生物反馈电刺激联合盆底肌康复训练治疗产后盆底功能障碍患者的效果  

Effects of biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation training in treatment of postpartum pelvic floor dysfunction

作　　者：韩法霞 HAN Faxia(Department of Obstetrics and Gynecology of Weihui People’s Hospital,Weihui 453100 Henan,China)

机构地区：[1]卫辉市人民医院妇产科,河南卫辉453100

出　　处：《中国民康医学》2022年第11期81-83,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨生物反馈电刺激联合盆底肌康复训练治疗产后盆底功能障碍患者的效果。方法:选取72例产后盆底功能障碍患者为研究对象,按照随机数字表法分为对照组与观察组各36例。对照组采取常规盆底肌康复训练,观察组在对照组基础上联合生物反馈电刺激治疗。比较两组疗效、治疗前后盆底功能指标[阴道收缩压(VSP)、阴道静息压(VRP)及阴道收缩持续时间(VCT)]水平和尿动力学指标[功能尿道长度(FUL)、最大膀胱容量(MCC)及最大尿流率时逼尿肌压力(Pdet-Qmax)]水平。结果:观察组治疗总有效率为94.44%(34/36),高于对照组的75.00%(27/36),差异有统计学意义(P<0.05);治疗后,两组VSP、VRP均高于治疗前,VCT长于治疗前,且观察组VSP、VRP高于对照组,VCT长于对照组,差异有统计学意义(P<0.05);两组FUL、MCC及Pdet-Qmax值均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05)。结论:生物反馈电刺激联合盆底肌康复训练治疗产后盆底功能障碍患者效果显著,可提高患者盆底功能,改善尿动力学指标水平,效果优于单用盆底肌康复训练。Objective: To explore effects of biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation training in treatment of postpartum pelvic floor dysfunction. Methods: 72 patients with postpartum pelvic floor dysfunction were selected as the research objects and were divided into control group and observation group according to the random number table method, 36 cases in each group. The control group received routine pelvic floor muscle rehabilitation training, while the observation group received biofeedback electrical stimulation therapy on the basis of that of the control group. The curative effects, the pelvic floor function index levels[vaginal systolic pressure(VSP), vaginal resting pressure(VRP) and vaginal contraction duration(VCT)] and the urodynamic index levels[functional urethral length(FUL), maximum bladder volume(MCC) and detrusor pressure at maximum flow rate(Pdet-Qmax)] were compared between the two groups before and after the treatment.Results: The total effective rate in the observation group was 94.44%(34/36), which was higher than 75.00%(27/36) in the control group, and the difference was statistically significant(P<0.05). After the treatment, the VSP and VRP of the two groups were higher than those before the treatment,and the VCT was longer than that before the treatment;the VSP and VRP of the observation group were higher than those of the control group, and the VCT was longer than that of the control group;and the differences were statistically significant(P<0.05). Further, the FUL, MCC and Pdet-Qmax levels in the two groups were higher than those before the treatment and the observation group were higher than the control group;and the difference was statistically significant(P<0.05). Conclusions: Biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation training has significant clinical effects in the treatment of postpartum pelvic floor dysfunction, which can improve the patients’ pelvic floor function and improve the urodynamic index level

关 键 词：产后 盆底功能障碍 盆底肌康复训练 生物反馈电刺激 盆底功能 排尿功能 

分 类 号：R711.5[医药卫生—妇产科学]