盆底康复治疗对盆底功能障碍患者盆腔器官脱垂、尿失禁以及性功能的影响

Effect of Pelvic Floor Rehabilitation Technology on Pelvic Organ Prolapse, Urinary Incontinence, and Sexual Dysfunction in Patients with Pelvic Floor Dysfunction

【目的】探讨盆底康复治疗对盆底功能障碍患者盆腔器官脱垂、尿失禁及性功能的影响。【方法】选取2016年10月至2018年10月在本院诊治的140例盆底功能障碍患者,按照患者意愿分为观察组和对照组。对照组给予常规治疗,观察组在对照组基础上加用盆底康复治疗,比较两组患者的临床疗效。【结果】观察组患者阴道静息压、盆底收缩压、Ⅰ类、Ⅱ类肌纤维指标,均显著高于对照组(P<0.05);治疗后,观察组盆腔器官脱垂4例(5.33%)、尿失禁5例(6.67%)、5例性功能障碍(6.67%),均分别显著低于对照组的20.00%、20.00%、17.33%,其差异有统计学意义(P<0.05);观察组治疗总满意度为96.00%;显著高于对照组的84.00%(P<0.05)。【结论】盆底康复治疗可有效增强盆底功能障碍患者盆底肌力,降低患者盆腔脏器脱垂、尿失禁、性功能障碍发病率,提升患者对治疗的满意度,值得临床推广应用。

【Objective】To investigate the improvement of pelvic floor rehabilitation technology on the incidence of urinary incontinence, pelvic organ prolapse and sexual dysfunction in patients with pelvic floor dysfunction.【Methods】The clinical data of 150 patients with pelvic floor dysfunction admitted to our hospital from December 2015 to December 2017 were analyzed. Patients were divided into two groups: the observation group and the control group, according to their wishes. Patients in the control group received conventional treatment, while patients in the observation group received pelvic floor rehabilitation technology treatment on the basis of conventional treatment, and the clinical efficacy of the two groups was analyzed after treatment.【Results】Pressure test (vaginal resting pressure, pelvic floor systolic blood pressure), index of group I muscle fiber (duration of continuous systolic blood pressure) and index of group II muscle fiber (number of rapid systolic blood pressure) of the observation group were significantly higher than that of the control group (P<0.05).A total of 4 cases of pelvic organ prolapse, 5 cases of urinary incontinence and 5 cases of sexual dysfunction occurred in the observation group, with an incidence of 5.33%, 6.67% and 6.67%, respectively, while there were 15 cases of pelvic organ prolapse, 15 cases of urinary incontinence and 13 cases of sexual dysfunction occurred in the control group, with an incidence of 20.00%, 20.00% and 17.33%, respectively. The differences were statistically significant (P<0.05). The total satisfaction of the observation group was 96.00%;which was significantly higher than the control group of 84.00%(P<0.05).【Conclusion】Pelvic floor rehabilitation technology in the treatment of pelvic floor dysfunction, can effectively promote patients with pelvic floor muscle strength recovery, reduce the incidence of pelvic organ prolapse, urinary incontinence and sexual dysfunction, and improve the patient's rehabilitation satisfaction.