生物反馈电刺激结合路径化康复护理对产后盆底肌功能的改善及患者生活状态的影响

Effect of Biofeedback Electrical Stimulation Combined with Path-based Rehabilitation Nursing on the Improvement of Postpartum Pelvic Floor Muscle Function and Patients'Living Conditions

目的:探究生物反馈电刺激结合路径化康复护理对产后盆底肌功能的改善及患者生活状态的影响。方法:选取2022年1月—2022年12月广州市番禺区妇幼保健院收治的200例产后盆底功能障碍(PFD)患者作为研究对象,按入院顺序进行分组,单号为观察组(n=100),双号为对照组(n=100),对照组采取常规护理及生物反馈电刺激干预,观察组采取生物反馈电刺激结合路径化康复护理干预,对比两组干预前后盆底肌力分级情况、盆底功能影响问卷简表7(PFIQ-7)、PFD问卷(PFDI-20)、盆腔器官脱垂尿失禁性功能问卷(PISQ-12)评分、健康状况调查表(GQOL-74)评分及阴道静息压、阴道收缩压、阴道收缩持续时间情况。结果:干预后观察组盆底肌力恢复状况优于对照组,差异有统计学意义(P<0.05);观察组PFIQ-7、PFDI-20评分明显低于干预前及对照组,PISQ-12评分高于干预前及对照组,差异有统计学意义(P<0.05);干预后观察组阴道收缩持续时间、阴道静息压、阴道收缩压水平均明显高于对照组及干预前,差异有统计学意义(P<0.05);干预后观察组GQOL-74评分高于对照组及干预前,差异有统计学意义(P<0.05)。结论:PFD产妇采用生物反馈电刺激结合路径化康复护理后,能明显提高产妇盆底肌肉功能,改善产妇生活状态。

Objective:To explore the effect of biofeedback electrical stimulation combined with path-based rehabilitation nursing on the improvement of postpartum pelvic floor muscle function and patients'living conditions.Method:200 cases of postpartum pelvic floor dysfunction(PFD)admitted to Panyu Maternal and Child Health Hospital in Guangzhou from January 2022 to December 2022 were selected as the study objects and divided into a observation group and a control group according to the order of admission,with 100 cases in each group.The control group was given routine nursing and biofeedback electrical stimulation.The observation group was treated with biofeedback electrical stimulation combined with path-based rehabilitation nursing.The grading of pelvic floor muscle strength and the influence of pelvic floor function before and after intervention.Pelvic floor impact questionnaire-7(PFIQ-7),Pelvic Floor Dysfunction Inventory-Short Form-20(PFDI-20),Pelvic Incontinence/Sexual Questionaire 12(PISQ-12)score,General Quality of Life Inventory-74(GQOL-74)score,vaginal resting pressure,vaginal systolic pressure and duration of vaginal contractio were compared between the two groups.Result:After intervention,the recovery of pelvic floor muscle strength in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The scores of PFIQ-7 and PFDI-20 in the observation group were significantly lower than those before intervention and the control group,while the score of PISQ-12 was higher than that before intervention and the control group,and the difference was statistically significant(P<0.05).The duration of vaginal contraction,vaginal resting pressure and vaginal systolic pressure in the observation group were significantly higher than those in the control group and before the intervention,and the difference was statistically significant(P<0.05).After the intervention,the GQOL-74 score in the observation group was higher than that in the control group and before the intervention,and the difference was statistically significant(P<0.05).Conclusion:After biofeedback electrical stimulation combined with path-based rehabilitation nursing for women with pelvic floor dysfunction,it can obviously improve the pelvic floor muscle function and improve their living conditions.