盆底康复治疗配合功能锻炼治疗产后盆底功能障碍患者的效果

Effect of Pelvic Floor Physical Therapy with Functional Exercises in Treating Patients with Postpartum Pelvic Floor Dysfunction

目的:探讨盆底康复治疗配合功能锻炼治疗产后盆底功能障碍患者的效果。方法:选取2022年1月—2023年2月佛山市高明区人民医院收治的产后盆底功能障碍患者200例作为研究对象,随机分为观察组与对照组,各100例。对照组给予盆底肌肉功能康复锻炼,观察组在对照组基础上给予神经肌肉刺激治疗。比较两组治疗效果、盆底表面肌电参数水平、盆底松弛因子水平及并发症发生率。结果:观察组治疗效果总有效率高于对照组,差异有统计学意义(P=0.002);治疗后,观察组前静息阶段、快速收缩阶段、紧张收缩阶段、耐力收缩阶段、后静息阶段盆底表面肌电参数高于对照组,差异有统计学意义(P<0.05);治疗后,观察组转化生长因子、松弛素、层粘连蛋白水平低于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P=0.009)。结论:盆底康复治疗配合功能锻炼能够加速改善盆底功能障碍患者临床症状,缓解其疼痛反应,改善其盆底肌肉功能与状态,降低患者并发症发生风险,临床价值显著。

Objective:To explore the effect of pelvic floor physical therapy with functional exercise in treating patients with post⁃partum pelvic floor dysfunction.Methods:200 patients with postpartum pelvic floor dysfunction admitted to Foshan Gaoming Dis⁃trict People's Hospital from January 2022 to February 2023 were selected as the study subjects,and were randomly divided into the observation group and the control group,100 cases each.The control group was given pelvic floor muscle physical therapy,and the observation group was given neuromuscular stimulation therapy on the basis of the control group.The treatment effect,pelvic floor surface electromyography parameters,pelvic floor relaxation factor level and complication rate of the two groups were com⁃pared.Results:The total effective rate of treatment effect of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.002);after the treatment,the pelvic floor surface electromyographic parameters of the observation group were higher than those of the control group in the anterior resting stage,rapid contraction stage,tense contraction stage,endurance contraction stage,and posterior resting stage,and the difference was statistically significant(P<0.05);after the treatment,the levels of transforming growth factor,relaxin,and laminin of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05);the total complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P=0.009).Conclusion:Pelvic floor physical therapy with functional exercise can accelerate the improvement of clinical symptoms of patients with pelvic floor dysfunction,alleviate their pain response,improve their pelvic floor muscle function and status,and reduce the risk of complications in patients.