仿生物电刺激联合抗阻夹腿训练对产后盆底功能障碍的改善作用  

Effects of Bionic Electric Stimulation Combined with Resistance Tightening Leg Training on Postpartum Pelvic Floor Dysfunction

作　　者：殷小燕 钱亚萍 孙光宇 高倩芸 陈曦 YIN Xiaoyan;QIAN Yaping;SUN Guangyu;GAO Qianyun;CHEN Xi(Department of Obstetrics and Gynecology,Changzhou Geriatric Hospital Affiliated to Soochow University(Changzhou No.7 People’s Hospital),Changzhou 213000,Jiangsu,China;Department of Pathology,the First People’s Hospital of Changzhou,Changzhou 213000,Jiangsu,China)

机构地区：[1]苏州大学附属常州老年病医院(常州市第七人民医院)妇产科,江苏常州213000 [2]常州市第一人民医院病理科,江苏常州213000

出　　处：《医用生物力学》2025年第2期358-363,共6页Journal of Medical Biomechanics

基　　金：国家自然科学基金项目(82072410);江苏省市场监督管理局科技计划(KJ2024010);常州市“十四五”卫生健康高层次人才培养工程(2024CZBJ011)。

摘　　要：目的探究仿生物电刺激(bionic electrical stimulation,BES)联合抗阻夹腿训练对产后盆底功能障碍性疾病(pelvic floor dysfunction,PFD)的改善作用。方法随机数表法将本205例PFD患者分为BES组(102例)与联合组(103例),均接受常规盆底肌训练。BES组此外加以BES干预,联合组加以BES联合抗阻夹腿训练,均治疗8周。对比两组治疗前后盆底肌力分级、盆底功能电生理指标、尿动力学及压力性尿失禁(stress urinary incontinence,SUI)分度/盆腔器官脱垂(pelvic organ prolapse,POP)程度。结果治疗后,联合组盆底肌力分级、SUI分度及POP程度均显著优于BES组(P<0.05)。治疗后,联合组Ⅰ类/Ⅱ类肌纤维疲劳度、阴道动态压力与快肌最大肌电值分别为(-1.20±0.35)%、(-0.90±0.30)%、(76.30±5.51)cmH2O、(43.00±5.82)μV,均显著高于BES组(P<0.05)。治疗后,两组尿动力学各指标均明显改善,且联合组优于BES组(P<0.05)。结论BES联合抗阻夹腿训练能明显改善PFD患者盆底肌力、肌纤维疲劳度及尿动力学,进而减轻SUI/POP症状。Objective To explore the effect of bionic electrical stimulation(BES)combined with resistance tightening leg training on postpartum pelvic floor dysfunction(PFD).Methods A total of 205 patients with PFD were divided into the BES group(n=102)and the combined group(n=103)by random number table method.All subjects received routine pelvic floor muscle training.In addition,the BES group was treated with BES intervention,and the combined group was treated with BES combined with resistance tightening leg training,with 8 weeks of treatment.The classification of pelvic floor muscle strength,electrophysiological indexes of pelvic floor function,urodynamics and stress urinary incontinence(SUI)classification/pelvic organ prolapse(POP)degree were compared between the two groups before and after treatment.Results After treatment,the pelvic floor muscle strength classification,SUI classification and POP degree in the combined group were significantly better than those in the BES group(P<0.05).After treatment,ClassⅠ/ClassⅡmuscle fiber fatigue,vaginal dynamic pressure and maximal electromyography(EMG)value of fast muscle in the combined group were(-1.20±0.35)%,(-0.90±0.30)%,(76.30±5.51)cmH2 O,(43.00±5.82)μV,respectively,which were all significantly higher than those in the BES group(P<0.05).After treatment,the indexes of urodynamics in both groups were significantly improved,and the combined group was better than the BES group(P<0.05).Conclusions BES combined with resistance tightening leg training can significantly improve pelvic floor muscle strength,muscle fiber fatigue and urodynamics in patients with PFD,thus alleviating SUI/POP symptoms.

关 键 词：产后盆底功能障碍性疾病 仿生物电刺激 抗阻夹腿训练 盆底肌力 尿动力学 

分 类 号：R318.01[医药卫生—生物医学工程]