不同电刺激强度联合生物反馈盆底肌训练对高龄产后盆底障碍性疾病患者盆底功能及性生活质量的影响

Effects of different electrical stimulation intensity combined with biofeedback pelvic floor muscle training on pelvic floor function and sexual life quality in elderly postpartum patients with pelvic floor disorders

目的探讨不同电刺激强度联合生物反馈盆底肌训练对高龄产后盆底障碍性疾病患者盆底功能及性生活质量的影响。方法选取我院129例高龄产后盆底障碍性疾病患者按照简单随机化法分组,对照组64例予常规电刺激联合生物反馈盆底肌训练,观察组65例予增强电刺激强度联合生物反馈盆底肌训练,对比训练效果。结果观察组Ⅰ类、Ⅱ类肌纤维疲劳度,前、后静息平均肌电值,快、慢肌平均肌电值和阴道动态压力均较对照组高,POP-Q各点改善情况优于对照组,FS-FI评分较对照组高,SUI发生率较对照组低(P<0.05)。结论增强电刺激强度联合生物反馈盆底肌训练可通过改善高龄产后盆底障碍性疾病患者盆底功能,减轻盆腔器官脱垂程度,提高性生活质量及降低SUI发生几率。

Objective To investigate the effect of different electrical stimulation intensity combined with biofeedback pelvic floor muscle training on pelvic floor function and sexual life quality of elderly patients with postpartum pelvic floor disorders.Methods 129 elderly patients with postpartum pelvic floor disorders in our hospital were randomly divided into control group(64 cases)and observation group(65 cases).Results Compared with the control group,the fatigue degree of type I and type II muscle fibers,the average EMG values of fast and slow muscles and vaginal dynamic pressure in the observation group were higher than those in the control group,the improvement of POP-Q was better than that of the control group,fs-fi score was higher than that of the control group,and the incidence of Sui was lower than that of the control group(P<0.05).Conclusion Enhanced electrical stimulation combined with biofeedback pelvic floor muscle training can improve pelvic floor function,reduce the degree of pelvic organ prolapse,improve the quality of sexual life and reduce the incidence of Sui.