产后低频神经肌肉电刺激治疗对盆底肌力康复的疗效分析

Curative Effects of Postpartum Low Frequency Neuromuscular Electrical Stimulation on the Recovery of Pelvic Floor Muscle Strength

目的:探讨产后应用低频神经肌肉电刺激治疗对盆底肌力康复的临床治疗意义。方法:2008年7月至2010年7月分娩的产后42 d检查妇女1 300例,随机分为观察组和对照组,各组样本数均为650例,应用压力张力器测定盆底肌力,观察组盆底肌力<Ⅲ级者,应用低频神经肌肉电刺激治疗仪进行康复治疗,疗程完成后复查;对照组定期检查,不实施任何治疗,比较两组的盆底肌力改变情况。结果:产后42 d的妇女87.23%(1 134/1 300)存在不同程度的盆底肌力受损;观察组和对照组在治疗前初次检查时盆底肌力分级比较,差异无统计学意义(P>0.05);经治疗后,两组盆底肌力改变比较,差异有统计学意义(P<0.01),观察组盆底肌力高于对照组;结论:低频神经肌肉治疗对盆底肌力康复有一定的疗效,可结合盆底肌肉锻炼进行产后康复。

Objective： To investigate the therapeutical significance of Postpartum low frequency neuromuscular electrical stimulation to the recovery of pelvic floor muscle strength. Methods ： Between July 2008 and July 2010, 1 300 cases who were 42 days maternities were randomly divided into case group and control group with 650 in each. In case group, low frequency neuro- muscular electrical stimulation was carried out if pelvic floor muscle strength of puerpera was lower than degree ]1[. And controls were performed regular check without any treatment. Results ： There were different degrees of pelvic floor muscle strength dama- ges in 87.2 % of 42 days maternities. No significant difference was found in pelvic floor muscles strength between two groups at initial examination. But after the treatments, the pelvic floor muscle strength in cases was significantly higher than in controls. Conclusion： Low frequency neuromuscular electrical stimulation has curative effects on the recovery of pelvic floor muscle strength, and can be used with pelvic floor muscle exercises for postpartum recovery.