盆底肌康复治疗对盆底功能障碍的疗效观察及临床评估

Observation and Clinical Evaluation of Pelvic Floor Rehabilitation on Pelvic Floor Dysfunction

目的探究盆底肌康复治疗对盆底功能障碍的疗效。方法选取2017年2—9月盆底功能障碍患者60例,根据随机数字表法分为两组。对照组采用常规盆底肌康复运动训练;观察组在对照组基础上增加神经肌肉电刺激和生物反馈康复治疗方法。比较两组患者盆底功能障碍治疗效果;治疗前后盆底肌力分级、盆底肌电位值;性功能障碍、尿失禁、慢性盆腔痛等的改善率。结果观察组患者盆底功能障碍治疗效果比对照组高,P<0.05;治疗前两组患者盆底肌力分级、盆底肌电位值对比,差异无统计学意义,P>0.05;观察组治疗后盆底肌力分级、盆底肌电位值比对照组好,P<0.05;观察组性功能障碍、尿失禁、慢性盆腔痛等的改善率比对照组高,P<0.05。结论盆底肌康复治疗对盆底功能障碍的疗效确切,可有效改善患者盆底肌力分级、盆底肌电位,改善患者临床症状和预后。

Objective To explore the curative effect of pelvic floor muscle rehabilitation therapy on pelvic foor dysfunction. Methods 60 patients with pelvic foor dysfunction from February to September 2017 were selected and divided into two groups according to the random digital table method. The control group was trained by the routine pelvic foor muscle rehabilitation exercise, and the observation group increased the neuromuscular electrical stimulation and biofeedback therapy on the basis of the control group. The effect of pelvic floor dysfunction was compared between the two groups. The pelvic floor muscle strength classifcation, pelvic foor muscle potential value, sexual dysfunction, urinary incontinence and chronic pelvic pain before and after treatment were compared. Results The effect of pelvic floor dysfunction in the observation group was higher than that of the control group, P 〈 0.05; The diference of pelvic foor muscle strength and pelvic foor muscle potential of the two groups before treatment was not statistically signifcant, P 〉 0.05; The classifcation of pelvic foor muscle strength and the potential of pelvic foor muscle in the observation group were better than those in the control group, P 〈 0.05; The improvement rate of sexual dysfunction, urinary incontinence and chronic pelvic pain in the observation group was higher than that of the control group, P 〈 0.05. Conclusion Pelvic foor muscle rehabilitation therapy is efective for pelvic foor dysfunction, which can efectively improve pelvic foor muscle strength grading, pelvic foor muscle potential, and improve the clinical symptoms and prognosis of patients.