本体感觉训练联合盆底康复仪在促进产后盆底功能障碍患者功能康复中的效果观察

Observation on the Effect of Proprioceptive Training Combined with Pelvic Floor Rehabilitation Device in Promoting Functional Recovery of Postpartum Pelvic Floor Dysfunction Patients

目的探究本体感觉训练联合盆底康复仪在促进产后盆底功能障碍患者功能康复中的效果。方法选取2022年1月—2023年1月普宁市妇幼保健计划生育服务中心收治的120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与观察组,各60例。对照组采用盆底肌训练,观察组在对照组基础上采用本体感觉训练联合盆底康复仪治疗,两组均于干预3个月后评估。比较两组患者的盆底肌力、盆底功能及性生活质量。结果干预前,两组盆底肌力、盆底功能及性生活质量比较,组间差异无统计学意义(P>0.05)。干预后,观察组盆底肌力优于对照组,盆底功能影响问卷简表评分(62.31±3.88)分、尿失禁问卷简表评分(6.72±0.94)分均低于对照组,女性性功能指数量表中性欲评分(4.82±0.21)分、性交疼痛评分(4.98±0.31)分、性唤起评分(5.13±0.29)分、性满意度评分(4.99±0.31)分、性高潮评分(5.06±0.33)分、阴道润滑度评分(5.05±0.31)分均高于对照组,组间差异有统计学意义(P<0.05)。结论本体感觉训练联合盆底康复仪能够加快产后盆底功能障碍患者盆底肌力及盆底功能恢复,利于提高性生活质量。

Objective To explore the effect of proprioceptive training combined with pelvic floor rehabilitation equipment in promoting functional recovery of postpartum pelvic floor dysfunction patients.Methods 120 patients with postpartum pelvic floor dysfunction admitted to Puning Maternal and Child Health Care family Planning Service Center from January 2022 to January 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 60 cases in each group.The control group received pelvic floor muscle training,and the observation group received proprioceptive training combined with pelvic floor rehabilitation instrument on the basis of the control group.Both groups were evaluated after 3 months of intervention.The pelvic floor muscle strength,pelvic floor function and sexual life quality were compared between the two groups.Results Before intervention,there was no significant difference in pelvic floor muscle strength,pelvic floor function and sexual life quality between the two groups(P>0.05).After intervention,the pelvic floor muscle strength of the observation group was better than that of the control group,and the pelvic floor functional impact questionnaire(62.31±3.88)points and urinary incontinence questionnaire questionnaire(6.72±0.94)points were lower than those of the control group,sexual desire score(4.82±0.21)points,pain score(4.98±0.31)points,sexual arousal score(5.13±0.29)points,sexual satisfaction score(4.99±0.31)points,orgasm score(5.06±0.33)points,vaginal lubrication score(5.05±0.31)points,all of them were higher than the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The combination of proprioceptive training and pelvic floor rehabilitation equipment can accelerate the recovery of pelvic floor muscle strength and function in postpartum patients with pelvic floor dysfunction,which is beneficial for improving the quality of sexual life.