电刺激+生物反馈预防女性产后盆底功能障碍的效果及对盆底肌收缩力的影响

Effects of electrical stimulation and biofeedback on prevention of postpartum pelvic floor dysfunction and its effect on pelvic floor muscle contractility

目的研究电刺激+生物反馈预防女性产后盆底功能障碍的效果及对盆底肌收缩力的影响。方法选取产妇80例作为研究对象,依照患者入院就诊的编号进行分组,其中就诊编号为单数视为对照组,双数则为干预组,每组40例,对照组行传统训练,干预组则采取电刺激+生物反馈,对2组干预效果、盆底肌力改善等方面情况。结果干预组总有效率优于对照组,差异有统计学意义(P<0.05);干预前,2组Ⅰ类和Ⅱ类肌肌力、疲乏程度、夜尿频次以及阴道肌电压值比较,差异无统计学意义(P>0.05),干预后2组均有改善,且干预组病例明显优于对照组组(P<0.05)。结论电刺激+生物反馈可有效提高产妇盆底肌收缩力,具有较高的应用价值。

Objective To investigate the effects of electrical stimulation and biofeedback on prevention of postpartum pelvic floor dysfunction and its effect on pelvic floor muscle contractility. Methods Eighty puerpera who were hospitalized in our hospital from September 2000 to June 2017 were enrolled as subjects. According to the number of patients who were admitted to our hospital were divided into control group（ odd number,n = 40） and intervention group（ even numbers,n =40）. The puerpera in control group were treated by traditional training,however,the puerpera in intervention group were treated by electrical stimulation ＋ biofeedback. After treatment, the intervention effects,pelvic floor muscle strength improvement status were observed and compared between two groups. Results The total effective rate was 92. 50% in intervention group,which was superior to that（ 70%） in control group（ P〈 0. 05）. Before intervention,there were no significant differences in type Ⅰ and Ⅱ muscle strength,fatigue degree,nocturia frequency and vaginal muscle voltage value between two groups（ P〉 0. 05）,however,after intervention,these indexes were improved in both groups,moreover,the improvement degree in intervention group was more significant than that in control group（ P〈 0. 05）. Conclusion Electrical stimulation ＋ biofeedback can effectively improve the contractile force of pelvic floor muscle of puerpera,thus,which has high application value.