生物反馈—电刺激联合盆底肌肉锻炼对产后盆底肌肉康复的临床疗效

Clinical Effect of Biofeedback-Electrical Stimulation Combined with Pelvic Floor Muscle Exercise on Postpartum Pelvic Floor Muscle Rehabilitation

目的探讨产后盆底肌肉康复治疗中运用生物反馈-电刺激与盆底肌肉锻炼联合治疗的效果。方法选取2016年4月1日至2017年12月31日本院经阴道自然分娩的产后6~8周妇女300例为研究对象,采用数表法随机分为A、B、C3组,每组100例。其中A组为电刺激+生物反馈组,B组为盆底肌肉训练-凯格尔(Kegel)训练组,C组不予任何干预,对3组的恢复情况进行比较分析。结果产后6个月,A组的Ⅰ度占比于治疗有效率均高于B组和C组(P<0.05);A组的压力性尿失禁发生率明显低于B组和C组(P<0.05)。结论通过给予产后女性生物反馈-电刺激与盆底肌肉锻炼联合治疗,可以预防压力性尿失禁,有助于改善产妇预后。

Objective To explore the effect of combined treatment of biofeedback-electrical stimulation and pelvic floor muscle exercise in postpartum pelvic floor muscle rehabilitation.Methods A total of 300 women from 6 to 8 weeks after delivery in our hospital from April 1,2016 to December 31,2017 were randomly divided into A,B and C groups,with 100 cases in each group.Group A was biofeedback group,Group B was Kegel training group,Group C was not any intervention,the recovery of 3 groups were compared and analyzed.Results Six months after delivery,the ratio of degree I in group A was higher than that in group B and C(P<0.05),and the incidence of stress urinary incontinence in group A was significantly lower than that in group B and C(P<0.05).Conclusion The combined treatment of biofeedback-electrical stimulation and pelvic floor muscle exercise can prevent stress urinary incontinence and improve the prognosis of puerpera.