生物反馈电刺激在产妇产后整体康复中对压力性尿失禁、盆底肌肌力影响分析  

Effects of biofeedback electrical stimulation on stress urinary incontinence and pelvic floor muscle strength during postpartum rehabilitation

作　　者：刘小静 黄小春 缪韵仪 谢玲玲 Liu Xiaojing;Huang Xiaochun;Miao Yunyi;Xie Lingling(Department of Obstetrics and Gynecology,Ningde Municipal Hospital of Ningde Normal University,Ningde 352100,China)

机构地区：[1]宁德师范学院附属宁德市医院妇产科,宁德352100

出　　处：《中国医师进修杂志》2024年第2期162-166,共5页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨在产妇产后整体康复中应用生物反馈电刺激预防压力性尿失禁及对盆底肌肌力的影响。方法回顾性选择2021年10月至2022年4月在宁德师范学院附属宁德市医院分娩的200例产妇作为研究对象,根据康复方案的不同分为对照组和观察组,每组100例。对照组给予常规康复治疗,观察组在对照组基础上给予生物反馈电刺激治疗,均治疗3个月。统计两组压力性尿失禁发生情况,比较两组治疗前后盆底肌肌力情况,比较两组治疗后国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分和盆底障碍影响简易问卷7(PFIQ-7)评分。结果观察组尿失禁发生率低于对照组[4.00%(4/100)比15.00%(15/100)],差异有统计学意义(χ^(2)=9.00,P<0.05)。观察组治疗后盆底肌肌力分级、Ⅰ类肌纤维、Ⅱ类肌纤维和平均电压值均高于对照组[(3.85±0.27)级比(3.74±0.32)级、(10.23±1.17)μV比(8.84±1.13)μV、(11.56±0.19)μV比(10.98±0.24)μV、(18.12±3.24)μV比(14.69±3.01)μV],差异有统计学意义(P<0.05)。观察组治疗后ICI-Q-SF评分和PFIQ-7评分均低于对照组[(7.02±1.26)分比(8.26±1.15)分、(18.96±4.31)分比(24.17±5.62)分],差异有统计学意义(P<0.05)。结论在产妇产后整体康复中应用生物反馈电刺激治疗可降低压力性尿失禁的发生率,改善产妇产后盆底肌肌力,减轻压力性尿失禁和盆底肌障碍对日常生活的影响。Objective To analyze the effect of biofeedback electrical stimulation on the prevention of stress urinary incontinence and pelvic floor muscle strength during postpartum rehabilitation.Methods A total of 200 parturients who gave birth in Ningde Municipal Hospital of Ningde Normal University from October 2021 to April 2022 were included as research objects and divided into the control group and the observation group according to different rehabilitation programs,with 100 cases in each group.The control group was given routine rehabilitation,and the observation group was given biofeedback electrical stimulation on the basis of the control group,the parturients in the two groups were treated for 3 months.The occurrence of stress urinary incontinence in the two groups was compared,and the pelvic floor muscle strength before and after treatment were compared between the two groups.The scores of International Consultation on Incontinence Questionnaire Short Form(ICI-Q-SF)and Pelvic Floor Impact Questionnaire-7(PFIQ-7)were compared between the two groups.Results The total incidence of stress urinary incontinence in the observation group was lower than that in the control group:4.00%(4/100)vs.15.00%(15/100),there was statistical difference(χ^(2)=9.00,P<0.05).After treatment,the muscle strength grade,classⅠmuscle fiber,classⅡmuscle fiber and average voltage of pelvic floor muscle in the observation group were higher than those in the control group:(3.85±0.27)grades vs.(3.74±0.32)grades,(10.23±1.17)μV vs.(8.84±1.13)μV,(11.56±0.19)μV vs.(10.98±0.24)μV,(18.12±3.24)μV vs.(14.69±3.01)μV,there were statistical differences(P<0.05).After treatment,the scores of ICI Q-SF and PFIQ-7 in the observation group were lower than those in the control group:(7.02±1.26)scores vs.(8.26±1.15)scores,(18.96±4.31)scores vs.(24.17±5.62)scores,there were statistical differences(P<0.05).Conclusions The application of biofeedback electrical stimulation in postpartum rehabilitation can reduce the incidence of stress urinary inc

关 键 词：电刺激疗法 尿失禁 压力性 骨盆底 肌力 产妇卫生保健服务 

分 类 号：R714.6[医药卫生—妇产科学] R493[医药卫生—临床医学]