三维超声指导产后盆底功能障碍患者盆底康复训练的价值

Value of Three-Dimensional Ultrasound in Guiding Pelvic Floor Rehabilitation Training in Patients with Postpartum Pelvic Floor Dysfunction

目的:探讨三维超声指导产后盆底功能障碍患者盆底康复训练的价值研究。方法:选择2017年12月—2019年12月产后盆底功能障碍患者72例作为对象,随机分为对照组(n=36例)和观察组(n=36例)。对照组采用盆底康复训练干预,观察组在超声设备下指导进行盆底康复训练干预,治疗后对患者效果进行评估,比较两组国际尿失禁标准问卷调查表(ICIQ-SF)及尿失禁生活质量调查表(I-QOL)评分、女性性生活质量。结果:对尿失禁患者的减少次数比较中,观察组患者尿失禁次数明显少于对照组(P<0.05);所有产后盆底功能障碍患者性生活质量评分干预前均无统计学意义(P>0.05);观察组训练后性交痛、性高潮、性心理和满意度水平均相比对照组有明显改善(P<0.05)。结论:三维超声设备下指导进行盆底康复训练干预用于产后盆底功能障碍患者更能准确把握患者症状,提高患者尿失禁生活质量及性生活质量,值得推广应用。

Objective:To explore the value of three-dimensional ultrasound in guiding pelvic floor rehabilitation training in patients with postpartum pelvic floor dysfunction.Methods:Seventy-two patients with postpartum pelvic floor dysfunction from December 2017 to December 2019 were selected as subjects and randomly divided into a control group(n=36 cases)and an observation group(n=36 cases).The control group used pelvic floor rehabilitation training intervention,and the observation group guided the pelvic floor rehabilitation training intervention under ultrasound equipment.The patients were evaluated after treatment,and the two groups were compared with the International Incontinence Standard Questionnaire(ICIQ-SF)and urinary incontinence life.Quality questionnaire(I-QOL)score,female sexual quality of life.Results:In the comparison of the reduction times for patients with urinary incontinence,the number of urinary incontinence in the observation group was less than that in the control group(P<0.05);all patients with postpartum pelvic floor dysfunction had no statistically significant quality of life scores before intervention(P>0.05);The levels of sexual intercourse pain,orgasm,sexual psychology and satisfaction in the observation group were significantly improved compared with the control group after training(P<0.05).Conclusion:The guidance of pelvic floor rehabilitation training intervention under three-dimensional ultrasound equipment for patients with postpartum pelvic floor dysfunction can more accurately grasp the symptoms of patients,improve the quality of life of patients with urinary incontinence and the quality of sexual life,which is worthy of popularization and application.