生物反馈电刺激结合阴道哑铃的临床效果浅析

Analysis of biofeedback electrical stimulation combined with vaginal dumbbell on the recovery of postpartum pelvic muscle function

目的评价生物反馈电刺激结合阴道哑铃对产后盆底功能康复的效果。方法将2012年6月-9月在我院单胎顺产，42 d复检经盆底肌肌力初筛肌力在0~3级的初产妇122例，随机分为观察组（62例）与对照组（60例）。观察组应用生物反馈电刺激配合阴道哑铃，对照组应用生物反馈电刺激配合缩肛练习。比较2组盆底肌肌力恢复情况。结果2组盆底肌强度都有不同程度的恢复与提高，观察组肌力为0~3级者明显低于对照组，差异有统计学意义（P 生物反馈电刺激联合阴道哑铃在产后盆底康复中的治疗效果优于生物反馈电刺激配合单纯缩肛练习，值得临床推广。

Objective To assess the effect of biofeedback electrical stimulation combined with Vaginal dumbbell on the recovery of postpartum pelvic muscle function. Methods 122 cases of primiparous women after spontanecus delivery were selected in our hospital from June to September in 2012,who received 42-day recheck by the pelvic floor muscle strength of primary screening at the pelvic of 0 to 3. Then they were randomly divided into investigation group（62 cases） and control group （60 cases）.Investigation group applied the low-frequency electrical stimulation combined with biofeedback with vaginal dumbbell. The control group used the low-frequency joint electrical stimulation biofeedback combined with shrinking anal exercises. Pelvic floor muscle strength recovery were compared between 2 groups of Patients after the treatment. Results The pelvic floor muscle strength in two groups of patients recoveried and improved at different level of 0 to 3 was significantly lower than the control group, the difference was statistically significant （P〈0.01）;Apparently,the myodynamia at the level of 4 to 5 on the observation group was higher than that of control group（P〈0.01）.Conclusion On the recovery of postpartum pelvic floor rehabilitation treatment,Biofeedback electrical stimulation combined with vaginal dumbbell are superior to that of combining with simple shrinking anal exercises.