盆底肌肉康复器训练联合生物反馈电刺激干预围产期女性盆底功能障碍性疾病效果观察

Observation on the effect of pelvic floor muscle rehabilitation training combined with biofeedback electrical stimulation in intervention of perinatal women with pelvic floor dysfunction

目的观察盆底肌肉康复器训练联合生物反馈电刺激对围产期女性盆底功能障碍性疾病的临床治疗效果。方法选择在医院围产门诊定期孕检并住院分娩女性970例随机分为对照组420例和观察组550例,对照组接受单纯盆底肌肉康复器训练治疗,观察组在对照组基础上联合生物反馈电刺激治疗。于治疗前及产后3、6个月进行ICI-Q-SF评分测定,盆底肌力,调查尿失禁发生及性生活质量改善情况,对比分析两组治疗效果。结果产后3、6个月观察组ICI-Q-SF评分及盆底肌力分级均明显优于对照组,尿失禁、性功能障碍治疗有效率均明显高于对照组,两组差异均有统计学意义(P<0.05)。结论盆底肌肉康复器训练联合生物反馈电刺激对女性盆底功能障碍性疾病防治效果好,疗效优于单纯盆底肌肉康复器训练,值得临床推广应用。

Objective To observe the clinical curative effect of pelvic floor muscle rehabilitation training combined with biofeedback e- lectrical stimulation in intervention of perinatal women with pelvic floor dysfunction. Methods A total of 970 women receiving regular prenatal examination in Perinatal Outpatient and giving birth to their babies in the hospital were selected, then they were randomly divided into control group （420 women） and observation group （550 women） . The women in control group were treated by pelvic floor muscle rehabilitation training, while the women in observation group were treated by pelvic floor muscle rehabilitation training combined with biofeedback electrical stimulation. ICI-Q-SF scoring and pelvic floor muscle strength measurement were performed, the incidence rate of urinary incontinence and improvement of the quality of sexual life before treatment and at 3 and 6 months after delivery in the two groups were surveyed, the curative effects in the two groups were compared and analyzed. Results ICI-Q-SF scores and pelvic floor muscle strength classification at 3 and 6 months after delivery in observation group were statistically significantly better than those in control group （ P〈0. 05 ） . The effective rate of treatment in aspacts of urinary incontinence and sexual dysfunction at 3 and 6 months after delivery in observation group were statistically significantly higher than those in control group （ P〈0. 05 ） . Conclusion The prevention and treatment effect of pelvic floor muscle rehabilitation training combined with biofeedback electrical stimulation for female pelvic floor dysfunction is good, the curative effect is superior to simple pelvic floor muscle rehabilitation training, the method is worthy of clinical promotion and application.