生物反馈电刺激辅助治疗在产后盆底肌功能恢复中的作用

The role of biofeedback electrical stimulation in postpartum pelvic floor muscle function recovery

目的探讨生物反馈电刺激辅助治疗在产后盆底肌功能恢复中的效果。方法选取我院2016年1~12月收治的500例盆底功能障碍(FPFD)的初产妇,回顾性分析其临床资料,将采用阴道哑铃进行盆底康复训练的250例作为对照组,将采用生物反馈电刺激联合阴道哑铃训练的250例作为观察组,对两组在治疗5 d及3个月的盆底肌功能恢复效果进行比较。结果观察组产后3个月的肌电压明显高于对照组,差异有统计学意义(P<0.05);观察组产后3个月的盆底肌力明显高于对照组,差异有统计学意义(P<0.05);观察组的总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论对产后FPFD患者采用生物反馈电刺激联合阴道哑铃进行治疗,可明显提高其盆底器官功能,有效预防FPFD,值得推广应用。

Objective To explore the effect of biofeedback electrical stimulation in postpartum pelvic floor muscle function recovery.Methods A total of 500 primiparae with pelvic floor dysfunction admitted in our hospital from January to December 2016 were selected and their clinical data were analyzed retrospectively.A total of 250 cases of pelvic floor rehabilitation training with vaginal dumbbell were used as control group.A total of 250 patients with vaginal dumbbell training and biofeedback electric stimulation were used as the observation group.The recovery effects of pelvic floor muscle were observed and compared between the two groups after 5 days and 3 months of treatment.Results The muscle voltage of the patients in the observation group was significantly higher than that in the control group at 3 months postpartum（P0.05）,and the muscle strength of the pelvic floor in the observation group was significantly higher than that in the control group at 3 months postpartum,the differences were statistically significant（P0.05）.The total effective rate of the observation group was significantly higher than that of the control group（P0.05）.Conclusion The treatment of postpartum pelvic floor dysfunction with biofeedback electric stimulation combined with vaginal dumbbell can obviously improve the pelvic floor organ function and prevent pelvic floor dysfunction effectively.It is worth popularizing.