低频电刺激神经肌肉辅助盆底康复训练对自然分娩产妇产后盆底肌力、盆底功能恢复的影响

The Effect of Low-Frequency Electrical Stimulation of Neuromuscular Assistance in Pelvic Floor Rehabilitation Training on Postpartum Pelvic Floor Muscle Strength and Functional Recovery in Natural Childbirth Women

目的探究低频电刺激神经肌肉辅助盆底康复训练对自然分娩产妇产后盆底肌力、盆底功能恢复的影响。方法选择2020年5月—2023年4月淄博市妇幼保健院收治的80例自然分娩产妇为研究对象,按随机数字表法将其分为对照组和观察组,每组40例。对照组进行盆底康复训练干预,观察组进行低频电刺激神经肌肉辅助盆底康复训练干预,干预时间均为4周。结果干预后,观察组盆底肌力Ⅳ级和Ⅴ级占比率均高于对照组,Ⅰ类纤维肌电值及Ⅱ类纤维肌电值均高于对照组,盆底功能障碍问卷各项评分及总分均高于对照组,组间差异有统计学意义(P<0.05)。结论自然分娩产妇产后采用低频电刺激神经肌肉辅助盆底康复训练进行干预,可使产妇产后的盆底肌力得到提高,从而改善其盆底功能。

Objective To investigate the effect of low-frequency electrical stimulation of neuromuscular assistance in pelvic floor rehabilitation training on postpartum pelvic floor muscle strength and functional recovery in natural childbirth women.Methods Selecting 80 natural childbirth parturients admitted to Zibo Maternal and Child Health Hospital from May 2020 to April 2023 as the research subjects,divided into a control group and an observation group using a random number table method,with 40 cases in each group.The control group received postpartum pelvic floor rehabilitation training intervention,and the observation group received low-frequency electrical stimulation neuromuscular assisted pelvic floor rehabilitation training intervention,the intervention time was all 4 weeks.Results After intervention,The proportion of pelvic floor muscle strength grade Ⅳ and Ⅴ in the observation group was higher than that in the control group,Class Ⅰ and Class Ⅱ fiber electromyography values were higher than those in control group,and the scores and total scores of Pelvic Floor Dysfunction Questionnaire were higher than those in control group,the differences between groups were statistically significant(P<0.05).Conclusion Intervention of low-frequency electrical stimulation of nerves and muscles to assist pelvic floor rehabilitation training in postpartum natural childbirth women,can improve the pelvic floor muscle strength of postpartum women,thereby improving its pelvic floor function.