再生育对女性盆底肌力的影响及产后生物反馈电刺激治疗盆底肌力恢复观察  

Impact of reproductive function on female pelvic floor muscle strength and observation on the recovery of pelvic floor muscle strength through postpartum biofeedback electrical stimulation therapy

作　　者：陈儒新[1] 王栅栅 任晓爽 张嘉慧 CHEN Ru-xin;WANG Shan-shan;REN Xiao-shuang(Department of Womens Health,Jinan Maternal and Child Health Hospital,Jinan Shandong 250001,China)

机构地区：[1]济南市妇幼保健院妇女保健科,山东济南250001

出　　处：《临床和实验医学杂志》2023年第24期2648-2652,共5页Journal of Clinical and Experimental Medicine

基　　金：山东省科研基金资助项目(编号:2020L0141)。

摘　　要：目的探究再生育对女性盆底肌力的影响,并观察产后生物反馈电刺激治疗的盆底肌力恢复效果。方法前瞻性收集2019年1月至2020年6月在济南市妇幼保健院产科分娩,于产后6至8周复诊并进行盆底功能筛查的500例经产妇、500例初产妇的临床资料,依据产次不同分为再生育组和初产组,记录两组盆底肌力情况。将需要进行康复治疗的624例产妇,按随机数字表法分为2组,A组(n=312)行常规产后干预,B组(n=312)在A组的基础上加用生物反馈电刺激治疗,比较两组盆底肌力变化、疲劳度和阴道压力情况及盆底功能障碍性疾病的发生情况。结果再生育组盆底肌力强度评分、Ⅰ类、Ⅱ类盆底肌力及肌电压分别为(2.77±0.22)分、(1.98±0.85)级、(1.89±0.66)级、(6.79±1.58)μV,均低于初产组[(2.99±0.23)分、(2.23±0.64)级、(2.35±0.56)级、(9.98±1.23)μV],差异均有统计学意义(P<0.05)。治疗后,A、B两组患者的盆底肌力强度评分、Ⅰ类、Ⅱ类盆底肌力及肌电压均较治疗前升高,且B组各值分别为(4.03±0.44)分、(4.33±1.23)级、(4.23±1.36)级、(14.33±2.13)μV,均高于A组[(3.64±0.34)分、(3.22±0.98)级、(3.16±1.01)级、(9.26±1.78)μV],差异均有统计学意义(P<0.05)。B组疲劳度及阴道压力正常所占比例分别为84.94%、72.12%,均高于A组(77.56%、64.74%),差异均有统计学意义(P<0.05)。B组盆腔器官脱垂、应激性尿失禁、张力性尿失禁、阴道壁膨出发生率分别为3.85%、1.92%、12.18%、13.46%,均低于A组(9.62%、7.05%、20.51%、22.44%),差异均有统计学意义(P<0.05)。结论与初产妇相比,再生育产妇盆底肌力强度评分及盆底肌力水平均更低,在产后干预中给予生物反馈电刺激治疗,可以提高盆底肌力,降低盆底脱垂等并发症发生率。Objective To investigate the impact of reproductive function on female pelvic floor muscle strength and observe the effect of postpartum biofeedback electrical stimulation therapy on the recovery of pelvic floor muscle strength.Methods The clinical data of 500 postpartum women and 500 primiparous women who underwent pelvic floor function screening and follow-up visits at Jinan Maternal and Child Health Hospital from January 2019 to June 2020 were prospectively collected.They were divided into the second birth group and the first birth group according to different birth times,and the pelvic floor muscle strength of the two groups was recorded.A total of 624 women who needed rehabilitation treatment were divided into two groups according to the random number table method.Group A(n=312)received routine postpartum care,and group B(n=312)added biofeedback electrical stimulation treatment.The changes of pelvic floor muscle strength,fatigue and vaginal pressure and the occurrence of pelvic floor dysfunction were compared in the two groups.Results The pelvic floor muscle strength score,class I and class II pelvic floor muscle strength,and muscle voltage of the reproductive group were(2.77±0.22)points,(1.98±0.85)levels,(1.89±0.66)levels,and(6.79±1.58)μV,respectively,which were lower than those of the primiparous group[(2.99±0.23)points,(2.23±0.64)levels,(2.35±0.56)levels,(9.98±1.23)μV],the differences were statistically significant(P<0.05).After treatment,the pelvic floor muscle strength score,class I and class II pelvic floor muscle strength,and muscle voltage of patients in groups A and B were higher than those before treatment,and the values in group B were(4.03±0.44)points,(4.33±1.23)levels,(4.23±1.36)levels,and(14.33±2.13)μV,respectively,which were higher than those in group A[(3.64±0.34)points,(3.22±0.98)levels,(3.16±1.01)levels,(9.26±1.78)μV],the differences were statistically significant(P<0.05).The proportions of normal fatigue and vaginal pressure in group B were 84.94%,72.12%,respectively,wh

关 键 词：再生育 盆底肌力 生物反馈电刺激治疗 尿失禁 

分 类 号：R714.6[医药卫生—妇产科学]