盆底肌康复治疗对盆底功能障碍的疗效分析

Efficacy of pelvic floor muscle rehabilitation on pelvic floor dysfunctio

目的探究盆底肌康复治疗对盆底功能障碍的疗效。方法选取在本院进行治疗的盆底功能障碍患者58例,将其分为对照组(29例,采用常规盆底肌功能锻炼)和研究组(29例,采用电刺激联合生物反馈治疗),均持续治疗28 d。对比两组患者治疗前后盆底Ⅰ类纤维肌电压、盆底Ⅱ类纤维肌电压、盆底肌力障碍评分、性生活质量、盆腔脏器脱垂程度(POP-Q)。结果与治疗前相比较,治疗后两组患者的PFDI评分均降低,且研究组低于对照组;盆底Ⅰ类纤维肌电压、盆底Ⅱ类纤维肌电压、性生活质量评分、0度的患者占比均升高,且研究组高于对照组,差异有统计学意义(P<0.05)。结论对患有盆底肌功能障碍患者进行电刺激联合生物反馈治疗,能够改善盆底肌力,减轻盆底功能障碍程度,避免发生盆腔脱垂的情况,提高性生活质量,疗效显著。

Objective To investigate the efficacy of pelvic floor muscle rehabilitation on pelvic floor dysfunction.Methods A total of 58 patients with pelvic floor dysfunction who were treated in our hospital were divided into the control group(29 cases,using conventional pelvic floor muscle function exercise)and the study group(29 cases,using electrical stimulation combined with biofeedback therapy),all of which continued to train for 28 days.The pelvic floor class I fibromuscular voltage,pelvic floor class II fibrous muscle voltage,pelvic floor muscle dysfunction score,sexual quality of life,and pelvic organ prolapse degree(POP-Q)were compared between the two groups before and after intervention.Results Compared with before treatment,the PFDI scores of patients in both groups reduced after treatment,and the study group was lower than that of the control group,and the proportion of patients with pelvic floor class I fibromuscular voltage,pelvic floor class U fibrous muscle voltage,sexual quality of life score,and 0 degree cases increased,and the study group was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion Electrical stimulation combined with biofeedback therapy for patients with pelvic floor muscle dysfunction can improve pelvic floor muscle strength,reduce pelvic floor dysfunction,avoid pelvic prolapse and improve the quality of sexual life,and then improve the efficiency of treatment.