离心电刺激联合生物反馈疗法对盆底功能障碍性疾病的临床疗效分析  

Clinical efficacy analysis of centrifugal electrical stimulation combined with biofeedback therapy for pelvic floor functional disorders

作　　者：蒋玉梅 谢雪婷 杨瑞嘉 JIANG Yu-mei;XIE Xue-ting;YANG Rui-jia(Pelvic Floor Rehabilitation Center of Jiangning District Maternal and Child Health and Family Planning Service Center,Nanjing 211100;Nanjing Mailande Medical Technology Research Institute,Nanjing 210012;Jiangsu Pelvic Floor Rehabilitation Engineering Technology Research Center,Nanjing 210012)

机构地区：[1]南京市江宁区妇幼保健计划生育服务中心盆底康复中心,南京211100 [2]南京麦澜德医疗技术研究院,南京210012 [3]江苏省盆底康复工程技术研究中心,南京210012

出　　处：《生殖医学杂志》2025年第2期186-191,共6页Journal of Reproductive Medicine

摘　　要：目的探讨离心电刺激联合生物反馈疗法对盆底功能障碍性疾病(PFD)患者的临床疗效。方法选择2023年11月至2024年5月在南京市江宁区妇幼保健计划生育服务中心盆底康复中心接受治疗的84例PFD患者为研究对象,采用随机数字表法随机分为观察组(采用离心电刺激联合生物反馈治疗)和对照组(采用低频电刺激联合生物反馈治疗),每组42例。剔除退出患者后,最终纳入80例患者(每组40例)的数据进行分析。比较两组患者的一般资料、治疗前及治疗后盆底肌力、盆底功能障碍症状量表、盆底肌电值改变情况及临床疗效。结果两组患者的一般资料比较无显著性差异(P>0.05)。两组患者治疗前盆底肌力、快肌阶段肌电值、慢肌阶段肌电值及盆底功能障碍问卷(PFDI-20)评分比较均无显著性差异(P>0.05);治疗10次后,两组患者的盆底肌力、快肌阶段肌电值、慢肌阶段肌电值及PFDI-20评分均显著高于治疗前,且观察组的盆底肌力、快肌阶段肌电值、慢肌阶段肌电值及PFDI-20评分均显著高于对照组(P均<0.05)。观察组治疗10次后,快肌阶段阴道压力、慢肌阶段阴道压力均显著高于治疗前(P均<0.05)。观察组治疗总有效率为92.5%,显著高于对照组的72.5%(P<0.05)。结论离心电刺激联合生物反馈疗法用于治疗PFD可以改善盆底肌肉功能,减轻患者的临床症状,获得较理想的治疗效果。Objective:To explore the clinical efficacy of centrifugal electrical stimulation combined with the biofeedback therapy in patients with pelvic floor dysfunction(PFD).Methods:A total of 84 PFD patients from Pelvic Floor Rehabilitation Center of Jiangning District Maternal and Child Health and Family Planning Service Center were divided into two groups as an observation group(centrifugal electrical stimulation combined with the biofeedback therapy)and a control group(low-frequency electrical stimulation combined with biofeedback therapy)using a random number table,and 42 women in each group.After excluding women who had withdrawn,the data of 80 women were analyzed with 40 women in each group.The characteristics,pelvic floor muscle strength,pelvic floor dysfunction symptom scale,pelvic floor electromyographic values,and clinical efficacy were compared before and after treatment between the two groups.Results:There were no significant differences in basic characteristics between the two groups(P>0.05).Before the treatment,there were no significant differences in pelvic floor muscle strength,electromyographic values of pelvic floor muscles in the fast and slow stages,and the score of Pelvic Floor Distress Inventory-20(PFDI-20)between the two groups(P>0.05).After treatment of 10 times,pelvic floor muscle strength,electromyographic values of pelvic floor muscles in the fast and slow stages,and the score of PFDI-20 was significantly higher than those before the treatment(P<0.05),and the indicators mentioned above in the observation group were significantly higher than those in the control group(all P<0.05).Furthermore,the observation group showed significantly higher vaginal pressure of pelvic floor muscles in the fast and slow stages after the treatment of 10 times(all P<0.05).The total clinical effective rate of the observation group was 92.5%,significantly higher than 72.5%of the control group(P<0.05).Conclusions:The combination of centrifugal electrical stimulation and the biofeedback therapy for the treatment of PFD

关 键 词：盆底功能障碍性疾病 离心电刺激 生物反馈疗法 肌电压力多功能二合一电极 

分 类 号：R711.5[医药卫生—妇产科学]