Objective: To investigate the application value of electrostimulation biofeedback therapy in combination with vaginal dumbbell therapy to postpartum pelvic floor dysfunction. Methods: Retrospective analysis of 200 cas...Objective: To investigate the application value of electrostimulation biofeedback therapy in combination with vaginal dumbbell therapy to postpartum pelvic floor dysfunction. Methods: Retrospective analysis of 200 cases of postpartum pelvic floor dysfunction patients discharged from the hospital from January 2016 to March 2019 as study subjects who were excluded other underlying diseases and were randomly divided into two groups of 100 cases per group, using electrostimulation biofeedback therapy combined vaginal dumbbell therapy as a treatment group. The treatment of electrostimulation biofeedback therapy in combination with kegel was treated as a control group. Then the curative effects of the two groups were compared and statistically analyzed. Results: There was no significant difference in EMG value of postpartum pelvic floor treatment, type I muscle strength, type II muscle strength, muscle type I fatigue, type II fatigue and POP-Q detection results between the two groups before treatment, p > 0.05. There were significant differences in type I muscle strength, type II muscle strength and muscle type I fatigue between the pelvic floor muscles and the muscles at the end of the treatment day, the sixth month and one year after treatment, p ?There was no statistically significant difference at?the end of muscle type II fatigue?treatment day, p > 0.05;while after the treatment of six months and one year, the difference was statistically significant, p 0.05. In addition, the treatment group and the control group were compared before and after treatment, the difference of myoelectric potential value, pelvic floor muscle type I muscle strength, type II muscle strength, muscle type I fatigue degree, type II fatigue degree and POP-Q test result were significant, and the changes in the indicators before and after treatment in the treatment group were significantly higher than the control group. Comparison of urinary incontinence between the two groups before and after treatment, the difference between pre-treatment and the end of treatment day was not statistically significant, p > 0.05;there was significant difference between half a year and one year after treatment (p 0.05, respectively). Comparing?the satisfaction with sexual life after the time of treatment day, half a year and one year after the end of treatment, the difference was statistically significant (p ?Conclusion: Electrical stimulation biofeedback therapy combined with vaginal dumbbell therapy has a good effect in the treatment of postpartum pelvic floor dysfunction, and it is worthy of popularization and application.展开更多
目的探讨针灸联合生物反馈电刺激治疗产后压力性尿失禁(postpartum stress urinary incontinence,PSUI)的疗效及对国际尿失禁咨询委员会尿失禁问卷表(Incontinence Questionnaire of the International Incontinence Advisory Committee...目的探讨针灸联合生物反馈电刺激治疗产后压力性尿失禁(postpartum stress urinary incontinence,PSUI)的疗效及对国际尿失禁咨询委员会尿失禁问卷表(Incontinence Questionnaire of the International Incontinence Advisory Committee,ICI-Q-SF)评分和盆底肌表面电信号的影响。方法选取2022年6月—2023年6月于本院就诊的PSUI患者264例,随机分为对照组(n=132)和研究组(n=132),对照组采取生物反馈电刺激治疗,研究组采取针灸联合生物反馈电刺激治疗,均治疗8周,观察两组治疗疗效,对比治疗前后漏尿量、盆底功能、肌力、肌纤维疲劳度、ICI-Q-SF得分、盆底肌表面电信号、尿动力学水平[最大尿道闭合压(MUCP)、最大尿流率(MFR)、达峰时间(Tmax)、咳嗽点膀胱内压(CLPP)]。采用GEE模型评价两种治疗方法对患者ICI-Q-SF评分和盆底肌表面电信号的影响。结果对照组总有效率为74.24%,研究组总有效率为91.67%,两组临床疗效比较差异有统计学意义(P<0.05)。与治疗前比较,治疗4周、6周、8周后两组患者阴道收缩压、静息压、盆底肌表面电信号水平(活力)及尿动力学水平均有显著升高,而膀胱颈活动度、尿道旋转角度、漏尿量、ICI-Q-SF评分、盆底肌表面电信号水平(峰值)显著降低(P<0.05),且研究组优于对照组(P<0.05)。治疗4周、6周、8周后,研究组盆底肌力情况及盆底Ⅰ类、Ⅱ类肌纤维疲劳度均优于对照组,差异均有统计学意义(P<0.05)。采用GEE模型结果显示,治疗时间、治疗方案及两者的交互作用比较差异有统计学意义(P<0.05)。结论针灸联合生物反馈电刺激在治疗产后压力性尿失禁方面具有很好的应用前景,可显著改善患者的ICI-Q-SF评分和盆底肌表面电信号,应用价值较高。展开更多
文摘Objective: To investigate the application value of electrostimulation biofeedback therapy in combination with vaginal dumbbell therapy to postpartum pelvic floor dysfunction. Methods: Retrospective analysis of 200 cases of postpartum pelvic floor dysfunction patients discharged from the hospital from January 2016 to March 2019 as study subjects who were excluded other underlying diseases and were randomly divided into two groups of 100 cases per group, using electrostimulation biofeedback therapy combined vaginal dumbbell therapy as a treatment group. The treatment of electrostimulation biofeedback therapy in combination with kegel was treated as a control group. Then the curative effects of the two groups were compared and statistically analyzed. Results: There was no significant difference in EMG value of postpartum pelvic floor treatment, type I muscle strength, type II muscle strength, muscle type I fatigue, type II fatigue and POP-Q detection results between the two groups before treatment, p > 0.05. There were significant differences in type I muscle strength, type II muscle strength and muscle type I fatigue between the pelvic floor muscles and the muscles at the end of the treatment day, the sixth month and one year after treatment, p ?There was no statistically significant difference at?the end of muscle type II fatigue?treatment day, p > 0.05;while after the treatment of six months and one year, the difference was statistically significant, p 0.05. In addition, the treatment group and the control group were compared before and after treatment, the difference of myoelectric potential value, pelvic floor muscle type I muscle strength, type II muscle strength, muscle type I fatigue degree, type II fatigue degree and POP-Q test result were significant, and the changes in the indicators before and after treatment in the treatment group were significantly higher than the control group. Comparison of urinary incontinence between the two groups before and after treatment, the difference between pre-treatment and the end of treatment day was not statistically significant, p > 0.05;there was significant difference between half a year and one year after treatment (p 0.05, respectively). Comparing?the satisfaction with sexual life after the time of treatment day, half a year and one year after the end of treatment, the difference was statistically significant (p ?Conclusion: Electrical stimulation biofeedback therapy combined with vaginal dumbbell therapy has a good effect in the treatment of postpartum pelvic floor dysfunction, and it is worthy of popularization and application.
文摘目的探讨针灸联合生物反馈电刺激治疗产后压力性尿失禁(postpartum stress urinary incontinence,PSUI)的疗效及对国际尿失禁咨询委员会尿失禁问卷表(Incontinence Questionnaire of the International Incontinence Advisory Committee,ICI-Q-SF)评分和盆底肌表面电信号的影响。方法选取2022年6月—2023年6月于本院就诊的PSUI患者264例,随机分为对照组(n=132)和研究组(n=132),对照组采取生物反馈电刺激治疗,研究组采取针灸联合生物反馈电刺激治疗,均治疗8周,观察两组治疗疗效,对比治疗前后漏尿量、盆底功能、肌力、肌纤维疲劳度、ICI-Q-SF得分、盆底肌表面电信号、尿动力学水平[最大尿道闭合压(MUCP)、最大尿流率(MFR)、达峰时间(Tmax)、咳嗽点膀胱内压(CLPP)]。采用GEE模型评价两种治疗方法对患者ICI-Q-SF评分和盆底肌表面电信号的影响。结果对照组总有效率为74.24%,研究组总有效率为91.67%,两组临床疗效比较差异有统计学意义(P<0.05)。与治疗前比较,治疗4周、6周、8周后两组患者阴道收缩压、静息压、盆底肌表面电信号水平(活力)及尿动力学水平均有显著升高,而膀胱颈活动度、尿道旋转角度、漏尿量、ICI-Q-SF评分、盆底肌表面电信号水平(峰值)显著降低(P<0.05),且研究组优于对照组(P<0.05)。治疗4周、6周、8周后,研究组盆底肌力情况及盆底Ⅰ类、Ⅱ类肌纤维疲劳度均优于对照组,差异均有统计学意义(P<0.05)。采用GEE模型结果显示,治疗时间、治疗方案及两者的交互作用比较差异有统计学意义(P<0.05)。结论针灸联合生物反馈电刺激在治疗产后压力性尿失禁方面具有很好的应用前景,可显著改善患者的ICI-Q-SF评分和盆底肌表面电信号,应用价值较高。
