盆底功能训练联合生物反馈及电刺激对产后盆底松弛患者盆底功能的影响

Effects of pelvic floor function training combined with biofeedback and electrical stimulation on pelvic floor function in patients with postpartum pelvic floor relaxation

目的分析盆底功能训练联合生物反馈及电刺激对产后盆底松弛患者盆底功能的影响。方法选取莆田学院附属医院康复医学科2019年7月至2020年11月就诊的146例产后盆底松弛患者,采用随机数表法分为对照组、试验组,每组各73例;对照组采用盆底功能训练,试验组采用盆底功能训练联合生物反馈及电刺激干预,均干预5周;比较两组盆底功能、盆底肌力及性生活质量。结果干预5周,试验组盆底功能障碍问卷(PFDI-20)评分低于对照组,Ⅰ类肌纤维最大值、Ⅱ类肌纤维平均值高于对照组,差异有统计学意义(P<0.05);随访6个月,试验组女性性功能量表(FSFI)评分高于对照组,差异有统计学意义(P<0.05)。结论产后盆底松弛患者采用盆底功能训练联合生物反馈及电刺激干预可改善盆底功能,促进盆底肌力恢复,改善性生活质量。

Objective To analyze the effects of pelvic floor function training combined with biofeedback and electrical stimulation on pelvic floor function in patients with postpartum pelvic floor relaxation.Methods A total of 146 patients with postpartum pelvic floor relaxation were selected from The Department of Rehabilitation Medicine,Affiliated Hospital of Putian University from July 2019 to November 2020.They were divided into control group and experimental group by random number table method,with 73 patients in each group.The control group received pelvic floor function training,and the experimental group received pelvic floor function training combined with biofeedback and electrical stimulation intervention for 5 weeks.Pelvic floor function,pelvic floor muscle strength and sexual life quality were compared between the two groups.Results After 5weeks of intervention,the score of pelvic floor dysfunction questionnaire(PFDI-20)in experimental group was lower than that in control group,and the maximum value of typeⅠmuscle fiber and average value of type Ⅱ muscle fiber were higher than those in control group,with statistically significant differences(P<0.05).After 6 months of follow-up,female sexual function scale(FSFI)score in experimental group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion Pelvic floor function training combined with biofeedback and electrical stimulation can improve pelvic floor function,promote pelvic floor muscle strength recovery and improve sexual life quality in patients with postpartum pelvic floor relaxation.