磁刺激联合kegel盆底肌功能训练治疗产后轻度子宫脱垂效果

Effect of magnetic stimulation combined with kegel pelvic floor muscle function training for treating patients with postpartum mild uterine prolapsed

目的:探究磁刺激联合kegel盆底肌功能训练在产后轻度子宫脱垂中的应用效果。方法:收集本院2022年1月-2023年9月在本院分娩且产后轻度子宫脱垂患者临床资料,患者均接受常规健康教育,以kegel盆底肌功能训练患者为对照组(48例),kegel盆底肌功能训练联合磁刺激治疗患者为观察组(49例),均干预治疗3个月,比较两组子宫复旧情况、盆底肌力分级、漏尿次数及夜尿频次。结果:干预3月后,两组子宫体积、子宫三径之和及子宫底高度均降低,且观察组(136.72±5.69 cm^(3)、15.72±2.46 cm、5.71±1.03 cm)均低于对照组(139.48±4.34 cm^(3)、17.41±2.36 cm、6.62±0.94 cm),两组盆底肌力分级均升高且观察组高于对照组,两组漏尿次数及夜尿频次均降低且观察组(2.07±0.41次/d、1.12±0.32次/d)低于对照组(2.62±0.52次/d、1.71±0.47次/d)(均P<0.05)。结论:磁刺激联合kegel盆底肌功能训练产后轻度子宫脱垂效果较好,可促进患者子宫复旧,提高盆底肌力,改善盆底功能。

Objective:To study the effect of magnetic stimulation combined with kegel pelvic floor muscle function training for treating patients with postpartum mild uterine prolapsed.Methods:The clinical data of 102 patients with postpartum mild uterine prolapse who delivered in hospital from January 2022 to September 2023 were collected.These patients were given routine health education,and among them,48 patients with same symptoms who received routine health education combined had received kegel pelvic floor muscle function training for 3 months in control group and 49patients had received magnetic stimulation therapy combined with kegel pelvic floor muscle function training for 3months in treatment group.The situation of the involution of uterus,the pelvic floor muscle strength grade,the urinary leakage times and the nocturia frequency of the patients were compared between the two groups.Results:After 3months of intervention,the uterine volume,the sum of the three uterine diameters and the height of the uterine fundus of the patients in the two groups had decreased significantly,and which(136.72±5.69 cm^(3),15.72±2.46 cm and 5.71±1.03 cm)of the patients in the treatment group were significantly lower than those(139.48±4.34 cm^(3),17.41±2.36cm and 6.62±0.94 cm)of the patients in the control group.The pelvic floor muscle strength grade of the patients in the two groups had increased significantly,and which of the patients in the treatment group was significantly higher than that of the patients in the control group.The urinary leakage times and the nocturia frequency of the patients in the two groups had decreased significantly,and which of the patients(2.07±0.41 times/d and 1.12±0.32 times/d)of the patients in the treatment group were significantly lower than those(2.62±0.52 times/d and 1.71±0.47 times/d)of the patients in the control group(all P<0.05).Conclusion:Magnetic stimulation combined with kegel pelvic floor muscle function training for treating the patients with postpartum mild uterine prolapsed has better effect,and which can promote their involution of uterus and improve their pelvic floor muscle strength and pelvic floor function.