早期康复训练联合电刺激对产后盆底康复的影响

Effect of electric stimulation combined with pelvic floor muscle exercise on recovery of pelvic organs after delivery

目的 探讨早期康复训练联合电刺激促进产后盆底组织器官功能恢复的效果.方法 128例初产妇随机分为观察组和对照组,对照组在产后第3天进行盆底肌训练,观察组在对照组基础上进行生物电刺激;产后3个月进行盆底组织器官评定.结果 治疗前两组产妇盆底肌收缩力分级及阴道肌电压间差异无统计学差异,治疗后观察组盆底肌收缩力分级及阴道肌电压明显升高,与对照组相比差异有统计学意义（P〈0.05）.观察组治疗后总满意率高达89%,对照组为64%,差异有统计学意义（χ2=11.15,P〈0.01）.结论 生物电刺激联合盆底肌训练有利于产后盆底组织器官功能的恢复.

Objective To explore the effect of electric stimulation combined with pelvic floor muscle exercise on recovery of pelvic organs after delivery. Methods 128 primiparous women were divided into observed group and control group randomly, 64 primiparous women in control group received only pelvic floor muscle exercise on the third day after delivery, while 64 primiparous women in observed group received electric stimulation on the 3th day on the basis of control group; then pelvic organs were evaluated on the third month after delivery. Results There were not significant difference in myotility grade of pelvic floor muscle and vagina myoelectricity between observed group and control group; after treatment, the myotilitygrade of pelvic floor muscle and vagina myoeleetricity were increased obviously（ P 〈 0. 05 ）. The total satisfied rate in observed group was 89% , and 64% in control group （X2 = 11.15, P 〈 0. 01 ）. Conclusion electric stimulation combined with pelvic floor muscle exercise is beneficial to recovery of pelvic organs after delivery.