生物反馈电刺激康复治疗对哺乳期女性月经和卵巢功能的影响

Effect of biological feedback electric stimulation rehabilitation therapy on menstruation and ovarian function of lactating females

目的探讨生物反馈电刺激康复治疗对哺乳期女性月经和卵巢功能的影响。方法选取该院于2018-2019年收治的哺乳期女性124例为研究对象,分为对照组和试验组,每组62例。对照组采用阴道哑铃训练方式,试验组在对照组基础上使用生物反馈电刺激康复治疗。分析两组痛经程度评分,血清雌二醇(E2)、孕酮(P)、黄体生成素(LH)和卵泡刺激激素(FSH)水平,盆底功能和生活质量。结果两组治疗前痛经程度评分差异无统计学意义(P>0.05),治疗后试验组痛经程度评分(16.31±2.31)分较对照组(23.67±2.48)分更低,差异有统计学意义(P<0.05)。与对照组比较,试验组治疗后E2、P、LH和FSH水平更高,阴道静息压力、盆底肌力积分更高,盆底疼痛评分更低,躯体功能、物质生活功能、心理功能与社会功能得分更高,差异均有统计学意义(P<0.05)。结论生物反馈电刺激联合阴道哑铃训练能增强盆底肌肉收缩能力,改善卵巢功能。

Objective To explore the effect of the biological feedback electric stimulation rehabilitation therapy on the menstruation and ovarian function of lactating females.Methods A total of 124 lactating women in this hospital during 2018-2019 were selected as the study subjects and divided into the control group and experimental group,62 cases in each group.The control group adopted the vaginal dumbbell training mode,while the experimental group adopted the biological feedback electric stimulation rehabilitation therapy on the basis of the control group.The painful menstruation score,serum estradiol(E2),progesterone(P),luteinizing hormone(LH)and follicle stimulating hormone(FSH)levels,pelvic floor function and the quality of life were analyzed in the two groups.Results There was no statistically significant difference in the dysmenorrhea score before treatment between the two groups(P>0.05);the dysmenorrhea score after treatment in the experimental group was(16.31±2.31)points,which was lower than(23.67±2.48)points in the control group,and the difference was statistically significant(P<0.05);compared with the control group,the levels of E2,P,LH and FSH after treatment in the experimental group were higher,the vaginal resting pressure and pelvic floor muscle strength score were higher,the pelvic floor pain score was lower,the scores of somatic function,material living function,psychological function and social function were higher,and the differences were statistically significant(P<0.05).Conclusion The biofeedback electrical stimulation combined with vaginal dumbbell training can enhance the pelvic floor muscle contractility and improve the ovarian function.