摘要
目的观察盆底康复神经肌肉刺激仪结合悬吊训练对女性产后盆底功能障碍康复的临床疗效。方法选择2021年9—12月东莞市虎门医院收治的90例产后盆底肌肌力≤4级[或伴有尿失禁和(或)盆腔脏器脱垂]患者,采用随机数字表法分为A、B、C组,各30例。分别接受单纯盆底神经肌肉刺激仪、盆底神经肌肉刺激仪+悬吊训练、单纯悬吊训练治疗。记录治疗前(T_(0))、治疗中4周(T_(1))、治疗8周结束时(T_(2))、治疗结束后4周(T_(3))的尿失禁、盆腔脏器脱垂、盆底肌肌力情况。结果(1)A组和B组尿失禁治疗前后的效果显著(P<0.05);C组尿失禁治疗前后比较,差异无统计学意义(P>0.05);A和B组T_(2)、T_(3)时尿失禁治疗效果优于C组,差异有统计学意义(P<0.05)。(2)三组脏器脱垂治疗前后的效果比较,差异无统计学意义(P>0.05);A和B组T_(2)、T_(3)时脏器脱垂治疗效果优于C组,差异有统计学意义(P<0.05)。(3)三组盆底肌肌力治疗前后的效果比较,差异有统计学意义(P<0.05);B组T_(1)、T_(2)、T_(3)时盆底肌肌力改善情况优于A组和C组(P<0.05)。(4)所有患者治疗、随访过程中未出现不良反应。结论盆底康复神经肌肉刺激仪结合悬吊训练可有效改善产后压力性尿失禁及盆底肌肌力下降情况,但对产后脏器下垂疗效欠佳。
Objective To observe the clinical efficacy of pelvic floor rehabilitation neuromuscular stimulator combined with sling exercise training in the rehabilitation of postpartum pelvic floor dysfunction in women.Methods A total of 90 patients with postpartum pelvic floor muscle strength≤grade 4[or accompanied by urinary incontinence and(or)pelvic organ prolapse]admitted to Dongguan Humen Hospital from September to December 2021 were selected and divided into groups A,B and C by random number table method,with 30 cases each.They were treated with simple pelvic floor neuromuscular stimulator,pelvic floor neuromuscular stimulator+sling exercise training,and simple sling exercise training.Urinary incontinence,pelvic organ prolapse,and pelvic floor muscle strength were recorded before treatment(T_(0)),4 weeks during treatment(T_(1)),at the end of 8 weeks of treatment(T_(2)),and 4 weeks after treatment(T_(3)).Results(1)The effect of urinary incontinence in group A and group B before and after treatment was significant(P<0.05).There was no significant difference in urinary incontinence before and after treatment in group C(P>0.05).The treatment effect of urinary incontinence at T2 and T_(3)in groups A and B was better than that in group C,the difference was statistically significant(P<0.05).(2)There was no significant difference between the three groups before and after treatment for organ prolapse(P>0.05).The treatment effect of organ prolapse at T_(2) and T_(3)in groups A and B was better than that in group C,and the difference was statistically significant(P<0.05).(3)The effect of pelvic floor muscle strength before and after treatment was compared among the three groups,the difference was statistically significant(P<0.05).The improvement of pelvic floor muscle strength at T_(1),T_(2) and T_(3)in group B was better than that in groups A and C(P<0.05).(4)No adverse reactions occurred in all patients during treatment and follow-up.Conclusion The pelvic floor rehabilitation neuromuscular stimulator combined with sling exercise training can effectively improve postpartum stress urinary incontinence and the decline of pelvic floor muscle strength,but it is not effective for postpartum organ prolapse.
作者
张光正
邹燕齐
陈新明
陈俊琦
丁晓春
徐晓菲
ZHANG Guangzheng;ZOU Yanqi;CHEN Xinming;CHEN Junqi;DING Xiaochun;XU Xiaofei(Department of Rehabilitation,Dongguan Humen Hospital,Dongguan Guangdong 523000,China;School of Health and Hygiene,Dongguan Vocational and Technical College,Dongguan Guangdong 523186,China;Department of Rehabilitation Medicine,the Third Affiliated Hospital of Southern Medical University,Guangzhou Guangdong 510630,China;Department of Traditional Chinese Medicine,the Third People's Hospital of Binhai County,Yancheng Jiangsu 224500,China;Department of Traditional Chinese Medicine,Xinglongzhuang Coal Mine Hospital,Ji'ning Shandong 272102,China)
出处
《中国卫生标准管理》
2023年第22期21-24,共4页
China Health Standard Management
基金
东莞市社会科技发展(一般)项目(201950715003313)。
关键词
产后康复
盆底障碍
盆底康复神经肌肉刺激仪
悬吊训练
治疗效果
骨盆治疗
postpartum rehabilitation
pelvic floor disorders
pelvic floor rehabilitation neuromuscular stimulator
sling exercise training
therapeutic effect
pelvic treatment
