剖宫产下电刺激康复疗法对盆底肌肌电图参数的影响

Effect of electrical stimulation rehabilitation therapy on pelvic floor muscle electromyography parameters under cesarean section

目的探讨剖宫产下电刺激康复疗法对盆底肌肌电图参数的影响。方法回顾性分析2017年1月~2019年1月在湖北省宜昌市妇幼保健院分娩的153例产妇的临床资料,按照治疗方法的不同,分为观察组(n=77)和对照组(n=76)。其中观察组产妇实施电刺激康复疗法,对照组产妇实施常规康复运动疗法。比较两组剖宫产后盆底肌肌力分级及肌电图参数(包括盆底肌速度值、峰值、活力值、放松值、做工值)差异。结果观察组患者的Ⅰ类肌纤维肌力情况优于对照组,差异有统计学意义(P<0.05)。观察组患者的Ⅱ类肌纤维肌力情况与对照组比较,差异无统计学意义(P>0.05)。其中,观察组患者的Ⅰ类肌纤维肌力Ⅰ级占比低于对照组,Ⅰ类肌纤维肌力Ⅳ级占比高于对照组,差异有统计学意义(P<0.05)。观察组产后盆底肌速度值、峰值、活力值、放松值、做功值高于对照组,差异有统计学意义(P<0.05)。结论采用电刺激康复疗法可改善产后盆底肌肌力损伤,可加快产后盆底肌康复,具有较高的临床价值。

Objective To investigate the effect of electrical stimulation rehabilitation therapy on pelvic floor muscle electromyogram(EMG)parameters under cesarean section.Methods Retrospective analysis of the clinical data of 153 parturients who delivered in Yichang Maternal and Child Health Hospital hospital from January 2017 to January 2019 was made.According to different treatment methods,they were divided into the observation group(n=77)and the control group(n=76).In the observation group,electrical stimulation rehabilitation therapy was used,and in the control group,conventional rehabilitation exercise therapy was adopted.The differences in pelvic floor muscle strength classification and EMG parameters including speed value,peak value,vitality value,relaxation value,and work value between the two groups after cesarean section were recorded.Results The muscle strength of type I muscle fibers of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the muscle strength of type Ⅱ muscle fibers between the observation group and the control group(P>0.05).The proportion of level I muscle strength in type I muscle fiber of the observation group was lower than that of the control group,and the proportion of level Ⅳ muscle strength in type Ⅰ muscle fiber in the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).The speed value,peak value,vitality value,relaxation value and work value of postpartum pelvic floor in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The use of electrical stimulation rehabilitation therapy can improve postpartum pelvic floor muscle strength damage and speed up the postpartum pelvic floor muscle rehabilitation,which has high clinical value.