盆底康复治疗结合阴部神经损伤修复对女性轻中度盆腔脏器脱垂的疗效分析  

Effect of pelvic floor rehabilitation combined with pudendal nerve repair on female mild to moderate pelvic organ prolapse

作　　者：施擎 覃冬莉[1] 谭雪莲[1] 黄水芬 黄进莲 杨梅[1] Shi Qing;Qin Dongli;Tan Xuelian;Huang Shuifen;Huang Jinlian;Yang Mei(Department of of Women's Protection,Nanning Maternal and Child Health Care Hospital,Nanning 530000,China)

机构地区：[1]南宁市妇幼保健院妇保科,广西南宁530000

出　　处：《实用妇科内分泌电子杂志》2022年第16期57-61,共5页Electronic Journal of Practical Gynecological Endocrinology

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(编号Z20201267)。

摘　　要：目的探析盆底康复治疗结合阴部神经损伤修复对轻中度盆腔脏器脱垂(POP)的疗效。方法选择本院收治的100例轻中度POP女性患者为研究对象,采用随机数表法分为两组,每组50例。对照组采用盆底康复治疗,研究组在此基础上采用阴部神经损伤修复治疗。对比两组治疗前后的盆底功能、盆腔脱垂症状、阴部神经传导速率及临床疗效。结果研究组治疗总有效率为94.00%,高于对照组的68.00%,差异有统计学意义(P<0.05)。治疗前,两组Ⅰ类、Ⅱ类盆底肌肌力、疲劳度、肌电位比较,差异无统计学意义(P>0.05);治疗后,研究组Ⅰ类、Ⅱ类盆底肌肌力、Ⅰ类盆底肌疲劳度均高于对照组,差异有统计学意义(P<0.05),而两组Ⅱ类盆底肌疲劳度、肌电位比较,差异无统计学意义(P>0.05)。治疗前,两组阴道前壁(Aa)、顶端(C)、后壁(Ap)解剖指示点距离比较,差异无统计学意义(P>0.05);治疗后,研究组Aa、C解剖指示点距离均高于对照组,差异有统计学意义(P<0.05),而两组Ap解剖指示点距离比较,差异无统计学意义(P>0.05)。治疗前,两组阈电位、阈时间、上升时间比较,差异无统计学意义(P>0.05);治疗后,研究组阈时间高于对照组,阈电位低于对照组,差异有统计学意义(P<0.05),而两组上升时间比较,差异无统计学意义(P>0.05)。结论轻中度POP患者采用盆底康复治疗结合阴部神经损伤修复的效果显著,可有效改善盆底肌肌力、疲劳度、盆腔解剖距离、阴部神经传导速率,值得临床推广使用。Objective To explore the effect of pelvic floor rehabilitation combined with pudendal nerve repair on mild to moderate pelvic organ prolapse(POP).Methods A total of 100 female patients with mild to moderate POP admitted to our hospital were selected as the research objects and were divided into two groups by random number table method,with 50 cases in each group.The control group was treated with pelvic floor rehabilitation,and the study group was treated with pudendal nerve repair on this basis.The pelvic floor function,pelvic prolapse symptoms,pudendal nerve conduction rate and clinical efficacy were compared between the two groups before and after treatment.Results The total effective rate of the study group was 94.00%,which was higher than 68.00% of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in muscle strength,fatigue of class Ⅰ and Ⅱ pelvic floor muscles and muscle potential between the two groups(P>0.05);after treatment,the muscle strength of class Ⅰ and Ⅱ pelvic floor muscles and the fatigue degree of class Ⅰ pelvic floor muscles in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05),while there were no significant differences in the fatigue degree of class Ⅱ pelvic floor muscles and muscle potential between the two groups(P>0.05).Before treatment,there were no significant differences in the distances between the anterior(Aa),apical(C)and posterior wall(Ap)anatomical indicator points between the two groups(P>0.05);after treatment,the distances of Aa and C anatomical indicator points in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05),while there was no significant difference in the distances of Ap anatomical indicator points between the two groups(P>0.05).Before treatment,there were no significant differences in threshold potential,threshold time and rise time between the tw

关 键 词：盆底康复 阴部神经损伤修复 轻中度 盆腔脏器脱垂 

分 类 号：R711[医药卫生—妇产科学]