对照组与观察组,每组各30例。对照组接受阴道哑铃训练治疗,观察组接受生物反馈联合电刺激治疗。两组治疗3个月,比较两组的盆底功能[盆底功能障碍调查表(PFDI-20)]、尿失禁[尿失禁问卷表(ICI-Q-SF)]、盆底肌力及子宫脱垂情况。结果治疗后,观察组的PFDI-20及ICI-Q-SF评分低于对照组,差异均有统计学意义(P<0.05);治疗后,观察组的浅、深肌力纤维Ⅰ和Ⅱ评分高于对照组,差异均有统计学意义(P<0.05)。两组的子宫脱垂比较,观察组优于对照组,差异有统计学意义(P<0.05)。结论生物反馈联合电刺激可有效改善产后PFD,增强盆底肌肉肌力,改善子宫脱垂及尿失禁情况。Objective To explore the effect of biofeedback combined with electrical stimulation in the treatment of postpartum pelvic floor dysfunction(PFD).Methods A total of 60 patients with PDF treated in Dexing Maternal and Child Health Hospital,Jiangxi Province from June 2019 to April 2020 were selected as the research objects.By the random number table method,they were divided into the control group and the observation group,30 cases in each group.The control group was received vaginal dumbbell training,and the observation group was received biofeedback combined with electrical stimulation.Both groups were treated for 3 months,the pelvic floor function(pelvic floor distress inventory-short form 20[PFDI-20],urinary incontinence[international consultation on incontinence questionnaire urinary incontinence short form[ICI-Q-SF],pelvic floor muscle strength and uterine prolapse were observed between the two groups.Results After treatment,the PFDI-20 and ICI-Q-SF scores of the two groups were lower than thosee before treatment,and the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).After treatment,the superficial and deep muscle fiberⅠandⅡscores of the two groups were higher than those before treatment,and the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).The uterine prolapse of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Biofeedback combined with electrical stimulation can effectively improve postpartum PFD,strengthen pelvic floor muscles,and improve uterine prolapse and urinary incontinence.

关 键 词：盆底功能 生物反馈 电刺激 盆底肌力 

分 类 号：R714.6[医药卫生—妇产科学]