个体化生物反馈结合盆底肌锻炼治疗产后盆底功能障碍的临床效果

Clinical effect of personalized biofeedback combined with pelvic floor muscle exercise in the treatment of postpartum pelvic floor dysfunction

目的探讨个体化生物反馈结合盆底肌锻炼治疗产后盆底功能障碍的临床效果。方法选取2017年3月~2018年3月深圳市沙井人民医院和深圳市福永人民医院收治的80例产后盆底功能障碍患者作为研究对象,按照治疗方法的不同分为研究组(42例)和对照组(38例)。研究组采用个体化生物反馈联合盆底肌锻炼治疗,对照组采用盆底肌锻炼治疗。比较两组治疗前后的盆底肌肌力、临床治疗效果和治疗总满意度。结果研究组治疗后的Ⅰ类和Ⅱ类肌纤维盆底肌肌力均值高于对照组,差异均有统计学意义(P<0.05);研究组治疗后的Ⅰ类和Ⅱ类肌纤维盆底肌疲劳值低于对照组,差异均有统计学意义(P<0.05);研究组的治疗总有效率为92.9%,高于对照组的76.3%,差异有统计学意义(P<0.05);研究组的治疗总满意度高于对照组,差异有统计学意义(P<0.05)。结论个体化生物反馈结合盆底肌锻炼治疗产后盆底功能障碍患者可显著改善患者的盆底肌肌力、临床治疗效果及治疗满意度,值得临床推广应用。

Objective To explore the clinical effect of personalized biofeedback combined with pelvic floor muscle exercise in the treatment of postpartum pelvic floor dysfunction.Methods A total of 80 patients with postpartum pelvic floor dysfunction treated in Shenzhen Shajing People′s Hospital and Shenzhen Fuyong People′s Hospital from March 2017 to March 2018 were selected as the research objects,they were divided into study group(42 cases)and control group(38 cases)according to different treatment methods.The study group was treated with individualized biological feedback combined with pelvic floor exercise,the control group was treated with pelvic floor exercise.The pelvic floor muscle strength before and after treatment,clinical treatment effect,and total treatment satisfaction were compared between the two groups.Results After treatment,the mean muscle strength of pelvic floor muscles of typeⅠandⅡin the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After treatment,the fatigue values ofⅠandⅡmuscle fibers in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group was 92.9%,which was higher than 76.3%in the control group,the difference was statistically significant(P<0.05).The total treatment satisfaction of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Personalized biofeedback combined with pelvic floor muscle exercise for patients with postpartum pelvic floor dysfunction can significantly improve the patient′s pelvic floor muscle strength,clinical treatment effect and treatment satisfaction,which is worthy of clinical promotion and application.