盆底肌电刺激联合肌筋膜手法按摩对产后盆底功能障碍患者盆底肌力的影响

Effect of Pelvic Floor Electromyography Stimulation Combined with Myofascial Manipulation Massage on Pelvic Floor Muscle Strength in Postpartum Patients with Pelvic Floor Dysfunction

目的探讨盆底肌电刺激联合肌筋膜手法按摩对产后盆底功能障碍(PFD)患者盆底肌力的影响。方法选取2021年9月—2023年4月青海省第五人民医院收治的84例产后PFD患者为研究对象,按照随机数字表法将其分为对照组和观察组,每组42例。对照组采用盆底康复训练联合盆底肌电刺激,观察组在对照组基础上采用肌筋膜手法按摩。比较两组患者的盆底肌力、盆底肌肌电位及生活质量。结果治疗前,两组的盆底肌力比较,差异无统计学意义(P>0.05);治疗后,观察组的盆底肌力为(3.75±0.61)级,高于对照组的(2.96±0.42)级,差异有统计学意义(P<0.05)。治疗前,两组的静息状态、快速收缩、耐力收缩时的肌电位比较,组间差异无统计学意义(P>0.05);治疗后,观察组各阶段的肌电位均高于对照组,组间差异有统计学意义(P<0.05)。治疗前,两组的健康调查简表(SF-36)中各个维度评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组的SF-36中各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论将盆底肌电刺激联合肌筋膜手法按摩用于产后PFD康复中,可提高患者盆底肌力及生活质量,具有推广价值。

Objective To investigate the effect of pelvic floor electromyography stimulation combined with myofascial manipulation massage on pelvic floor muscle strength in postpartum patients with pelvic floor dysfunction(PFD).Methods Eighty four postpartum patients with PFD admitted to the Fifth People's Hospital of Qinghai Province from September 2021 to April 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group received pelvic floor rehabilitation training combined with pelvic floor electromyography stimulation,and the observation group received myofascial manipulation massage on the basis of the control group.The pelvic floor muscle strength,pelvic floor muscle potential and quality of life were compared between the two groups.Results Before treatment,there was no significant difference in pelvic floor muscle strength between the two groups(P>0.05);after treatment,the pelvic floor muscle strength in the observation group was(3.75±0.61)grades,higher than(2.96±0.42)grades in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences between the two groups in resting state,rapid contraction and endurance contraction muscle potentials(P>0.05);after treatment,the muscle potentials of the observation group were higher than those of the control group at all stages,and the differences between the groups were statistically significant(P<0.05).Before treatment,there were no significant differences between the two groups in the scores of various dimensions in the MOS 36-item Short From Health Survey(SF-36)(P>0.05);after treatment,the SF-36 scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of pelvic floor electromyography stimulation combined with myofascial manipulation massage in the rehabilitation of postpartum PFD can improve the pelvic floor muscle strength and quality of life of patients, and has the value of popularization.