生物反馈电刺激联合盆底肌锻炼治疗产后盆底功能障碍患者的临床效果观察  

Observation on the Clinical Efficacy of Biofeedback Electrical Stimulation Combined with Pelvic Floor Muscle Exercises in the Treatment of Patients with Postpartum Pelvic Floor Dysfunction

作　　者：顾苗苗 GU Miamiao(Department of Obstetrics and Gynecology,Nantong Tongzhou District Hospital of Traditional Chinese Medicine,Nantong 226300,China)

机构地区：[1]南通市通州区中医院妇产科,江苏南通226300

出　　处：《反射疗法与康复医学》2024年第23期76-79,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨生物反馈电刺激联合盆底肌锻炼治疗产后盆底功能障碍的效果。方法选取2021年1月—2023年12月南通市通州区中医院收治的78例产后盆底功能障碍患者为研究对象,按随机数字表法将其分为对照组(n=39)和观察组(n=39)。对照组采用盆底肌锻炼治疗,观察组在对照组的基础上采用生物反馈电刺激治疗,两组均持续治疗2个月。对比两组的临床疗效、盆底功能、性生活质量、尿失禁发生情况。结果观察组治疗总有效率为94.87%,高于对照组的76.92%,差异有统计学意义(P<0.05)。治疗后,观察组最大尿道闭合压、盆底肌最大电压值、盆底肌平均电压值均高于对照组,组间差异有统计学意义(P<0.05);观察组女性性功能指数评分高于对照组,差异有统计学意义(P<0.05)。观察组尿失禁发生率为5.13%,低于对照组的20.51%,差异有统计学意义(P<0.05)。结论在产后盆底功能障碍患者中采用生物反馈电刺激联合盆底肌锻炼治疗的临床疗效确切,能改善患者盆底功能,提高其性生活质量并降低尿失禁发生风险。Objective To explore the effect of biofeedback electrical stimulation combined with pelvic floor muscle exercises in the treatment of postpartum pelvic floor dysfunction.Methods Seventy-Eight patients with postpartum pelvic floor dysfunction who were admitted to the Nantong Tongzhou District Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected as the research objects.They were divided into a control group(n=39)and an observation group(n=39)according to the random number table method.The control group was treated with pelvic floor muscle exercises,while the observation group was treated with biofeedback electrical stimulation on the basis of the treatment of the control group,both groups received continuous treatment for 2 months.The clinical efficacy,pelvic floor function,quality of sexual life and the occurrence of urinary incontinence were compared between the two groups.Results The total effective rate of treatment in the observation group was 94.87%,which was higher than 76.92%in the control group,and the difference was statistically significant(P<0.05).After treatment,the maximum urethral closure pressure,the maximum voltage value of the pelvic floor muscles,and the average voltage value of the pelvic floor muscles in the observation group were all higher than those in the control group,and the differences between the groups were statistically significant(P<0.05);the score of the Female Sexual Function Index in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of urinary incontinence in the observation group was 5.13%,which was lower than 20.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of adopting biofeedback electrical stimulation combined with pelvic floor muscle exercises in the treatment of patients with postpartum pelvic floor dysfunction is definite.It can improve the pelvic floor function of patients,enhance their q

关 键 词：产后 盆底功能障碍 生物反馈电刺激 盆底肌锻炼 性生活质量 尿失禁 

分 类 号：R714.6[医药卫生—妇产科学]