盆底肌肉康复训练联合生物反馈疗法治疗女性盆底功能障碍的临床效果

Clinical effect of pelvic floor muscle rehabilitation training combined with biofeedback therapy on female pelvic floor dysfunction

目的:探究盆底肌肉康复训练联合生物反馈疗法治疗女性盆底功能障碍(pelvic floor dysfunction,PFD)的临床效果。方法:选择2020年10月-2022年10月南通大学附属南通第三医院就诊的98例PFD患者,按区组随机法分为观察组和对照组,各49例。对照组接受盆底肌肉康复训练,观察组在此基础上联合生物反馈疗法。比较两组临床疗效,治疗前后盆底肌力、盆底功能及治疗后3个月生活质量。结果:观察组治疗有效率高于对照组(P<0.05)。两组治疗后盆底Ⅰ、Ⅱ类肌纤维肌电压均较治疗前升高(P<0.05),且观察组高于对照组(P<0.05)。两组治疗后盆底功能障碍问卷(pelvic floor distress inventory-short form-20,PFDI-20)评分、盆底功能影响问卷简表(pelvic floor impact questionnaire-7,PFIQ-7)评分均较治疗前降低(均P<0.05),且观察组低于对照组(P<0.05)。观察组生理机能、生理职能、总体健康、社会功能及精力评分等生活质量高于对照组(P<0.05)。结论:盆底肌肉康复训练联合生物反馈疗法治疗女性PFD可显著改善患者盆底肌力及功能,提高其生活质量。

Objective:To explore the clinical efficacy of pelvic floor muscle rehabilitation combined with biofeedback therapy in treating female pelvic floor dysfunction(PFD).Methods:Ninety-eight patients with PFD were selected from Affiliated Nantong Hospital 3 of Nantong University from October 2020 to October 2022.They were divided into observation group(49 cases)and control group(49 cases)by using block random method.The control group received pelvic floor muscle rehabilitation training,and the observation group combined biofeedback therapy on this basis.The clinical efficacy,pelvic floor muscle strength,pelvic floor function and quality of life 3 months after treatment were compared between the two groups.Results:The clinical effect of the observation group was higher than that of the control group(P<0.05).The fibromuscular voltage of classⅠandⅡpelvic floor muscles in both groups after treatment was higher than that before treatment(P<0.05).The fibromuscular voltage of classⅠandⅡpelvic floor muscles in the observation group was higher than those in the control group after treatment(P<0.05).The scores of pelvic floor distress inventory-short form-20(PFDI-20)and pelvic floor impact questionnaire-7(PFIQ-7)after treatment were lower than those before treatment(P<0.05).PFDI-20 scores and PFIQ-7 scores in the observation group were lower than those in the control group after treatment(P<0.05).The scores of quality of live such as physiological function,role-physical,general health,social function and energy in the observation group were higher than those in the control group(P<0.05).Conclusion:Pelvic floor muscle rehabilitation combined with biofeedback therapy is effective in the treatment of female PFD,which can significantly improve the pelvic floor muscle strength and function,and improve the quality of life.