摘要
目的探讨生物反馈电刺激疗法联合阴道锥对产后盆底功能障碍(PFD)患者盆底功能康复效果的影响.方法选取2020年11月—2021年11月就诊于我院的86例产后PFD患者,按随机数字表法分为两组,各43例.对照组采用阴道锥治疗,观察组在对照组基础上联合生物反馈电刺激疗法,均持续治疗12周.对比两组盆底肌力、盆底功能及生活质量.结果治疗前,两组盆底肌力水平、盆底功能、生活质量比较,组间差异无统计学意义(P>0.05).治疗后,观察组Ⅰ类肌纤维肌电压为(8.77±1.03)V、Ⅱ类肌纤维的肌电压为(8.84±1.38)V,均高于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组盆底功能障碍问卷评分为(21.48±5.58)分,低于对照组,差异有统计学意义(P<0.05).治疗后,观察组世界卫生组织生存质量测定量表简表中的生理、心理、社会、环境领域评分分别为(81.70±4.17)分、(87.75±4.62)分、(85.15±5.02)分、(87.29±4.50)分,均高于对照组,组间差异有统计学意义(P<0.05).结论生物反馈电刺激疗法联合阴道锥能够提升产后PFD患者的盆底肌力,促进盆底功能康复,提高其生活质量.
Objective To investigate the effect of biofeedback electrical stimulation therapy combined with vaginal cone on the rehabilitation of pelvic floor function in patients with postpartum pelvic floor dysfunction(PFD).Methods A total of 86 postpartum PFD patients who were treated in the hospital from November 2020 to November 2021 were selected and divided into two groups according to the random number table method,with 43 cases in each group.The control group was treated with vaginal cones,and the observation group was treated with biofeedback electrical stimulation therapy on the basis of the control group for 12 weeks.The pelvic floor muscle strength,pelvic floor function and quality of life were compared between the two groups.Results Before treatment,there were no significant differences in pelvic floor muscle strength,pelvic floor function and quality of life between the two groups(P>0.05).After treatment,the muscle voltage of classⅠmuscle fibers in the observation group was(8.77±1.03)V,and the muscle voltage of classⅡmuscle fibers was(8.84±1.38)V in the observation group,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the pelvic floor dysfunction questionnaire score of the observation group was(21.48±5.58)points,which was lower than that of the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of physical,psychological,social and environmental domains in the short form of the World Health Organization quality of life measurement scale of the observation group were(81.70±4.17)points,(87.75±4.62)points,(85.15±5.02)points,and(87.29±4.50)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Biofeedback electrical stimulation therapy combined with vaginal cone can improve the pelvic floor muscle strength of postpartum PFD patients,promote the recovery of pelvic floor function,and improve their quality of life.
作者
马艳
孔艳丽
MA Yan;KONG Yanli(Department of Women's Health,Tengzhou Maternal and Child Health Hospital,Tengzhou Shandong,277500,China;Department of Obstetrics and Gynecology,Tengzhou Maternal and Child Health Hospital,Tengzhou Shandong,277500,China)
出处
《反射疗法与康复医学》
2022年第12期41-44,共4页
Reflexology And Rehabilitation Medicine
关键词
产后盆底功能障碍
生物反馈电刺激疗法
阴道锥
盆底功能
生活质量
Postpartum pelvic floor dysfunction
Biofeedback electrical stimulation therapy
Vaginal cone
Pelvic floor function
Quality of life
