生物电刺激治疗对产后盆底功能障碍患者临床疗效与肌群力量的影响  

The Impact of Bioelectrical Stimulation Therapy on Clinical Efficacy and Muscle Strength in Patients with Postpartum Pelvic Floor Dysfunction

作　　者：曹媛媛 鲁音音 赵胜男 CAO Yuanyuan;LU Yinyin;ZHAO Shengnan(Zhengzhou Maternal and Child Health Hospital,Henan Zhengzhou 450000;Zhengzhou Maternal and Child Health Hospital Qinling Road Branch,Henan Zhengzhou 450000)

机构地区：[1]郑州市妇幼保健院,河南郑州450000 [2]郑州市妇幼保健院秦岭路院区,河南郑州450000

出　　处：《深圳中西医结合杂志》2024年第11期16-19,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨生物电刺激(BES)治疗对产后盆底功能障碍(PPFD)患者临床疗效与肌群力量的影响。方法:选取2023年1月至2024年1月郑州市妇幼保健院收治的450例PPFD患者作为研究对象开展回顾性研究,采用常规治疗的225例患者纳入对照组,在常规治疗的基础上应用BES治疗的225例患者纳入观察组。治疗后观察两组患者临床疗效和肌群力量指标。结果:治疗后观察组患者盆底肌平均电压、盆底肌最大电压、最大尿道闭合压均高于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者盆底肌群表层肌电指标前静息阶段、Ⅱ类肌测试阶段的快速收缩时间与最大值、后静息阶段均低于对照组,Ⅰ类肌测试阶段、耐力测试均高于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者盆底肌群力量指标Ⅰ类肌与Ⅱ类肌的持续收缩压、收缩维持时间均高于对照组,差异具有统计学意义(P<0.05)。结论:BES治疗可进一步增强产后盆底功能障碍患者的盆底肌群力量,改善患者盆底功能。Objective To explore the impact of bioelectrical stimulation(BES)therapy on the clinical efficacy and muscle strength in patients with postpartum pelvic floor dysfunction(PPFD).Methods A retrospective study was conducted on 450 PPFD patients admitted to Zhengzhou Maternal and Child Health Hospital from January 2023 to January 2024.The patients who received conventional treatment were included in the control group(225 case)s,and those who received BES treatment in addition to conventional treatment were included in the observation group(225 cases).After treatment,the clinical efficacy and muscle strength indicators were observed in both groups.Results After treatment,the mean voltage of the pelvic floor muscles,maximum voltage of the pelvic floor muscles,and maximum urethral closure pressure in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05);the rapid contraction time and maximum value during the pre-rest phase and phase II muscle test,as well as the post-rest phase,were lower in the observation group than in the control group,while the phase I muscle test and endurance test were higher,and the differences were statistically significant(P<0.05);the sustained contraction pressure and contraction maintenance time of type I and type II muscles in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion BES can further enhance the strength of the pelvic floor muscles in patients with postpartum pelvic floor dysfunction,improving their pelvic floor function.

关 键 词：产后盆底功能障碍 生物电刺激 盆底康复训练 

分 类 号：R714.46[医药卫生—妇产科学]