盆底肌训练联合电刺激对产后盆底功能康复的临床研究

Clinical research of pelvic floor muscle training combined with electrical stimulation for postpartum pelvic floor function rehabilitation

目的探讨产后用Kegel训练和Kegel训练＋电刺激不同方法对治疗盆底肌功能康复的效果。方法 120例产后42 d回本院复查肌力在0～Ⅱ级、部分合并有不同程度尿失禁的患者随机分为研究组和对照组,各60例。研究组给予Kegel训练＋电刺激治疗,对照组仅给予Kegel训练。治疗3个月后对两组盆底肌及尿失禁情况进行评判。结果不同的训练方法对盆底肌肌力的恢复有帮助,但方法不同效果有差异,研究组明显优于对照组,差异有统计学意义（P〈0.05）。结论盆底肌训练联合电刺激对产后盆底肌功能康复有明显的疗效,值得临床应用。

Objective To investigate effect of postpartum Kegel training and Kegel training ＋ electrical stimulation for pelvic floor function rehabilitation. Methods A total of 120 patients with 0～Ⅱ grade of myodynamia in postpartum 42 d and different degree of uracratia were randomly divided into research group and control group, with 60 cases in each group. The research group received Kegel training ＋ electrical stimulation for treatment, and the control group received Kegel training alone. After 3 months of training, evaluations were made on pelvic floor muscle and uracratia status of the two groups. Results Different training methods were all helpful for pelvic floor function rehabilitation, while they contained different effects. The research group had obviously better effect than the control group, and their difference had statistical significance（P〈0.05）. Conclusion Pelvic floor muscle training combined with electrical stimulation have precisely curative effect for postpartum pelvic floor function rehabilitation. This method is worthy of clinical application.