低频脉冲穴位电刺激在预防初产妇盆底功能障碍性疾病中的应用效果  

Effect of low-frequency pulsed acupoint electrical stimulation on preventing pelvic floor dysfunction in primiparous women

作　　者：王志静 张丽萍 邓建会 施雪华 张爱玲 WANG Zhijing;ZHANG Liping;DENG Jianhui;SHI Xuehua;ZHANG Ailing(Department of General Surgery,Tangshan City Fengnan District Traditional Chinese Medicine Hospital,Tangshan 063000,China)

机构地区：[1]唐山市丰南区中医医院普外科,河北唐山063000

出　　处：《现代医学》2023年第7期1001-1005,共5页Modern Medical Journal

基　　金：河北省中医药管理局课题(2022557)。

摘　　要：目的:分析预防性低频脉冲穴位电刺激对初产妇盆底功能的影响。方法:选择2019年1月1日—2022年12月31日在某医院完成分娩的707例初产妇为研究对象,干预组347人,对照组360人,对照组给予常规排尿训练及护理,干预组在此基础上给予低频脉冲穴位电刺激进行预防性干预。采用卡方和t检验分析比较两组产妇产后盆底功能障碍性疾病的发生及盆底肌力情况。结果:两组产妇以及新生儿的一般临床情况对比中,各项数据差异均无统计学意义(P<0.05)。干预组产妇产后的压力性尿失禁、排尿困难、子宫脱垂、膀胱膨出、直肠膨出、尿道漏斗形成的发生率均低于对照组(P<0.05);两组产妇产后粪失禁的发生率差异无统计学意义(P=0.12);干预组产妇膀胱颈与耻骨联合的距离、膀胱颈移动度、尿道膀胱后角均低于对照组(P<0.001);干预组产妇尿道旋转角大于对照组(P<0.001);干预组产妇干预后肛提肌裂孔面积差异无统计学意义(P=0.132)。两组产妇出院时前静息阶段、后静息阶段和快肌阶段肌电值差异有统计学意义(P<0.001);两组产妇慢肌阶段肌电值平均值之间比较差异无统计学意义(P=0.080)。结论:低频脉冲穴位电刺激可有效预防初产妇盆底功能障碍性疾病的发生。Objective:To analyze the impact of preventive low-frequency pulsed acupoint electrical stimulation on pelvic floor function in primiparous women.Methods:A total of 707 primiparous women who gave birth in a certain hospital from January 1,2019,to December 31,2022,were selected as study subjects,among whom 347 women were allocated into intervention group,while 360 women into control group.The control group received routine urination training and care,while the intervention group received preventive intervention with low-frequency pulsed acupoint electrical stimulation on top of the routine care.Chi-square test and t-test were used to compare the incidence of pelvic floor dysfunction and pelvic muscle strength between the two groups postoperatively.Results:In the comparison of general clinical conditions between the two groups of women and newborns,there were no statistically significant differences in the data(P>0.05).The incidence rates of stress urinary incontinence,urinary difficulty,uterine prolapse,bladder prolapse,rectal prolapse,and urethral funnel formation in the intervention group were lower than those in the control group(P<0.05).There was no statistical difference in the incidence rate of fecal incontinence between the two groups(P=0.12).The distance between the bladder neck and pubic symphysis,bladder neck mobility,and bladder posterior angle in the intervention group were lower than those in the control group(P<0.001).The urethral rotation angle in the intervention group was greater than that in the control group(P<0.001).There was no difference in the anal sphincter fissure area between the two groups of women after intervention(P=0.132).There were statistically significant differences in the electromyographic values during the pre-resting stage,post-resting stage,and fast muscle stage at discharge between the two groups of women(P<0.001).There was no statistically significant difference in the average electromyographic values during the slow muscle stage between the two groups(P=0.080).Conclusion:Lo

关 键 词：初产妇 盆底功能障碍 低频脉冲 预防性干预 

分 类 号：R473.71[医药卫生—护理学]