盆底康复训练对子宫切除妇女盆底功能障碍性疾病的疗效观察

Efficacy of pelvic floor rehabilitation for pelvic floor dysfunction disease in women subject to hysterectomy

目的:观察盆底康复训练对子宫切除术后盆底功能障碍的治疗效果。方法:子宫切除术后重度盆底肌力减退的患者156例,分为观察组102例和对照组54例,观察组采用生物反馈联合电刺激辅以阴道哑铃进行盆底肌肉锻炼;对照组在家中自行缩肛运动锻炼盆底肌肉。结果:治疗2个月后,观察组手测及电测肌力均较治疗前及对照组明显提高(P<0.01),观察组漏尿次数、漏尿量及对生活的影响程度均较治疗前及对照组明显减少(P<0.01),对照组各项评定治疗前后比较均差异无统计学意义。治疗后,观察组总有效率显著高于对照组(P<0.01)。结论:生物反馈联合电刺激辅以阴道哑铃治疗重度盆底肌力减退疗效显著,值得在临床推广应用。

Objective：To observe the efficacy of pelvic floor rehabilitation treatment for pelvic floor dysfunction following hysterectomy .Methods：156 cases of hysterectomy patients with severe weakness of the pelvic floor were divided into two groups：the observation group （n=102） and the control group （n=54） .The observation group was given biofeedback combined with electrical stimulation of the pelvic floor muscles assisted by vaginal dumbbell exercise .The control group made anal contraction to exercise the pelvic floor muscles at home .Results：After treat‐ment ,muscle strength by hand measurement or by electrical measurement was significantly increased in observation group as compared with that before treatment and in the control group （P〈0 .01） .The times of urine leakage and the amount of urine leakage and the degree of influence on life in the observation group were significantly reduced as compared with those before treatment and in the control group （P〈0 .01） .The assessment of the control group be‐fore and after treatment showed no significant differences .After treatment ,the total efficiency of the observation group was significantly higher than in the control group （P〈0 .01） .Conclusions：Treatment of severe pelvic floor weakness has the satisfactory effect with biofeedback combined with electrical stimulation assisted by vaginal dumb‐bell .