盆底磁刺激疗法联合目标性康复训练在自然分娩产妇产后康复中的应用研究

Study on the Application of Pelvic Floor Magnetic Stimulation Therapy Combined with Targeted Rehabilitation Training in the Postpartum Rehabilitation of Natural Delivery Parturients

目的探讨盆底磁刺激疗法联合目标性康复训练在自然分娩产妇产后康复中的应用效果.方法选择2020年4月—2022年6月于我院自然分娩的产妇68例,按随机数字表法分为两组,各34例.对照组进行目标性康复训练,观察组在对照组基础上接受盆底磁刺激疗法,两组均持续干预6周.对比两组盆底肌力、尿失禁情况及生活质量.结果两组干预前Ⅰ类、Ⅱ类纤维肌电值、国际尿失禁问卷调查简表(ICIQ-SF)、尿失禁生活质量问卷(I-QOL)评分比较,组间差异无统计学意义(P>0.05);观察组干预后Ⅰ类、Ⅱ类纤维肌电值均高于对照组,组间差异有统计学意义(P<0.05);观察组干预后ICIQ-SF中漏尿量、漏尿频率、尿失禁对生活的影响评分及总分均低于对照组,组间差异有统计学意义(P<0.05);观察组干预后I-QOL评分为(86.79±5.73)分,高于对照组的(81.19±4.61)分,差异有统计学意义(P<0.05).结论盆底磁刺激疗法与目标性康复训练联合应用于自然分娩产妇中,能够增强其盆底肌力,促进盆底功能康复,改善尿失禁症状与生活质量.

Objective To explore the application effect of pelvic floor magnetic stimulation therapy combined with targeted rehabilitation training in postpartum rehabilitation of natural delivery parturients.Methods 68 parturients who delivered naturally in the hospital from April 2020 to June 2022 were selected.All parturients were divided into two groups according to the method of random number table,with 34 cases in each group.The control group received targeted rehabilitation training,and the observation group received pelvic floor magnetic stimulation therapy on the basis of the control group.Both groups continued the intervention for 6 weeks.The pelvic floor muscle strength,urinary incontinence and quality of life were compared between the two groups.Results There were no significant differences in the electromyography(EMG)values of classⅠand classⅡfibers,international consultation of incontinence questionnaire-short form(ICIQ-SF)and urinary incontinence quality of life questionnaire(I-QOL)scores between the two groups before intervention(P>0.05);after intervention,the EMG values of classⅠand classⅡfibers in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05);after intervention,the scores of urine leakage volume,urine leakage frequency and the impact of urinary incontinence on life and total score in ICIQ-SF in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05);after intervention,the I-QOL score in the observation group was(86.79±5.73)points,higher than(81.19±4.61)points in the control group,and the difference was statistically significant(P<0.05).Conclusion Pelvic floor magnetic stimulation therapy combined with targeted rehabilitation training can enhance the pelvic floor muscle strength,promote the functional recovery of pelvic floor,and improve the symptoms of urinary incontinence and quality of life of natural delivery parturients.