生物反馈电刺激疗法联合盆底肌功能锻炼对阴道产钳助产后产妇盆底功能的影响

Effects of biofeedback electrical stimulation combined with pelvic floor muscle exercise on pelvic floor function of puerperae after forceps-assisted vaginal delivery

目的 探讨生物反馈电刺激疗法联合盆底肌功能锻炼对阴道产钳助产后产妇盆底功能的影响。方法 90例阴道产钳助产后产妇,均接受盆底肌功能锻炼和生物反馈电刺激疗法治疗。比较产妇治疗前后盆底肌相关指标、不良事件发生率、生活质量以及负性情绪。结果 治疗后,产妇的混合肌平均肌电值、慢肌平均肌电值、前静息平均肌电值、后静息平均肌电值、快肌最大肌电值分别为(29.45±2.15)、(21.66±2.51)、(8.26±4.10)、(9.44±1.54)、(41.54±6.20)μV,均高于治疗前的(16.25±5.21)、(13.25±4.58)、(4.58±1.02)、(4.59±1.33)、(26.98±2.40)μV,差异均具有统计学意义(P<0.05)。治疗后,产妇阴道壁膨出、子宫脱垂、尿失禁、腰骶痛发生率分别为3.33%、2.22%、1.11%、2.22%,均低于治疗前的14.44%、11.11%、8.89%、12.22%,差异均具有统计学意义(P<0.05)。治疗后,产妇总体健康评分(92.65±2.65)分、活力评分(93.02±1.98)分、生理功能评分(92.84±1.54)分、情感职能评分(93.32±1.89)分、社会功能评分(93.54±1.66)分、生理职能评分(93.07±5.20)分、躯体疼痛评分(92.49±1.54)分以及精神健康评分(93.55±2.69)分均高于治疗前的(63.25±7.54)、(63.55±4.15)、(63.52±2.98)、(63.47±5.41)、(63.53±2.79)、(62.89±5.66)、(62.95±4.68)、(62.98±2.48)分,差异均具有统计学意义(P<0.05)。治疗后,产妇焦虑情绪评分(21.54±2.33)分、抑郁情绪评分(22.98±2.58)分均低于治疗前的(64.44±4.54)、(64.59±4.33)分,差异均具有统计学意义(P<0.05)。结论 阴道产钳助产后产妇通过生物反馈电刺激疗法联合盆底肌功能锻炼,能够对产妇产后盆底肌功能恢复产生积极作用,且不良事件发生率也可得到良好控制,产妇生活质量会得到明显提升,因此具有重要的应用价值,适合推广普及。

Objective To discuss the effect of biofeedback electrical stimulation combined with pelvic floor muscle exercise on pelvic floor function of puerperae after forceps-assisted vaginal delivery.Methods There were 90 puerperae receiving forceps-assisted vaginal delivery,and all received the same biofeedback electrical stimulation combined with pelvic floor muscle exercise.The pelvic floor muscle-related indexes,incidence of adverse events,quality of life,and negative emotions were compared before and after treatment.Results After treatment,the patient's mean EMG value of mixed muscle,mean EMG value of slow muscle,mean EMG value of anterior resting,mean EMG value of posterior resting,and maximum EMG value of fast muscle were(29.45±2.15),(21.66±2.51),(8.26±4.10),(9.44±1.54),and(41.54±6.20)μV,which were higher than(16.25±5.21),(13.25±4.58),(4.58±1.02),(4.59±1.33),and(26.98±2.40)μV before treatment,and the differences were statistically significant(P<0.05).After treatment,the complication rates of vaginal wall prolapse,uterine prolapse,urinary incontinence,and lumbosacral pain were 3.33%,2.22%,1.11%,and 2.22%,which were lower than 14.44%,11.11%,8.89%,and 12.22%before treatment,and the differences were statistically significant(P<0.05).After treatment,the overall health score(92.65±2.65)points,vitality score(93.02±1.98)points,physiological functioning score(92.84±1.54)points,emotional function score(93.32±1.89)points,social function score(93.54±1.66)points,role-physical score(93.07±5.20)points,bodily pain score(92.49±1.54)points and mental health score(93.55±2.69)points,which were higher than(63.25±7.54),(63.55±4.15),(63.52±2.98),(63.47±5.41),(63.53±2.79),(62.89±5.66),(62.95±4.68)and(62.98±2.48)points before treatment,and the differences were statistically significant(P<0.05).After treatment,the patients'anxiety score(21.54±2.33)points and depression score(22.98±2.58)points were lower than(64.44±4.54)and(64.59±4.33)points before treatment,and the differences were statistically significant(P<0.05).Conclusion For puerperae with forceps-assisted vaginal delivery,biofeedback electrical stimulation combined with pelvic floor muscle exercise has a positive effect on the postpartum pelvic floor muscle function recovery,and the incidence of adverse events can also be well controlled,and the quality of life of patients will be significantly improved,so it has important application value and is suitable for popularization.