生物反馈联合电刺激治疗产后盆底功能障碍性疾病的效果.docVIP

生物反馈联合电刺激治疗产后盆底功能障碍性疾病的效果 　　[摘要] 目的 探讨生物反馈联合电刺激治疗产后盆底功能障碍性疾病的临床效果。 方法 将180例产妇随机分为实验组和对照组，每组各90例。对照组给予阴道哑铃训练，实验组在对照组基础上加用生物反馈、电刺激。 结果 治疗后，两组的盆底肌强度都得到不同程度的恢复（P0.05）；实验组中Ⅱ、Ⅲ级患者数明显少于对照组，Ⅳ、Ⅴ级患者数明显多于对照组（P0.05）。 结论 盆底肌肉训练可以改善产后盆底肌力，有助于提高产后性生活质量，预防尿失禁及盆腔脏器脱垂等，值得临床推广应用。 　　[关键词] 产后盆底康复治疗；阴道哑铃训练；生物反馈联合电刺激 　　[中图分类号] R271.43 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0182-02 　　Effect of biological feedback combined with electrical stimulation in the treatment of postpartum pelvic floor dysfunction disease 　　QIU Yu HUANG Jian-ping ZHANG Xiao-fang 　　Maternal and Child Health Hospital of Jian City in Jiangxi Province，Jian 343000，China 　　[Abstract] Objective To explore the clinical effect of biological feedback combined with electrical in the treatment of postpartum pelvic floor dysfunction disease. Methods 180 postpartum women were randomly divided into the experimental group and the control group，and there were 90 women in each group. The control group received vaginal dumbbell training，and the experimental group further received biological feedback combined with electrical stimulation on the basis of the control group. Results After treatment，pelvic floor muscle strength of the two groups had different degrees of recovery （P0.05）；the number of Ⅱ，Ⅲ level in the experiment group were significantly fewer than that of the control group，IV，V level in the experiment group were significantly more than that of the control group （P0.05）. Conclusion Pelvic floor muscle training helps improve the strength of pelvic floor muscle after delivery，improve the quality of sex life，and prevent urinary incontinence and pelvic organ prolapse，which is worthy of clinical promotion and application. 　　[Key words] Postpartum pelvic floor rehabilitation treatment；Vaginal dumbbell training；Biological feedback combined with electrical stimulation 　　近年来随着社会的发展，人们对健康以及生活质量的要求也逐渐提高[1]，因此，产后盆底功能障碍性疾病（PDF）引起了广泛关注，妊娠期由于女性激素的变化使肌壁松软、产道松弛，随着胎儿的增大，子宫重量增加，对盆底慢性牵拉，引起软组织及肌纤维的损伤，严重时会伴有妊娠晚期及产后阴道壁膨出、压力性尿失禁、子宫脱垂及性功能