生物反馈电刺激联合盆底肌训练在盆底功能障碍性疾病患者中的应用效果  

Application effects of biofeedback electrical stimulation combined with pelvic floor muscle training in patients with pelvic floor dysfunction disease

作　　者：张星星 ZHANG Xingxing(Department of Obstetrics and Gynecology of the First Hospital of Putian City,Putian 351100 Fujian,China)

机构地区：[1]莆田市第一医院妇产科,福建莆田351100

出　　处：《中国民康医学》2024年第14期63-66,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察生物反馈电刺激联合盆底肌训练在盆底功能障碍性疾病患者中的应用效果。方法:选取2022年3月至2023年4月该院收治的86例盆底功能障碍性疾病患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各43例。对照组予以盆底肌训练干预,观察组在对照组基础上联合生物反馈电刺激干预,两组均干预2个月。比较两组干预前后盆底肌肌电指标水平、盆底肌肌力分级、盆底功能障碍[盆底障碍影响简易问卷-7(PFIQ-7)]评分、尿动力学指标(最大膀胱容量、最大尿流率)水平。结果:干预后,观察组前静息平均肌电值、后静息平均肌电值、慢肌平均肌电值、快肌最大肌电值均高于对照组,差异有统计学意义(P<0.05);干预后,观察组盆底肌肌力分级优于对照组,差异有统计学意义(P<0.05);干预后,观察组PFIQ-7评分低于对照组,差异有统计学意义(P<0.05);干预后,观察组最大膀胱容量、最大尿流率均高于对照组,差异有统计学意义(P<0.05)。结论:生物反馈电刺激联合盆底肌训练应用于盆底功能障碍性疾病患者可改善盆底肌肌电指标、尿动力学指标水平,优化盆底肌肌力分级,降低盆底功能障碍评分,效果优于单纯盆底肌训练干预。Objective:To observe application effects of biofeedback electrical stimulation combined with pelvic floor muscle training in patients with pelvic floor dysfunction disease.Methods:A prospective study was conducted on 86 patients with pelvic floor dysfunction admitted to the hospital from March 2022 to April 2023.According to the random number table method,they were divided into control group and observation group,43 cases in each group.The control group was given pelvic floor muscle training intervention,while the observation group was combined with biofeedback electrical stimulation intervention on the basis of that of the control group.Both groups were intervened for 2 months.The pelvic floor muscle electromyography index levels,the pelvic floor muscle strength grade,the pelvic floor dysfunction[pelvic floor disorder impact questionnaire-7(PFIQ-7)]score,and the urodynamic index(maximum bladder capacity,maximum urinary flow rate)levels were compared between the two groups before and after the intervention.Results:After the intervention,the average pre-resting electromyography value,the average post-resting electromyography value,the average electromyography value of the slow muscle,and the maximum electromyography value of the fast muscle of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the pelvic floor muscle strength grading of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the PFIQ-7 score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Further,after the intervention,the maximum bladder capacity and the maximum urinary flow rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The biofeedback electrical stimulation combined with pelvic floor muscle tr

关 键 词：生物反馈电刺激 盆底肌训练 盆底功能障碍性疾病 盆底肌肌电 肌力 尿动力学 

分 类 号：R711[医药卫生—妇产科学]