电刺激联合盆底功能训练干预对产后盆底功能障碍患者阴道肌力与尿动力学的影响

The effect of electric stimulation combined with pelvic floor function training intervention on vaginal muscle strength and urodynamics in patients with postpartum pelvic floor dysfunction

目的探究电刺激联合盆底功能训练干预对产后盆底功能障碍患者阴道肌力及最大尿流率(Qmax)、排尿时间(VT)、最大尿道压(MUP)的影响。方法选取广州市花都区第二人民医院2019年1月至2021年1月收治的160例产后盆底功能障碍患者,按照随机数字表法将其分为对照组和研究组,各80例。对照组患者进行盆底功能训练干预,同时进行基础护理,研究组患者在对照组的基础上进行电刺激疗法。15 d为1个疗程,均给予两组患者1个疗程的治疗。比较两组患者治疗后的临床疗效,治疗前后阴道肌力和尿动力学指标。结果治疗后,研究组患者临床总有效率高于对照组;与治疗前比,治疗后两组患者MUP和盆底Ⅰ类肌纤维、Ⅱ类肌纤维持续收缩压均升高,且研究组高于对照组;治疗后两组患者盆底Ⅰ类肌纤维、Ⅱ类肌纤维收缩持续时间均较治疗前延长,且研究组长于对照组;治疗后两组患者Qmax均加快,且研究组快于对照组;两组患者VT均缩短,且研究组短于对照组(均P<0.05)。结论电刺激联合盆底功能训练干预能提高产后盆底功能障碍患者的阴道肌力,改善尿动力学指标,治疗效果明显。

Objective To explore the effects of electrical stimulation combined with pelvic floor function training intervention on vaginal muscle strength,maximum urine flow rate(Qmax),urination time(VT),and maximum urethral pressure(MUP)in patients with postpartum pelvic floor dysfunction.Methods Selected 160 patients with postpartum pelvic floor dysfunction admitted to the Second People's Hospital of Huadu District,Guangzhou from January 2019 to January 2021,and divided them into the control group and the research group according to the random number table,with 80 cases in each group.Patients in the control group received pelvic floor function training intervention,perform basic care at the same time,the research group of patients in the control group electrical stimulation.15 days is a course of treatment,both groups of patients are given 1 course of treatment.Compared the clinical efficacy of the two groups of patients after treatment,vaginal muscle strength and urodynamic indexes before and after treatment.Results After treatment,the total clinical effective rate of the research group was higher than that of the control group;compared with before treatment,after treatment,MUP and pelvic floor typeⅠmuscle fiber and typeⅡmuscle fiber continued to increase systolic blood pressure in both groups,and the research group was higher than the control;after treatment,the duration of contraction of pelvic floor typeⅠand typeⅡmuscle fibers in the two groups was longer than before treatment,and the research group was longer than the control group;after treatment,Qmax of the two groups of patients increased,and the research group was faster than the control group;the VT of both groups were shortened,and the research group was shorter than the control group(all P<0.05).Conclusions Electric stimulation combined with pelvic floor function training intervention can improve vaginal muscle strength and urodynamic indexes in patients with postpartum pelvic floor dysfunction,the treatment effect is obvious.