生物反馈电刺激联合康复锻炼对全子宫切除术后盆底功能恢复的影响

Influence of biofeedback electrical stimulation combined with rehabilitation exercise on pelvic floor function rehabilitation of the patients with total hysterectomy

目的探讨生物反馈电刺激联合康复锻炼对全子宫切除患者术后盆底功能恢复的影响。方法将80例行经腹全子宫切除术患者随机分为两组,各40例。对照组患者术后给予Kegel运动训练,观察组在对照组基础上辅以生物反馈电刺激治疗,比较两组治疗后盆底肌力及尿失禁情况。结果疗程结束后,观察组患者盆底肌力康复情况优于对照组(P<0.05);观察组患者尿失禁情况优于对照组(P<0.01)。结论生物反馈电刺激联合康复锻炼能有效提高全子宫切除患者术后盆底肌力、改善尿失禁情况,起到修复和改善盆底功能的作用,利于提高患者术后生活质量。

Objective To explore the curative effect of biofeedback electrical stimulation combined with rehabilitation exercise on pelvic floor function after total hysterectomy. Methods Eighty cases of patients treated by abdominal total hysterectomy were selected as the subjects. The patients were randomly divided into control group and observation group,each one with 40 cases. Control group accepted Kegel exercise training after the operation. Observation group was treated with biofeedback electric stimulation plus Kegel exercise training. The pelvic floor muscle strength,pelvic organ prolapse and urinary incontinence were compared between the two groups after treatment. Results The power of post-operative pelvic floor muscle in observation group repaired significantly when compared with that of control group（ P〈0. 05）,and the score of urinary incontinence in the observation group improved significantly compared with control group（ P〈0. 01）. Conclusion Biofeedback electrical stimulation combined with rehabilitation exercise improved pelvic floor muscle strength and urinary incontinence in the patients with total hysterectomy. The combined strategy seems to be associated with a better post-operative convalescence of pelvic floor function in the patients with hysterectomy.