雌激素联合盆底康复治疗仪用于治疗女性盆底功能障碍的效果评价

Evaluation of the Effect of Estrogen combined with pelvic Floor Rehabilitation Therapy Instrument on female pelvic Floor Dysfunction

目的探究雌激素联合盆底康复治疗仪对女性盆底功能障碍(PFD)临床疗效的影响情况。方法研究对象选取为2019年4月至2021年5月商丘仁和中医院接诊的124例PFD患者,全部患者随机分为观察组和对照组,每组患者均为62例,两组患者均给予实施盆底肌肉锻炼的综合治疗方案,对照组患者在以上盆底肌肉锻炼治疗方法基础上使用盆底康复治疗仪实施干预,观察组患者在对照组患者的治疗方式基础上再联合使用雌激素药物实施干预。比较两组患者治疗前后的盆底肌肉肌力、盆底功能障碍、肌电位治疗效果及不良反应情况。结果两组患者的盆底肌肉肌力在治疗后均升高,且观察组肌力评分高于对照组,差异有统计学意义(P<0.05)。两组患者的盆底功能障碍问卷(PFDI-20)评分在治疗后均降低,且观察组PFDI-20评分低于对照组,差异有统计学意义(P<0.05)。治疗后两组的Ⅰ类肌纤维肌电值及Ⅱ类肌纤维肌电值均增高,且观察组Ⅰ类肌纤维肌电值及Ⅱ类肌纤维肌电值显著高于对照组,差异有统计学意义(P<0.05)。观察组患者临床治疗有效率高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率差异无统计学意义(P>0.05)。结论雌激素与盆底康复治疗仪联合治疗PFD,不仅可显著改善患者的盆底肌肉肌力和盆腔功能,而且可有效提升治疗效果。

Objective To explore the effect of estrogen combined with pelvic floor rehabilitation therapy instrument on the clinical efficacy of female pelvic fioor dysfunction(PFD).Methods The subjects of the study were 124 patients with PFD who were admitted to Renhe Hospital of Traditional Chinese Medicine in Shangqiu from April 2019 to May 2021.All patients were randomly divided into the observation group and the control group,with 62 patients in each group.Both patients in the two groups were given a comprehensive treatment plan of pelvic fioor muscle exercise.The patients in the control group used pelvic fioor rehabilitation therapy instrument to intervene on the basis of the above pelvic fioor muscle exercise treatment methods,The patients in the observation group were treated with estrogen drugs on the basis of the treatment methods of the patients in the control group.The pelvic fioor muscle strength,pelvic fioor dysfunction,muscle potential treatment effect and adverse reactions were compared between the two groups before and after treatment.Results The pelvic fioor muscle strength of the two groups increased after treatment,and the muscle strength score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The score of pelvic fioor dysfunction questionnaire(PFDI-20)in the two groups decreased after treatment,and the PFDI-20 score in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After treatment,the myoelectric values of class I and class II muscle fibers in the two groups increased,and the myoelectric values of classⅠand classⅡmuscle fibers in the observation group were significantly higher than those in the control group,with a statistically significant difference(P<0.05).The effective rate of clinical treatment in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of estrogen and pelvic fioor rehabilitation therapy instrument can not only significantly improve the pelvic fioor muscle strength and pelvic function of patients with PFD,but also effectively improve the treatment effect.