生物反馈电刺激联合指放松疗法治疗产后盆底疼痛的疗效观察

Efficacy observation of biofeedback electrical stimulation combined with finger relaxation therapy in the treatment of postpartum pelvic floor pain

目的:分析对产后盆底疼痛患者施以生物反馈电刺激+指放松疗法治疗的效果。方法:产后盆底疼痛患者84例,依照电脑产生随机数法分为对照组42例、观察组42例,分别予以生物反馈电刺激和生物反馈电刺激+指放松疗法。对比两组疼痛程度、性功能、尿失禁情况、盆底功能和疗效。结果:治疗后,观察组视觉模拟法(VAS)、尿失禁问卷表简表(ICI-Q-SF)评分与阴道静息状态压力均明显较对照组低,女性性功能量表(FSFI)评分和盆底肌力积分、阴道最大收缩力均显著较对照组高(P<0.05)。治疗总有效率经对比,观察组明显(95.24%)较对照组(76.19%)高(P<0.05)。结论:对产后盆底疼痛患者进行生物反馈电刺激配以指放松治疗,可改善其疼痛、性功能、尿失禁情况和盆底功能,增强治疗效果。

Objective:To analyze the therapeutic effect of biofeedback electrical stimulation+finger relaxation therapy for patients with postpartum pelvic floor pain.Methods:A total of 84 patients with postpartum pelvic floor pain were divided into a control group of 42 cases and an observation group of 42 cases according to the random number method,and the two groups received biofeedback electrical stimulation and biofeedback electrical stimulation+finger relaxation therapy respectively.The pain scores,sexual function,urinary incontinence,pelvic floor function and therapeutic effect were compared between the two groups.Results:After treatment,the visual analogue method(VAS),urinary incontinence questionnaire short form(ICI-Q-SF)score and resting state pressure of vagina in the observation group were significantly lower than those in the control group,and the female sexual function scale(FSFI)score was significantly lower than that in the control group.The scores of pelvic floor muscle strength and maximal vaginal contraction were significantly higher than those in the control group(P<0.05).The total effective rate of the observation group was significantly higher(95.24%)than that of the control group(76.19%)(P<0.05).Conclusion:Biofeedback electrical stimulation combined with finger relaxation therapy can help patients with postpartum pelvic floor pain.It can relieve pain,improve sexual function and pelvic floor function,reduce urinary incontinence and enhance the therapeutic effect.