盆底肌肉训练联合电刺激对产妇产后盆底力及压力性尿失禁的影响

Effects of Pelvic Floor Muscle TrainingCombined With Electrical Stimulation on Postpartum Pelvic Floor Muscle Strength and Stress Urinary Incontinence

目的探讨分析盆底肌肉训练联合电刺激对产妇产后盆底肌力及压力性尿失禁的影响。方法选择该院2016年1—11月收治的73名自然分娩产妇,根据产妇治疗意愿不同分为对照组(n=35)与观察组(n=38),对照组只进行盆底肌肉收缩训练,而观察组在对照组的基础上予以电刺激治疗,比较两组产妇盆底肌力改善情况以及压力性尿失禁发生率。结果观察组盆底肌功能恢复总有效率为93.03%,高于对照组71.43%;两组产妇VSP、VRP均较治疗前有所改善,但观察组VSP、VRP值显著优于对照组;观察组发生1例压力性尿失禁,对照组发生5例,其发生率分别为2.63%、14.29%,组间差异有统计学意义。结论自然分娩产妇产后联合进行盆底肌肉训练和电刺激治疗,能够有效地恢复盆底肌功能,同时还可以减少或预防压力性尿失禁发生,对于促进产妇产后康复具有积极的临床意义。

Objective To explore the effect of pelvic floor muscle trainingcombined with electrical stimulation(ES) on postpartum pelvic floor muscle strength and stress urinary incontinence(SUI).Methods 73 patients from January to Novemher 2016 were divided into control group and observation group.The control group received only pelvic floor muscle contraction training, while the observation group was treated with electrical stimulation on the basis of the control group. The improvement of pelvic floor muscle strength and the incidence of stress urinary incontinence in the two groups were compared.Results The total effective rate of pelvic floor muscle recovery in the observation group was 93.03%, compared with 71.43% in the control group,Two groups of maternal VSP, VRP was improved, the VSP, but group VRP value significantly better than the control group,Observation group 1 patients with stress urinary incontinence, control group occurred in 5 cases, the incidence of 2.63%, 14.29% respectively, significant difference between groups.Conclusion PFMT combined with ES therapy can effectively restore the PFM function,reduce the incidence of SUI.