盆底康复治疗仪联合凯格尔运动对产后盆腔脏器脱垂患者盆底功能康复的影响

Effect of Pelvic Floor Rehabilitation Apparatus Combined with Kegel Exercise on Pelvic Floor Functional Rehabilitation of Postpartum Patients with Pelvic Organ Prolapse

目的:探讨盆底康复治疗仪联合凯格尔运动对产后盆腔脏器脱垂(POP)患者盆底功能康复的影响。方法:选择2021年1月—2022年6月曹县人民医院产科收治的64例产后POP患者为研究对象,按电脑随机数表法分两组,各32例。对照组采用凯格尔运动进行治疗,试验组采用盆底康复治疗仪联合凯格尔运动治疗。比较两组盆底肌力、POP分度和临床疗效。结果:治疗前,两组POP分度比较,差异无统计学意义(P>0.05);治疗后,试验组POP分度优于对照组,差异有统计学意义(P<0.05)。治疗前,两组盆底肌力指标比较,差异无统计学意义(P>0.05);治疗后,两组Ⅰ类、Ⅱ类肌纤维肌电压高于治疗前,Ⅰ类、Ⅱ类肌纤维疲劳度低于治疗前,且试验组均优于对照组,差异有统计学意义(P<0.05)。试验组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组尿失禁生活质量问卷(I-QOL)各项评分比较,差异无统计学意义(P>0.05);治疗后,两组I-QOL各项评分均高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.05)。结论:盆底康复治疗仪联合凯格尔运动可以改善患者POP程度,促进肌力恢复,提高生活质量。

Objective:To explore the effect of pelvic floor rehabilitation apparatus combined with Kegel exercise on the pelvic floor functional rehabilitation of postpartum patients with pelvic organ prolapse(POP).Method:A total of 64 patients with postpartum POP admitted to Cao County People's Hospital from January 2021 to June 2022 were selected as research objects.They were divided into two groups according to computer random number table method,with 32 cases in each group.The control group was treated with Kegel exercise,and the experimental group was treated with pelvic floor rehabilitation apparatus combined with Kegel exercise.The pelvic floor muscle strength,POP grading and clinical efficacy were compared between the two groups.Result:Before treatment,there was no significant difference in grading of POP between the two groups(P>0.05).After treatment,the grading of POP in the experimental group was better than that in the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in pelvic floor muscle strength between the two groups(P>0.05).After treatment,the classⅠandⅡmuscle fiber muscle voltage in two groups were higher than those before treatment,and the classⅠandⅡmuscle fiber fatigue were lower than those before treatment,and which in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of experimental group was higher than that of control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of incontinence quality of life questionnaire(I-QOL)between the two groups(P>0.05).After treatment,the scores of I-QOL in both groups were higher than those before treatment,and which in the observation group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:Pelvic floor rehabilitation apparatus combined with Kegel exercise can improve the degree of POP in patients,promote muscle strength recovery and improve life quality.