电生物反馈治疗在女性产后盆底肌修复中的作用  

Value of Electrobiofeedback Therapy in Postpartum Pelvic Floor Muscle Repair in Women

作　　者：黄秀梅 Huang Xiumei(Guangzhou Zengcheng District Ningxi Street Community Health Service Center,Guangzhou 511338,Guangdong Province,China)

机构地区：[1]广州市增城区宁西街社区卫生服务中心,广东广州511338

出　　处：《中外医药研究》2024年第31期24-26,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨电生物反馈治疗在女性产后盆底肌修复中的作用。方法:选取2023年7月—2024年2月广州市增城区宁西街社区卫生服务中心收治的500例产妇为研究对象,随机分为对照组和观察组,各250例。对照组采用常规康复训练(阴道收缩放松训练及哑铃训练),观察组在对照组基础上采用电生物反馈治疗。对比两组盆底肌纤维参数、盆腔脏器脱垂程度、尿失禁和腰部疼痛发生情况及生活质量评分。结果:治疗4周后,两组Ⅰ类、ⅡA类、ⅡB类肌纤维持续收缩压及Ⅰ类肌纤维持续收缩时间升高,观察组高于对照组(P<0.05);治疗4周后,观察组盆腔脏器脱垂程度与尿失禁、腰部疼痛发生率低于对照组(P<0.05);治疗4周后,两组盆底功能障碍调查表、盆底障碍影响问卷评分降低,观察组低于对照组(P<0.05)。结论:电生物反馈疗法可以改善产妇产后的盆底功能,降低盆腔脏器脱垂、尿失禁及腰部疼痛发生率,提高生活质量。Objective:To investigate the effect of electrobiofeedback therapy on pelvic floor muscle repair in postpartum women.Methods:A total of five hundred parturient women admitted to Guangzhou Zengcheng District Ningxi Street Community Health Service Center from July 2023 to February 2024 were selected as the study objects,and randomly divided into control group and observation group,with two hundred and fifty cases in each group.The control group received routine rehabilitation training(vaginal contraction relaxation training and dumbbell training),and the observation group received electrobiofeedback therapy on the basis of the control group.Pelvic floor muscle fiber parameters,pelvic organ prolapse degree,urinary incontinence,lumbar pain and quality of life score were compared between the two groups.Results:After 4 weeks of treatment,the continuous systolic blood pressure of classⅠ,ClassⅡA and classⅡB muscle fibers and the continuous contraction time of classⅠmuscle fibers in two groups were increased,and the observation group was higher than the control group(P<0.05);after 4 weeks of treatment,the degree of pelvic organ prolapse and the incidence of urinary incontinence and lumbar pain in observation group were lower than those in control group(P<0.05);after 4 weeks of treatment,the scores of the Pelvic Floor Dysfunction Questionnaire and the Pelvic Floor Dysfunction Impact Questionnaire were lower in both groups,and the observation group was lower than the control group(P<0.05).Conclusion:Electrobiofeedback therapy can improve postpartum pelvic floor function,reduce the incidence of pelvic organ prolapse,urinary incontinence and lumbar pain,and improve the quality of life.

关 键 词：盆底肌修复 电生物反馈治疗 盆底功能障碍 

分 类 号：R711.5[医药卫生—妇产科学]