骶神经刺激配合凯格尔运动对产后盆底功能障碍所致便秘患者的临床疗效

Clinical effect of sacral nerve stimulation combined with Kegel exercise on postpartum pelvic floor dysfunction induced constipation

目的探讨骶神经刺激配合凯格尔运动对产后盆底功能障碍所致便秘患者临床症状及盆底肌肌电的影响。方法选取2020年1月至2023年1月石家庄市第三医院收治的98例产后盆底功能障碍所致便秘的患者作为研究对象进行前瞻性分析,根据1∶1数字列表法将其分为对照组(n=49)、观察组(n=49)两组,对照组予以常规盆底功能修复及凯格尔运动治疗,观察组在对照组的基础上予以骶神经刺激配合凯格尔运动,对比两组便秘症状改善情况、盆底功能、盆底肌肌电、性功能水平、生命质量。结果干预后,观察组的便秘症状评分低于对照组(P<0.05),观察组的盆底肌力评分、Ⅰ类肌纤维肌电压、Ⅱ类肌纤维肌电压高于对照组(P<0.05),观察组的性功能(FSFI)评分、盆底功能障碍问卷(PFDI-20)评分高于对照组(P<0.05)。结论骶神经刺激配合凯格尔运动可显著改善产后盆底功能障碍所致便秘患者的临床症状,有助于提升盆底功能、盆底肌肌电、性功能水平、提高生命质量。

Objective To explore the effects of sacral nerve stimulation combined with Kegel exercise on clinical symptoms and pelvic floor muscle electromyography in patients with postpartum pelvic floor dysfunction induced constipation.Methods A prospective analysis was conducted on 98 patients with postpartum pelvic floor dysfunction induced constipation admitted to Shijiazhuang Third Hospital from January 2020 to January 2023.They were divided into a control group(n=49)and an observation group(n=49)using 1∶1 numerical list method.The control group received routine pelvic floor function repair treatment and Kegel exercise treatment,and the observation group received sacral nerve stimulation combined with Kegel exercise on the basis of the control group.The improvement of constipation symptoms,pelvic floor function,pelvic floor muscle electromyography,sexual function level,and quality of life were compared between the two groups.Results After intervention,the constipation symptom score of the observation group was lower than that of the control group(P<0.05).The pelvic floor muscle strength score,classⅠmuscle fiber voltage,and classⅡmuscle fiber voltage of the observation group were higher than those of the control group(P<0.05).The female sexual function index(FSFI)score and pelvic floor dysfunction questionnaire(PFDI-20)score of the observation group were higher than those of the control group(P<0.05).Conclusion Sacral nerve stimulation combined with Kegel exercise has a significant improvement effect on the clinical symptoms of postpartum pelvic floor dysfunction induced constipation patients,and helps to improve pelvic floor function,pelvic floor muscle electromyography,sexual function levels,and quality of life.