盆底肌电刺激治疗复发性阴道炎的临床效果  

Clinical Effect of Electric Stimulation of Pelvic Floor Muscle in the Treatment of Recurrent Vaginitis

作　　者：张玮 胡燕琴 邰晶 ZHANG Wei;HU Yanqin;TAI Jing(Department of Gynecology,the Third Hospital of Nanchang,Nanchang 330000,China;不详)

机构地区：[1]南昌市第三医院妇科,江西南昌330000

出　　处：《中国医学创新》2024年第23期69-73,共5页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(202140076)。

摘　　要：目的:探究盆底肌电刺激治疗复发性阴道炎的临床效果。方法:选取102例在2020年6月—2023年1月于南昌市第三医院进行治疗的复发性阴道炎患者为研究对象,随机分为E组(n=52)和C组(n=50)。C组进行常规阴道炎西医治疗,E组在C组基础上联合盆底肌电刺激治疗。比较两组临床症状、阴道分泌物实验室检查结果、盆底肌肌力值、临床效果及治疗结束后1年的复发率。结果:E组各类型阴道炎患者临床症状改善时间均短于C组,差异均有统计学意义(P<0.05)。E组pH值3.8~4.5,阴道清洁度为Ⅰ、Ⅱ级比例与C组相比均高,过氧化氢(H_(2)O_(2))阳性率与C组比较低,差异均有统计学意义(P<0.05)。治疗前,两组阴道乳酸杆菌数目比较,差异无统计学意义(P>0.05);治疗后,两组阴道乳酸杆菌数目均较治疗前有所提升,且E组较C组高,差异均有统计学意义(P<0.05)。治疗前,两组盆底肌肌力值比较,差异无统计学意义(P>0.05);治疗后,E组盆底肌肌力Ⅳ、Ⅴ级占比较C组高,差异有统计学意义(P<0.05)。E组临床总有效率高于C组,差异有统计学意义(P<0.05)。E组在治疗后1年内,其阴道炎复发率比C组低,差异有统计学意义(P<0.05)。结论:与单独应用常规西药治疗相比,盆底肌电刺激的联合应用对复发性阴道炎患者效果更佳,可显著缩短患者临床症状的恢复时间,改善患者阴道pH值、清洁度及患者阴道菌群失衡情况,同时还增强患者的盆底肌肌力。Objective:To explore the clinical efficacy of electric stimulation of pelvic floor muscle in the treatment of recurrent vaginitis.Method:A total of 102 patients with recurrent vaginitis treated at the Third Hospital of Nanchang from June 2020 to January 2023 were selected as the study subjects,and were randomly divided into group E(n=52)and group C(n=50).Group C received routine Western medicine treatment for vaginitis,while group E received electric stimulation of pelvic floor muscle treatment in addition to group C.The clinical symptoms,laboratory examination results of vaginal discharge,pelvic floor muscle strength,clinical effect and recurrence rate at 1 year after the end of treatment were compared between the two groups.Result:The improvement time of clinical symptoms of patients with different types of vaginitis in group E were shorter than those in group C,the differences were statistically significant(P<0.05).The proportion of pH values of 3.8-4.5,vaginal cleanliness of gradeⅠandⅡin group E were higher than those in group C,and the positivity rate of hydrogen peroxide(H_(2)O_(2))was lower than that in group C,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in the number of vagina lactobacillus between the two groups(P>0.05);after treatment,the number of vaginal lactobacilli in both groups were increased compared to before treatment,and that in the group E was higher than that in the group C,the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in pelvic floor muscle strength between the two groups(P>0.05);after treatment,the proportion of pelvic floor muscle strength gradeⅣandⅤin group E was higher than that in group C,the difference was statistically significant(P<0.05).The total clinical effective rate of group E was higher than that of group C,the difference was statistically significant(P<0.05).Within one year after treatment,the recurrence rate of vaginitis in gro

关 键 词：盆底肌电刺激 复发性阴道炎 阴道炎复发率 

分 类 号：R711.31[医药卫生—妇产科学]