生物反馈联合盆底训练在产后女性盆底功能障碍康复治疗中的应用效果

The Application Effect of Biofeedback Combined with Pelvic Floor Training in the Rehabilitation Treatment of Postpartum Female Pelvic Floor Dysfunction

目的:分析生物反馈联合盆底训练在产后女性盆底功能障碍康复治疗中的应用效果,并探讨该训练方法对盆底功能的影响。方法:研究选取于某院治疗产后盆底功能障碍的140例患者作为研究对象,入院治疗时间为2018年1月~2019年1月,根据治疗方法分组,分为参照组和研究组各70例,参照组采用常规盆底肌训练康复治疗,研究组采用生物反馈联合盆底训练康复治疗,观察和比较两组患者治疗前后盆底功能障碍调查表(PFDI-20)评分、尿失禁问卷简表(ICI-Q-SF)评分。结果:两组治疗前的盆底功能障碍调查表评分、尿失禁问卷简表评分相比无显著差异(P>0.05);两组治疗后的盆底功能障碍调查表评分、尿失禁问卷简表评分低于治疗前,研究组盆底功能障碍调查表评分、尿失禁问卷简表评分降低幅度大于参照组(P<0.05)。结论:采用生物反馈联合盆底训练康复治疗效果理想,可有效改善产后女性盆底功能障碍患者尿失禁症状和盆底肌力。

Objective:To analyze the application effect of biofeedback combined with pelvic floor training in the rehabilitation of postpartum female pelvic floor dysfunction,and to explore the effect of this training method on pelvic floor function.Methods:140 patients who were treated in a hospital for postpartum pelvic floor dysfunction from January 2018 to January 2019 were selected.According to the treatment method,patients with conventional pelvic floor muscle training rehabilitation were included in the reference group(70 cases),and patients with biological feedback and pelvic floor training rehabilitation were included in the study group(70 cases).The pelvic floor dysfunction questionnaire(PFDI-20)scores and the urinary incontinence questionnaire(ICI-Q-SF)scores before and after treatment were observed and compared between the two groups.Results:There was no significant difference in the scores of the pelvic floor dysfunction questionnaire and the urinary incontinence questionnaire before treatment between the two groups(P>0.05).The pelvic floor dysfunction questionnaire scores and the urinary incontinence questionnaire scores of the two groups after treatment were lower than those before treatment.The scores of the pelvic floor dysfunction questionnaire and urinary incontinence questionnaire in the study group decreased more than those in the reference group(P<0.05).Conclusion:The use of biofeedback combined with pelvic floor training has an ideal rehabilitation treatment effect,which can effectively improve the symptoms of urinary incontinence and pelvic floor muscle strength in postpartum women with pelvic floor dysfunction.