正念训练联合生物反馈电刺激疗法对产妇盆底生理功能的影响  

Effect of the mindfulness training combined with biofeedbackelectrical stimulation therapy on the physiological function of maternal pelvic floor

作　　者：刘敏 阮璐璐 闫华[2] 李金芝 LIU Min;RUAN Lu-lu;YAN Hua;LI Jin-zhi(School of Nursing,Bengbu Medical College,Bengbu Anhui 233030;Department of Obstetrics and Gynecology,The Third People′s Hospital of Bengbu,Bengbu Anhui 233000;Department of Nursing,School of Clinical Medicine,Anhui Medicine University,Hefei Anhui 230031,China)

机构地区：[1]蚌埠医学院护理学院,安徽蚌埠233030 [2]安徽省蚌埠市第三人民医院妇产科,233000 [3]安徽医科大学临床医学院护理系,安徽合肥230601

出　　处：《蚌埠医学院学报》2023年第3期406-409,413,共5页Journal of Bengbu Medical College

基　　金：蚌埠医学院研究生科研创新计划项目(Byycx1910)。

摘　　要：目的:探讨正念训练联合生物反馈电刺激治疗对改善产后盆底功能的效果。方法:采取便利抽样法选取门诊产妇85例,随机分为对照组42例和观察组43例。对照组采取生物反馈电刺激治疗,观察组采取正念训练联合生物反馈电刺激治疗。分别于干预前和干预后1周、3个月,比较2组盆底表面肌功能评分、尿失禁及盆腔脏器脱垂情况。结果:干预后1周、3个月,观察组Ⅰ、Ⅱ类肌纤维评分和肌耐力评分均较干预前明显升高(P<0.01),且均明显高于对照组(P<0.01)。干预后3个月,观察组子宫脱垂、阴道前壁脱垂发生率均较对照组改善(P<0.05和P<0.01),阴道脱垂和尿失禁情况亦均较干预前有所改善(P<0.05),但与对照组差异均无统计学意义(P>0.05)。结论:正念训练联合生物反馈电刺激治疗可明显改善产后盆底生理功能、缓解盆底功能障碍症状。Objective:To explore the effects of the mindfulness training combined with biofeedback electrical stimulation on the improvement of pelvic floor function after delivery.Methods:The convenience sampling method was used to select 85 parturients in outpatient department,and the cases were randomly divided into the control group(42 cases)and observation group(43 cases).The control group were treated with the biofeedback electrical stimulation,and the observation group were treated with the mindfulness training combined with biofeedback electrical stimulation.The pelvic floor surface muscle function score,urinary incontinence and pelvic organ prolapse were compared between two groups before intervention and after 1 week and 3 months of intervention.Results:At 1 week and 3 months after intervention,the typeⅠandⅡmuscle fibers scores and muscular endurance scores in the observation group were significantly higher than those before intervention(P<0.01),and which were significantly higher than those in control group(P<0.01).After 3 months of intervention,the incidence rates of uterine prolapse and vaginal anterior wall prolapse in the observation group were improved compared with that in the control group(P<0.05 and P<0.01).The situation of vaginal prolapse and urinary incontinence in the observation group after 3 months of intervention were also improved compared with that before intervention(P<0.05),but the difference of which between two groups was not statistically significant(P>0.05).Conclusions:The mindfulness training combined with biofeedback electrical stimulation can significantly improve the physiological function of the postpartum pelvic floor and relieve the symptoms of pelvic floor dysfunction.

关 键 词：正念训练 生物反馈 电刺激 产妇 盆底生理功能 

分 类 号：R714.7[医药卫生—妇产科学] R473.71[医药卫生—临床医学]