盆底肌肉功能锻炼电刺激生物反馈疗法治疗盆底功能障碍性疾病的效果观察

Effect of combined application of pelvic floor muscle function exercise and electrical stimulation biofeedback therapy rehabilitation in the treatment of pelvic floor dysfunction diseases

目的:探讨应用盆底肌肉功能锻炼联合电刺激生物反馈疗法治疗女性盆底功能障碍性疾病(FPFD)的效果。方法:选取2020年1月—2022年1月苏州大学附属太仓医院治疗的102例F P F D患者,采用随机数字表法分为对照组与观察组各51例。对照组采取盆底肌肉功能锻炼治疗,观察组在对照组治疗基础上联合应用电刺激生物反馈疗法。比较两组患者的盆底肌力改变情况、盆底功能指标改变情况、性功能评分及临床疗效。结果:观察组患者治疗后盆底肌力Ⅳ~Ⅴ级比例(68.63%)高于对照组(45.10%),差异有统计学意义(P<0.05)。观察组患者的最大收缩力、持续收缩力、最大尿流率、静息状态肌电值、协调能力均高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者性交疼痛感、性满足感、性高潮频率、阴道湿润度等评分均高于对照组,差异有统计学意义(P<0.05)。观察组临床总有效率(96.08%)高于对照组(80.39%),差异有统计学意义(P<0.05)。结论:给予F P F D患者应用盆底肌肉功能锻炼联合电刺激生物反馈疗法的治疗效果,显著优于盆底肌肉功能锻炼单一治疗,能够改善患者盆底功能及性生活质量,值得临床应用。

Objective To explore the combined application of pelvic floor muscle function exercise+electrical stimulation biofeedback therapy in the treatment of female pelvic floor dysfunction(FPFD),and analyze its application effect.Methods 102 patients with FPFD treated in Taicang Hospital Affiliated to Suzhou University from January 2020 to January 2022 were selected.,They were randomly divided into two groups.They were divided into control group and observation group,with 51 cases in each control group,.The control group was treated with pelvic floor muscle function exercise;,On this basis,51 cases in the observation group were combined with electrical stimulation biofeedback therapy on the basis of the control group.The changes of pelvic floor muscle strength,pelvic floor function indexes,sexual function score and clinical efficacy were compared between the two groups.Results The proportion of pelvic floor muscle strength gradeⅣ~V in the observation group(68.63%)was higher than that in the control group(45.10%)(P<0.05).The maximum contractility,continuous contractility,maximum urinary flow rate,resting EMG value and coordination ability of the observation group were higher than those of the control group(P<0.05).After treatment,the scores of sexual intercourse pain,sexual satisfaction,orgasm frequency and vaginal wetness in the observation group were significantly higher than those in the control group(P<0.05).The clinical effective rate of students in the observation group(96.08%)was higher than that in the control group(80.39%).The difference was statistically significant(P<0.05).After treatment,the proportion of pelvic floor muscle strength gradeⅣ~V in the observation group was 68.63%and 45.10%in the control group(P<0.05).Compared with the control group,the maximum contractility,continuous contractility,maximum urinary flow rate,resting EMG value and coordination ability of the observation group were higher than those of the control group(P<0.05).After treatment,the scores of sexual intercourse pain,sexual satisfaction,orgasm frequency and vaginal wetness in the observation group were significantly higher than those in the control group(P<0.05).The clinical effective rate of the observation group was 96.08%,which was higher than 80.39%of the control group(P<0.05).Conclusion The combined application of pelvic floor muscle function exercise+electrical stimulation biofeedback therapy to patients with FPFD can obtain a more ideal therapeutic effect on the basis of pelvic floor muscle function exercise,which is significantly better than the single treatment of pelvic floor muscle function exercise therapy.It can improve the pelvic floor function and sexual life quality of patients,which is worthy of clinical application.