生物反馈电刺激治疗产后盆底肌力减退的疗效评估

Evaluation of curative effect of biofeedback combined with electrical stimulation for treatment of postpartum pelvic floor dysfunction

目的:探讨生物反馈联合电刺激对产后盆底肌力减退早期干预治疗方法的疗效。方法:在4家妇产科专科医院选取产后6周经筛查发现存在盆底肌力减退的产妇纳入对照组和生物反馈联合电刺激治疗组,治疗6周。在治疗结束时和治疗结束后的3个月、6个月进行阴道内指检并经PHENIX检测仪量化评定产妇盆底Ⅰ类肌和Ⅱ类肌的情况。结果:电刺激对于重度盆底肌力减退患者Ⅰ类肌均有效(P<0.001);Ⅱ类肌在治疗刚结束时无效,但在治疗结束6个月出现疗效并有后续持续增强肌力的效果(P<0.05)。电刺激对于轻度盆底肌力减退患者Ⅰ类肌和Ⅱ类肌均有效(P<0.001),但在治疗结束后的6个月内,无明显后续持续增强肌力的效果。结论:生物反馈联合电刺激对轻度和重度盆底肌力减退都有明显疗效。

Objective：To explore the curative effect of biofeedback combined with electrical stimulation for treatment of postpartum pelvic floor dysfunction.Methods：The parturient women with pelvic floor dysfunction at 6 weeks after delivery were selected from four special hospitals of gynecology and obstetrics were selected and divided into control group and combined group（treated with biofeedback combined with electrical stimulation）,then the women were treated for 6 weeks.A manual examination was performed and type Ⅰ and II muscle forces of pelvic floor were detected at the end of treatment and at 3,6 months after treatment.Results：Electrical stimulation was effective for patients with type Ⅰ pelvic floor dysfunction（P0.001）;for the patients with type II pelvic floor dysfunction,it was ineffective,but at 6 months after treatment,it was effective and had continuous muscle-enhancement effect（P0.05）.For mild patients,electrical stimulation was effective for patients with type Ⅰand II pelvic floor dysfunction（P0.001）,but is had no continuous muscle-enhancement effect at 6 months after treatment.Conclusion：The clinical efficacy of biofeedback combined with electrical stimulation for patients with mild and severe pelvic floor dysfunction is dominant.