盆底综合康复治疗和自行盆底肌肉训练对产妇盆底肌恢复的临床治疗效果观察

Comparative study of pelvic floor comprehensive rehabilitation therapy and self-propelled pelvic floor muscle training on maternal pelvic floor muscle recovery

目的 探讨盆底综合康复治疗和自行盆底肌肉训练对产妇盆底肌恢复的临床治疗效果。方法 选取2018年1月-2019年11月于上海市金山区亭林医院分娩的160例产后42 d体检诊断为盆底肌功能障碍的产妇纳入研究,随机将其分为治疗组和对照组,各80例,给予对照组健康教育指导且产妇自行进行盆底肌肉锻炼,治疗组给予生物反馈电刺激治疗,两组均连续治疗3个月,比较两组盆底肌恢复情况。结果 两组治疗前盆底肌最大电压和平均电压比较差异无统计学意义(P>0.05);两组治疗后盆底肌最大电压和平均电压明显高于治疗前(P<0.05);治疗组经3个月治疗后的盆底肌最大电压[(24.82±2.53)μV]和平均电压[(17.88±1.64)μV]均高于对照组(P<0.05);与对照组比较,治疗组经3个月治疗后压力性尿失禁占比降低(6.25%vs. 23.75%),夜尿次数减少[(1.12±0.36)次vs.(2.54±0.78)次],差异有统计学意义(P<0.05);两组治疗前盆底肌力分级比较差异无统计学意义(P>0.05);与治疗前比较,两组治疗后盆底肌功能恢复较好(P<0.05);与对照组比较,治疗组经3个月治疗后盆底肌功能恢复情况较好(P<0.05);治疗组经3个月治疗后性生活质量满意度明显高于对照组(100.00%vs.78.75%),差异有统计学意义(P<0.05)。结论 盆底综合康复治疗有利于产妇盆底肌功能的恢复和性生活质量的提高。

Objective The clinical effects of comprehensive pelvic floor rehabilitation and self-training of pelvic floor muscles on maternal pelvic floor muscle recovery were compared and analyzed.Methods A total of 160 women who were diagnosed with pelvic floor muscle dysfunction after 42 days of postpartum delivery in our hospital from January 2018 to November 2019 were selected and randomly divided into a treatment group and a control group, 80 cases each, given control.The group received health education guidance and the mothers performed pelvic floor muscle exercises on their own.The treatment group was given biofeedback electrical stimulation treatment on the basis of the control group.Both groups were treated continuously for three months.Pelvic floor muscle potential values, stress urinary incontinence, nocturia, pelvic floor muscle strength, and sexual quality of life satisfaction before and after treatment in the two groups.Results There was no significant difference in the maximum voltage and average voltage of the pelvic floor muscles between the two groups before treatment(P>0.05).The maximum voltage and average voltage of the pelvic floor muscles after treatment in the two groups were significantly higher than those before treatment(P<0.05).The maximum [(24.82±2.53)μV]and average voltages[(17.88±1.64)μV] of the pelvic floor muscles after months of treatment were higher than those of the control group(P<0.05).Compared with the control group, the proportion of stress urinary incontinence in the treatment group after 3 months of treatment decreased(6.25% vs. 23.75%),and the frequency of nocturia decreased[(1.12±0.36)times vs.(2.54±0.78)times]the difference is statistically significant(P<0.05).There was no significant difference in pelvic floor muscle strength classification between the two groups before treatment(P>0.05).Compared with before treatment, the pelvic floor muscle function recovered better in the two groups after treatment(P<0.05).Compared with the control group in comparison, the pelvic floor muscle function recovered better in the treatment group after 3 months of treatment(100.00% vs.78.75%)the difference is statistically significant(P<0.05).Conclusion Comprehensive rehabilitation of the pelvic floor is conducive to the recovery of pelvic floor muscle function and improvement of the quality of sexual life.