骨盆底电刺激对产后骨盆底功能的影响

Effect of Pelvic Floor Electrical Stimulation on Postpartum Pelvic Floor Function

目的观察骨盆底电刺激对产后骨盆底功能的影响。方法对入选的初产妇产后3周后进行骨盆底电刺激4周,观察产后12周盆腔器官脱垂(POP)和压力性尿失禁(SUI)的发生率、膀胱颈角度、膀胱颈旋转角度、1年后主观症状,并与常规处理组进行对照。结果治疗组产后12周SUI、POP发生率低于对照组,膀胱颈角度、膀胱颈旋转角度低于对照组(P<0.01),1年后主观症状出现率少于对照组。结论骨盆底电刺激能有效的减少产后骨盆底功能障碍的发生。

Objective To observe the effect of pelvic floor electrical stimulation on postpartum pelvic floor function. Methods At 3 weeks post partum, the primiparae were selected to receive 4 - week therapy of pelvic floor electrical stimulation, and the incidence rates of postpartum pelvic organ prolapse （POP） and stress urinary incontinence （SUI）, bladder neck angle, bladder neck rotational angle., and subjective symptoms at one - year post partum were observed. The therapeutic effect was compared between pelvic floor electrical stimulation group and conventional treatment group. Results At 12 weeks post parturn, the incidence rates of SUI and POP in pelvic floor electrical stimulation group were lower than those in conventional treatment group. Bladder neck angle and bladder neck rotational angle in pelvic floor electrical stimulation group were less than those in conventional treatment group （P〈0.01）. The occurrence rate of subjective symptoms at one- year post partum in pelvic floor electrical stimulation group was less than that in conventional treatment group （P〉0.05）. Conclusions Pelvic floor electrical stimulation can effectively reduce the incidence of postpartum pelvic floor dysfunction.