电刺激生物反馈疗法联合盆底肌锻炼对产后盆底功能障碍康复的临床观察

Clinical Observation of Electrical Stimulation Biofeedback Therapy Combined with Pelvic Floor Muscle Exercise for Postpartum Pelvic Floor Dysfunction Rehabilitation

目的浅析产后盆底功能障碍康复中应用电刺激生物反馈疗法联合盆底肌锻炼的临床效果。方法选取2022年1月—2022年12月内蒙古自治区人民医院收入的72例产后盆底功能障碍患者,依据随机数表法分为对照组与观察组,每组36例。对照组接受常规盆底肌锻炼,观察组接受电刺激生物反馈疗法联合盆底肌锻炼,比较两组患者治疗前后盆底肌相关指标(混合肌平均肌电值、慢肌平均肌电值、前静息平均肌电值、后静息平均肌电值、快肌最大肌电值)、生活质量、尿动力学指标及不良事件发生状况。结果观察组患者治疗后盆底肌相关指标、生活质量各项指标、最大尿道闭合压(PMUC)及Valsalva漏尿点压(PVLP)指标均高于对照组,1小时尿垫试验(1 HPrV)指标、不良反应总发生率均低于对照组,差异有统计学意义(P<0.05)。结论对于产后盆底功能障碍的患者,给予电刺激生物反馈疗法联合盆底肌锻炼,有着非常积极的意义,其能够有效促进产妇产后盆底肌功能的恢复,并且能够很好地控制不良反应发生,从而显著地提高产妇的生活质量,值得临床应用。

Objective To analyze the clinical effect of electrical stimulation biofeedback therapy combined with pelvic fl oor muscle exercise in the postpartum rehabilitation of pelvic floor dysfunction.Methods 72 patients with postpartum pelvic fl oor dysfunction from the People's Hospital of Inner Mongolia Autonomous Region from January 2022 to December 2022,randomized into control group and observation group,36 cases in each group,the control group received regular pelvic fl oor muscle exercises,the observation group received electrical stimulation biofeedback therapy combined with pelvic fl oor muscle exercise,the pelvic fl oor muscle related indicators(mixed muscle mean EMG value,slow muscle mean EMG value,anterior resting mean EMG value,posterior resting mean EMG value,fast muscle maximum EMG value),quality of life,urodynamic indicators and adverse events were compared between two groups.Results In the observation group,the pelvic fl oor muscle related indicators,quality of life,maximum urethra closure pressure(PMUC)and Valsalva of urine leakage point pressure(PVLP)were higher than those of the control group,and the 1-hour pad test(1 HPrV)and the risk of adverse reactions were lower than those of the control group,statistically significant(P<0.05).Conclusion For the patients with postpartum pelvic fl oor dysfunction,the combination of electrical stimulation biofeedback therapy with pelvic fl oor muscle exercise has a very positive significance.It can effectively promote the recovery of postpartum pelvic fl oor muscle function,and can well control the risk of adverse reactions,thus significantly improving the maternal quality of life,and has clinical application value.