盆底神经肌肉刺激恢复产后早期盆底功能的疗效观察

The curative effect of pelvic floor neuromuscular stimulation for restoring the early postpartum pelvic floor function

目的探究盆底神经肌肉刺激治疗对产后早期盆底功能的恢复作用。方法选取我院2014年1月至2015年1月收治的分娩产妇200例,采用随机数字表法分为对照组和观察组各100例,对照组产后进行单纯的Kegel运动,观察组产后进行盆底神经肌肉刺激治疗,比较两组产妇产后早期盆底功能的恢复情况。结果观察组的尿失禁发生率和盆腔痛发生率显著低于对照组,阴道静息压、阴道收缩压和阴道收缩持续时间均显著高于对照组,差异均有统计学意义(P<0.05)。结论盆底神经肌肉刺激治疗可以有效提高盆底肌肉的张力,改善产后盆底功能障碍的发生,有效减少尿失禁的发生,缓解盆腔疼痛,临床上值得进一步推广应用。

Objective To explore the effect of pelvic floor neuromuscular stimulation for restoring the early postpartum pelvic floor function. Methods Two hundred postpartum women from January 2014 to January 2014 in our hospital were selected and randomly divided into control and observation groups, 100 in each group. The control group was treated with pure Kegel exercise while the observation group was treated with postpartum pelvic floor neuromuscular stimulation. The early postpartum pelvic floor functional recovery was compared between the two groups. Results The incidence of urinary incontinence and pelvic pain in the observation group after treatment was significantly lower than that in the control group （P 〈 0.05 ）. The vaginal resting pressure, the systolic blood pressure and the duration of vaginal contractions in the observation group were significantly higher than that in the control group （P 〈 0. 05 ）. Conclusion The pelvic floor neuromuscular stimulation can effectively improve the pelvic floor muscle tension and the occurrence of postpartum pelvic floor dysfunction, reduce the occurrence of urinary incontinence and relieve the pelvic pain. It＇s worth for further clinical application.