电刺激治疗对盆底功能障碍的临床疗效评估  

Clinical efficacy evaluation of electrical stimulation therapy for pelvic floor dysfunction

作　　者：任露倩 吴岩 孙畅 张少宇 杨茜淇 侍立峰 REN Luqian;WU Yan;SUN Chang;ZHANG Shaoyu;YANG Qianqi;SHI Lifeng(Obstetrics and Gynecology Department,The 903rd Hospital of Joint Logistic Support Force,PLA,Hangzhou,Zhejiang 310012,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇三医院妇产科,浙江杭州310012

出　　处：《中国医学工程》2024年第11期33-37,共5页China Medical Engineering

基　　金：杭州市卫生科技计划项目(2017B67)。

摘　　要：目的评估电刺激治疗对产后盆底功能障碍性疾病患者的疗效,为临床综合治疗提供客观依据。方法选取2017年1月至2022年12月中国人民解放军联勤保障部队第九〇三医院分娩并于产后42 d被诊断为盆底功能障碍的产妇150例,按照随机数字表法将其分为观察组(100例)和对照组(50例),观察组在基于标准凯格尔(Kegel)训练的基础上实施盆底电刺激治疗,对照组仅进行标准Kegel训练。通过MRI测量肛提肌裂孔横轴、纵轴及面积大小以及使用盆底测量仪测定肌电值判定疗效。结果观察组肛提肌裂孔横轴、纵轴和面积在治疗后明显减少(P<0.05)。观察组治疗后总肌电值、Ⅰ与Ⅱ类肌纤维肌电值均优于治疗前(P<0.05)。结论应用盆底电刺激治疗结合Kegel训练在产后盆底功能障碍性疾病患者中疗效更佳,值得在临床实践中推广应用。【Objective】To evaluate the effectiveness of electrical stimulation therapy in patients with postpartum pelvic floor dysfunction and provide an objective basis for comprehensive clinical treatment.【Methods】A total of 150 postpartum women diagnosed with pelvic floor dysfunction within 42 days after delivery at The 903rd Hospital of Joint Logistic Support Force,PLA from January 2017 to December 2022 were selected.They were randomly divided into an observation group(100 cases)and a control group(50 cases).The observation group received pelvic floor electrical stimulation therapy based on standard Kegel exercises,while the control group only underwent standard Kegel exercises.The efficacy was determined by measuring the transverse axis,longitudinal axis,and area size of the levator ani hiatus using MRI and assessing muscle electromyography values with a pelvic floor measurement instrument.【Results】In the observation group,the transverse axis and area size of the levator ani hiatus significantly decreased after treatment,with statistical differences compared with the control group(P<0.05).The total muscle electromyography values and electromyography values of type I and type II muscle fibers in the observation group were all superior to those before treatment,with statistical differences compared with the control group(P<0.05).【Conclusion】The combination of pelvic floor electrical stimulation therapy and Kegel exercises is more effective in patients with postpartum pelvic floor dysfunction and is worthy of clinical application and promotion.

关 键 词：产后期 盆底疾病 电刺激疗法 临床疗效 

分 类 号：R711.5[医药卫生—妇产科学]