Curative effect of hydrogen peroxide combined with silver ion disinfection on pelvic floor dysfunction

BACKGROUND Pelvic floor dysfunction(PFD)is related to muscle fiber tearing during childbirth,negatively impacting postpartum quality of life of parturient.Appropriate and effective intervention is necessary to promote PFD recovery.AIM To analyze the use of hydrogen peroxide and silver ion disinfection for vaginal electrodes in conjunction with comprehensive rehabilitation therapy for postpartum women with PFD.METHODS A total of 59 women with PFD who were admitted to the hospital from May 2019 to July 2022 were divided into two groups:Control group(n=27)received comprehensive rehabilitation therapy and observation group(n=32)received intervention with pelvic floor biostimulation feedback instrument in addition to comprehensive rehabilitation therapy.The vaginal electrodes were disinfected with hydrogen peroxide and silver ion before treatment.Intervention for both groups was started 6 weeks postpartum,and rehabilitation lasted for 3 months.Pelvic floor muscle voltage,pelvic floor muscle strength,vaginal muscle voltage,vaginal muscle tone,pelvic floor function,quality of life,and incidence of postpartum PFD were compared between the two groups.RESULTS Before comprehensive rehabilitation treatment,basic data and pelvic floor function were not significantly different between the two groups.After treatment,the observation group showed significant improvements in the maximum voltage and average voltage of pelvic floor muscles,contraction time of type I and type II fibers,pelvic floor muscle strength,vaginal muscle tone,vaginal muscle voltage,and quality of life(GQOLI-74 reports),compared with the control group.The observation group had lower scores on the pelvic floor distress inventory(PFDI-20)and a lower incidence of postpartum PFD,indicating the effectiveness of the pelvic floor biostimulation feedback instrument in promoting the recovery of maternal pelvic floor function.CONCLUSION The combination of the pelvic floor biostimulation feedback instrument and comprehensive rehabilitation nursing can improve pelvic floor muscle strength,promote the recovery of vaginal muscle tone,and improve pelvic floor function and quality of life.The use of hydrogen peroxide and silver ion disinfectant demonstrated favorable antibacterial efficacy and is worthy of clinical application.

Effect of pelvic floor rehabilitation technique in preventing the postpartum pelvic floor dysfunction

Objective:To explore the effect of pelvic floor rehabilitation technique in preventing the postpartum pelvic floor dysfunction and on the sexual life quality.Methods:A total of 286 puerpera with pelvic floor dysfunction who were admitted in our hospital from May, 2014 to May, 201542 d after delivery were included in the study, and randomized into the treatment group and the control group with 143 cases in each group. After guidance, the puerpera in the control group were given pelvic floor muscle training by themselves at home. On this basis, the puerpera in the treatment group were treated by the pelvic floor rehabilitation apparatus. The puerpera in the two groups were treated for 4 weeks. The pelvic floor function before treatment, 6 months and 1 year after delivery was detected. The color Doppler ultrasound apparatus was used to detect BSD, PUVA, UVJ-M, and BND 3 months after delivery.Results:BND, PUVA-R, PUVA-S, and UVJ-M 3 months after delivery in the treatment groups were significantly lower than those in the control group, while BSD-S was significantly higher than that in the control group. The improvement of type I and Ⅱ muscle fiber fatigue (%), POP-Q degree, AP indication point (cm), and vaginal dynamic pressure (cmH2O) was significantly superior to that in the control group. The comparison of pelvic floor muscle strength classification before treatment between the two groups was not statistically significant. After treatment, the pelvic floor muscle in the two groups was significantly strengthened, and the proportion of V grade patients was significantly increased when compared with before treatment.Conclusions: The postpartum early pelvic floor rehabilitation technique can effectively enhance the pelvic floor function, and prevent the postpartum pelvic floor dysfunction, with an accurate efficacy;therefore, it deserves to be widely recommended in the clinic.

Evaluation of therapeutic effects of self-made pelvic floor muscle rehabilitation on elderly female stress urinary incontinence

Objective:Create a pelvic floor muscle rehabilitation program and explore its effects on stress urinary incontinence(SUI)in elderly women.Methods:Pelvic floor muscle rehabilitation was created based on Kaigl experiment and pelvic floor muscle training methods.20 elderly women aged 65-75 years with SUI were randomly recruited for 10 weeks of pelvic floor muscle rehabilitation.Self-control study was used to compare the 72-hour average frequency of urinary incontinence,the average score of urinary incontinence questionnaire-simple form(ICIQ-SF)of international urinary incontinence advisory committee,the severity index of urinary incontinence and the weight of 1 hour urine pad before and after rehibition.Results:After 10 weeks of pelvic floor muscle rehabilitation training,the 72-hour average frequency of urinary incontinence was 1.02±0.65 times,which was not statistically different from that before training(1.25±0.71,P>0.05).The score of ICIQ-SF was 5.95±1.32,which was significantly lower than that before training(7.0±1.38,P<0.05),and the urinary incontinence severity index was 2.75±0.89,which was significantly lower than that before training(3.95±1.32,P<0.01).The weight of 1 hour urine pad was 6.40±2.29 g and was significantly lower than that before training(P<0.01,8.37±2.24).Conclusion:Self-created pelvic floor muscle rehabilitation had the function of decreasing the quantity of urinary incontinence instead of the frequency of incontinence.

Does Surgery Benefit Postmenopausal Overweight Women with Pelvic Floor Dysfunction?

Introduction: Pelvic floor muscle function of 30 overweight postmenopausal women prior to and after colporrhahpy was monitored in this study. Material and Methods: Patients diagnosed with cystokele or combined cystorectokele was involved. 1 mg oral estriol and local estriol cream were administered for 30 days preoperatively. Pelvic floor muscle function was monitored by surface electromyography 1 month before (1st) 1 day prior to surgery (2nd), and six weeks after the surgery (3rd measurement). Body composition parameters (intra- and extracellular water and body fat) were also measured. Results: The ability to relax significantly improved (p = 0.03) in the preoperative period (between 1st and 2nd occasions). Six weeks after surgery a non-significant (p = 0.054) decrease in average muscle activity was detected when compared with values obtained before the surgery. Muscle-activity declined significantly from the first to the last measurements (p = 0.005). Conclusion: Our results confirm that postmenopausal obese women who undergo anterior or posterior colporrhaphy need a follow-up concerning pelvic floor muscle function and suggest that physiotherapy started the earliest possible may aid in preserving postoperative functionality on the long run.

Treatment of postpartum depression with integrated traditional Chinese and Western medicine nursing and electrical stimulation

BACKGROUND Postpartum depression(PPD)is a common psychological disease among puerperal women,and postpartum pelvic floor dysfunction is a common disease among pregnant women.The occurrence of postpartum pelvic floor dysfunction will increase the incidence of PPD.AIM To explore the therapeutic effect of integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis on PPD.METHODS From April 2020 to January 2022,100 parturients with a rectus abdominis muscle separation distance>2.0 cm who underwent reexamination 6 wk after delivery at our hospital were selected as the research subjects.According to the random number table method,the patients were divided into either an observation group(n=50)or a control group(n=50).There was no significant difference in the general data between the two groups(P>0.05).Both groups were treated by electrical stimulation.The observation group was additionally treated by integrated traditional Chinese and Western medicine nursing.A self-designed Depression Knowledge Questionnaire was used to evaluate the awareness of knowledge on depression in all patients 3 wk after intervention.The Hamilton Depression Scale(HAMD)was used to evaluate the depression before intervention and 1 wk and 3 wk after intervention,and the Morisky Medication Adherence Scale(MMAS-8)was used to evaluate the medication compliance.SPSS19.0 was used for statistical analyses.RESULTS The rate of awareness of knowledge on depression in the observation group was significantly higher than that of the control group(P<0.05).The scores of MMAS-8 were comparable between the two groups before intervention(P>0.05),but were significantly higher in the observation group than in the control group at 1 wk and 3 wk after intervention(P<0.05).The HAMD scores were comparable between the two groups before intervention(P>0.05),but were significantly lower in the observation group than in the control group at 1 wk and 3 wk after intervention(P<0.05).CONCLUSION Integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis is effective in the treatment of postpartum depression and worthy of clinical promotion.

盆底超声评估妊娠、分娩和盆底肌锻炼对产妇盆底功能的影响

目的探讨盆底超声评估妊娠、分娩和盆底肌锻炼对产妇盆底功能的影响。方法选择2019年1月至2023年1月我院收治的104例产妇,根据干预方式不同分为对照组(n=50)和研究组(n=54)。对照组给予常规妊娠指导和护理,研究组则在妊娠28周后加用盆底肌锻炼。比较两组产后8周的盆底功能和盆底超声检查结果。结果研究组盆底肌力等级显著优于对照组,压力性尿失禁发生率显著低于对照组(P<0.05)。研究组CD、LHD-d、LHLR-d、RAD、BND显著低于对照组(P<0.05)。结论盆底超声可评估妊娠、分娩和盆底肌锻炼产妇的盆底功能;盆底肌锻炼能够显著改善产妇的盆底功能,减少盆腔结构变化,降低压力性尿失禁发生率。

线上产后康复促进项目活动方案的设计及实施

目的探讨线上产后康复促进项目活动方案对产妇产后母乳喂养、形体恢复的效果。方法以便利抽样法抽取符合纳入及排除标准的产妇70例,将产妇随机分为产康组与对照组各35例。对照组实施常规产褥期护理及随访,产康组按照线上产后康复促进项目活动方案实施护理干预。产后6个月比较两组纯母乳喂养率、婴儿体格发育情况、产妇盆底肌肌力及形体恢复情况。结果产后6个月,纯母乳喂养率对照组为42.86%,产康组为88.57%,两组差异有统计学意义(P<0.05)。产康组产妇臀围、腰围显著小于对照组,而盆底肌肌力评分显著高于对照组(均P<0.05)。两组婴儿身长及体质量差异无统计学意义(均P>0.05)。结论对产妇实施线上产后康复促进项目,可提升产妇纯母乳喂养率,促进产后形体恢复、改善盆底肌肌力。

中药督脉熏蒸联合生物反馈训练对产后盆底功能障碍患者盆底肌肌力及尿动力学的影响

目的:观察中药督脉熏蒸联合生物反馈训练治疗产后盆底功能障碍(PPFD)的效果。方法:选取PPFD患者180例,依照随机数字表法分为中药熏蒸组(A组)、生物反馈训练组(B组)、联合治疗组(C组)3组,每组60例。3组均给予常规治疗,即凯格尔运动法及阴道哑铃盆底肌肉锻炼。在常规治疗基础上A组再给予中药督脉熏蒸治疗;B组再给予生物反馈训练;C组再给予中药督脉熏蒸联合生物反馈训练,均治疗8周。治疗前后比较3组患者的盆底肌肌力、尿动力学、盆底神经肌电生理指标、盆底功能障碍影响问卷简版(PFIQ-7)、盆底症状影响量表简版(PFDI-20)、盆腔器官脱垂与尿失禁性功能问卷简版(PISQ-12)评分。结果:治疗后,3组患者的盆底肌肌力正常率、尿道最大闭合压力(MUCP)、功能尿道长度(FUL)、膀胱顺应性(BC)、应力性漏尿点压力(SLPP)、快肌收缩最大值、10s慢肌收缩平均值、PISQ-12评分均高于治疗前(P<0.05),且C组高于A组、B组(P<0.05);3组患者PFIQ-7、PFDI-20均低于治疗前(P<0.05),且C组低于A组、B组(P<0.05)。结论:中药督脉熏蒸联合生物反馈训练可减轻PPFD相关症状,改善PPFD患者盆底功能、性功能。

综合干预联合盆底康复治疗对围绝经期女性盆底功能障碍性疾病的影响

目的:探讨综合干预联合盆底康复治疗对围绝经期女性盆底功能障碍性疾病(PFD)的影响。方法:选取2021年10月—2022年12月贵州航天医院收治的160例围绝经期PFD患者作为研究对象,以随机数字表法分为研究组与对照组,各80例。对照组实施盆底肌康复治疗,研究组在对照组基础上进行综合干预。比较两组干预效果。结果:研究组总有效率高于对照组,差异有统计学意义(P=0.043)。干预6、12周后,两组Ⅰ、Ⅱ类肌纤维疲劳度和盆底功能评分逐渐降低,且研究组低于对照组,两组Ⅰ、Ⅱ类肌纤维电压值逐渐升高,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:综合干预联合盆底康复治疗对围绝经期女性PFD的干预效果显著,可改善盆底肌疲劳度、电压值、盆底功能。

不同干预措施对阴道分娩产妇产后早期盆底肌力恢复的网状Meta分析

目的通过网状Meta分析评价不同干预措施对阴道产后盆底肌力恢复的效果。方法计算机检索Pubmed、Embase、Web of Science、中国知网、万方数据库和中国生物医学文献服务系统,搜集有关阴道分娩产妇产后早期康复的文献,检索时限设定为建库至2021年11月,采用Cochrance手册对纳入的文献进行风险评估,然后采用StataMP 14.2进行网状Meta分析。结果共纳入研究20项,涉及研究对象3537名产妇。网状Meta分析结果显示,对提高阴道分娩产妇盆底肌肌力临床效果排序依次为生物反馈训练+阴道哑铃训练、产后盆底功能锻炼(PFMT)+产后康复教育、PFMT+电刺激+生物反馈训练、PFMT+Bobath球训练、阴道哑铃训练、PFMT+电刺激、电刺激、PFMT+生活干预、PFMT、PFMT+产后瑜伽锻炼+会阴部按摩、产后常规护理。结论生物反馈训练+阴道哑铃训练对提高阴道分娩产妇产后盆底肌肌力效果最佳。

低频神经肌肉刺激治疗产后盆底肌力减退的效果分析

目的:分析低频神经肌肉刺激治疗产后盆底肌力减退的效果。方法:选取2021年1月—2022年1月南方医科大学南方医院收治的产后盆底肌力减退患者300例作为研究对象,采用随机数字表法分为对照组和观察组,各150例。对照组实施常规产后盆底康复训练,观察组在对照组基础上实施低频神经肌肉刺激治疗。比较两组临床疗效、盆底肌力、漏尿情况、盆底功能。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.004)。观察组盆底肌力优于对照组,差异有统计学意义(P<0.001)。干预后,两组漏尿次数、漏尿量评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组盆底功能评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:低频神经肌肉刺激治疗产后盆底肌力减退的效果显著,可改善漏尿情况,提高盆底肌力,改善盆底功能。

盆底康复在盆腔脏器脱垂患者术后康复中的应用效果

目的:分析盆底康复在盆腔脏器脱垂患者术后康复中的应用效果。方法:选取2020年1月—2024年2月于珠海市妇幼保健院妇科行手术治疗的盆腔脏器脱垂患者394例作为观察样本,随机分为参照组(n=198)、观察组(n=196)。参照组实施常规康复治疗,观察组在参照组基础上实施盆底康复。比较两组康复效果。结果:与参照组相比,观察组康复总有效率更高(P<0.05)。干预后,两组盆底肌力、盆底肌最大收缩力均改善,且相较于参照组,观察组改善幅度更大(P<0.05)。干预后,两组盆底功能障碍问卷、国际尿失禁咨询委员会尿失禁问卷简表评分均下降,且观察组低于参照组(P<0.05)。干预后,两组焦虑、抑郁评分均下降,且观察组低于参照组(P<0.05)。观察组盆底功能及盆底脏器脱垂改善时间短于参照组(P<0.05)。结论:盆底康复在盆腔脏器脱垂患者术后康复中的应用效果显著,可积极改善患者盆底肌力与症状,减轻负性情绪,促进盆底功能恢复。

不同分娩方式对盆底肌功能及产后康复效果的影响

目的探讨不同分娩方式对产妇产后盆底肌功能康复效果的影响。方法回顾性分析2022年5月至2023年5月收治的120例产妇的临床资料,根据分娩方式的不同分为顺产组和剖宫产组,各60例。两组产妇均予相同的产后康复治疗措施,检测盆底肌功能,观察其产后康复效果。结果顺产组产妇的康复总有效率为96.67%,与剖宫产组的100.00%无显著差异(P>0.05)。康复治疗前,顺产组的压力性尿失禁发生率为23.33%,盆腔器官脱垂率为13.33%,均显著高于剖宫产组产妇的3.33%和1.67%(P<0.05)。康复治疗后,顺产组的压力性尿失禁发生率为5.00%,盆腔器官脱垂率为3.33%,与剖宫产组产妇无显著差异(P>0.05)。结论顺产会造成较明显的盆底肌功能损伤,经产后康复治疗后可达到和剖宫产相当的康复效果,盆底功能障碍大幅减少。

电刺激联合康复护理对女性压力性尿失禁患者的疗效观察

目的分析盆底康复治疗仪电刺激联合康复训练对女性压力性尿失禁患者康复效果,以提供治疗女性压力性尿失禁更好的办法。方法选取本院2021年01月-2021年12月间,门诊确诊的压力性尿失禁女性患100例,并应用盆底康复治疗仪电刺激进行治疗的患者作为观察对象,采用等量电脑随机分组法,分为参照组(行常规护理)和研究组(行康复护理),每组纳入50例,比较两组应用效果。结果盆底康复治疗仪电刺激治疗及护理前,两组盆底肌力评分较低,尿失禁评分较高。盆底康复治疗仪电刺激治疗及护理后,两组盆底肌力评分升高,且研究组高于参照组,尿失禁评分降低,且研究组低于参照组(P<0.05),研究组护理满意度、依从性高于参照组(P<0.05)。结论盆底康复治疗仪电刺激治疗联合康复护理应用在压力性尿失禁女性患者中,可提高治疗效果,促进盆底肌力恢复,改善尿失禁,取得积极配合,获得满意评价,具有推广价值。

Glazer评估指导的磁电联合治疗对改善产后盆底肌功能的临床观察

目的探讨Glazer评估指导的磁电联合治疗在改善产后盆底肌功能中的临床效果。方法选择2021年3月—2022年3月在本院足月经阴分娩,产后42d盆底肌电评估异常的90例产妇为研究对象,随机分为两组:观察组45例(磁电联合治疗)和对照组45例(电刺激治疗),对照组有2例因失访被排除,最终确定观察组45例,对照组43例。并在治疗前后行标准的盆底表面肌电Glazer评估及改良牛津肌力分级评估,比较两组治疗效果。结果两组治疗后静息肌电位均降低,快速放松时间缩短,快速收缩、紧张收缩及耐力收缩阶段肌电值均上升,与治疗前比较差异有统计学意义(P<0.001),且观察组治疗后快速收缩、紧张收缩和耐力收缩阶段变化幅值均高于对照组,差异有统计学意义(P<0.001);观察组异常率低于对照组,差异有统计学意义(P<0.05)。结论基于Glazer评估指导的磁电联合治疗能显著改善产后盆底肌肉功能,提升肌力,改善异常情况。

盆底康复联合心理疏导治疗产后尿潴留的研究

目的观察盆底康复训练联合心理疏导对产后尿潴留的治疗效果。方法选取2022年1月1日至2022年12月31日期间在江西省妇幼保健院产科诊断为产后尿潴留的产妇为研究对象,最终共有100例产妇纳入了本研究。随机数字表法将100例产妇分为观察组和对照组,每组各50例。对照组接受诱导排尿、导尿治疗,观察组在常规治疗的基础上,接受盆底康复训练及心理疏导方法。观察两组患者治疗效果、排尿情况、盆底功能、心理状况。结果观察组治疗的总有效率、阴道静息压及阴道收缩压均高于对照组(均P<0.05)。观察组首次排尿时间短于对照组,首次排尿量多于对照组,焦虑和抑郁评分均低于对照组(均P<0.05)。结论盆底康复训练联合心理疏导治疗产后尿潴留效果良好,能够增强膀胱及盆底功能,改善产妇生活质量和心理状态。

电极片阴部电刺激疗法联合凯格尔盆底康复训练对产妇产后盆底功能康复的影响

目的:探讨电极片阴部电刺激疗法联合凯格尔盆底康复训练对产妇产后盆底功能康复的影响。方法:选取2020年6月—2022年6月于松滋市妇幼保健院接受治疗产后盆底功能康复的患者92例,使用随机数字表法将其分为观察组及对照组,各46例。对照组接受凯格尔盆底康复训练,观察组在对照组基础上加用电极片阴部电刺激疗法。对比两组的盆底功能指标、性生活质量及压力性尿失禁疗效。结果:治疗前,两组的总肌电值、Ⅰ类肌纤维肌电值、Ⅱ类肌纤维肌电值、Ⅰ类肌纤维疲劳度及Ⅱ类肌纤维疲劳度相较,差异均无统计学意义(P>0.05);治疗后,两组的总肌电值、Ⅰ类肌纤维肌电值、Ⅱ类肌纤维肌电值均显著升高,且观察组均高于对照组,差异均有统计学意义(P<0.05),两组的Ⅰ类肌纤维疲劳度及Ⅱ类肌纤维疲劳度均显著更优,且观察组均优于对照组,差异均有统计学意义(P<0.05)。治疗前,两组的各项中国女性性功能指数问卷(FSFI)评分相较,差异均无统计学意义(P>0.05);治疗后,两组的各项评分均升高,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组压力性尿失禁治疗总有效率(93.48%)高于对照组(78.26%),差异有统计学意义(P<0.05)。结论:电极片阴部电刺激疗法联合凯格尔盆底康复训练有利于产妇产后盆底功能恢复,提高性生活质量,减少压力性尿失禁,整体效果优异。

生物反馈电刺激联合盆底肌康复训练在产后盆底功能障碍性疾病患者中的应用效果

目的:观察生物反馈电刺激联合盆底肌康复训练在产后盆底功能障碍性疾病(PFD)患者中的应用效果。方法:选取2021年6月至2023年6月该院收治的106例自然分娩产后PFD患者进行前瞻性研究,按照随机信封法将其分为对照组与研究组各53例。对照组进行盆底肌康复训练治疗,研究组在对照组基础上联合生物反馈电刺激治疗,比较两组临床疗效、治疗前后盆底肌力指标(快速收缩阶段最大值、紧张收缩阶段平均值、耐力收缩阶段平均值)水平、盆底功能指标[盆底功能障碍量表(PFDI)、阴道动态压力、阴道持续收缩时间]水平和尿失禁改善指标[腹压漏尿点压力(ALPP)、膀胱顺应性(BC)、最大尿道闭合压(MUCP)、国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)]水平。结果:研究组治疗总有效率为96.23%(51/53),高于对照组的83.02%(44/53),差异有统计学意义(P<0.05);治疗后,研究组快速收缩阶段最大值、紧张收缩阶段平均值、耐力收缩阶段平均值均高于对照组,差异有统计学意义(P<0.05);治疗后,研究组PFDI评分低于对照组,阴道动态压力高于对照组,阴道持续收缩时间长于对照组,差异均有统计学意义(P<0.05);治疗后,研究组ICIQ-SF评分低于对照组,BC、MUCP、ALPP水平均高于对照组,差异有统计学意义(P<0.05)。结论:生物反馈电刺激联合盆底肌康复训练应用于产后PFD患者可提高治疗总有效率和盆底肌力指标水平,改善盆底功能指标和尿失禁改善指标水平,效果优于单纯盆底肌康复训练。

隔姜温和灸联合盆底肌训练及生物反馈电刺激治疗产后压力性尿失禁33例

目的观察隔姜温和灸联合盆底肌训练及生物反馈电刺激治疗产后压力性尿失禁(PSUI)的疗效。方法选取2021年6月—2022年6月于福建中医药大学附属人民医院整合盆底医学中心就诊的PSUI患者66例,采用SPSS 26.0软件生成随机序列和信封法分为对照组和观察组,每组33例。对照组进行盆底肌训练、生物反馈电刺激和健康教育,观察组在对照组治疗基础上联合八髎穴隔姜温和灸,每次30 min,隔日1次,2组均连续干预10次。比较2组治疗前后1 h漏尿量、尿道内口漏斗形成率和泌尿生殖障碍量表简表(UDI-6)评分,比较2组治疗前后和治疗后1个月尿失禁生活质量问卷(I-QOL)评分。结果与治疗前比较,2组治疗后1 h漏尿量、UDI-6评分均明显降低(P<0.05),治疗后和治疗后1个月I-QOL评分明显升高(P<0.05);观察组治疗后尿道内口漏斗形成率明显降低(P<0.05)。与对照组比较,观察组治疗后1 h漏尿量和UDI-6评分均明显降低(P<0.05),治疗后和治疗后1个月I-QOL评分明显升高(P<0.05)。结论隔姜温和灸能有效改善PSUI患者漏尿量,减轻尿失禁症状,提高生活质量,促进产后盆底功能康复。

盆底康复训练联合电刺激生物反馈治疗轻度子宫脱垂的效果分析

目的:分析盆底康复训练联合电刺激生物反馈治疗轻度子宫脱垂的效果。方法:选取2019年2月—2022年1月钟祥市人民医院收治的轻度子宫脱垂患者80例作为研究对象,随机分为研究组与对照组,各40例。对照组予以电刺激生物反馈治疗及常规护理康复措施,研究组在对照组基础上进行盆底康复训练。比较两组康复效果。结果:治疗后,两组Ⅰ类、Ⅱ类肌纤维肌电值高于治疗前,且研究组高于对照组,两组Ⅰ类、Ⅱ类肌纤维疲劳度低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组治疗总有效率高于对照组,差异有统计学意义(P=0.043)。治疗后,两组焦虑、抑郁评分低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:盆底康复训练联合电刺激生物反馈治疗轻度子宫脱垂的效果显著,能够增强患者盆底肌力,改善负性情绪。