电刺激生物反馈治疗结合盆底康复训练在产后盆底康复中应用.docVIP

电刺激生物反馈治疗结合盆底康复训练在产后盆底康复中应用 　　【第一作者简介】黄剑珍(1968-),女,副主任医师，主要从事产科临床诊治与研究工作。 　　【摘要】目的:探讨电刺激生物反馈结合产后运动治疗对初产妇产后盆底康复的效果。方法:选取初产妇59例，随机分为3组：实验组、对照组1和对照组2。实验组在产后42d进行电刺激生物反馈和产后运动共训练8周；对照组1产后42d进行产后运动共8周；对照组2为空白对照。分别在产后42d和训练后8周对所有产妇盆底肌的恢复情况根据盆底肌力、尿失禁情况和膀胱颈活动度进行评估。结果:训练后8周3组的压力性尿失禁发生率差异无统计学意义（P0??05）；训练8周后实验组和对照组1膀胱角度和膀胱颈旋转角度都要小于对照组2，差异有统计学意义（P0??05）。结论:电刺激生物反馈结合产后运动能更好的促进产后盆底康复，能更好的预防产后盆底功能障碍性疾病的发生。 　　【关键词】阴道分娩；盆底功能障碍性疾病；电刺激生物反馈 　　Effect of electromyography stimulation combined with biofeedback training and pelvic floor muscle training on female postpartum recoveryHUANG Jianzhen, ZHOU Minghui. Department of Obstetrics, Huizhou Municipal Central Hospital, Huizhou 516001, China 　　【Abstract】Objectives: To evaluate the efficacy of electromyography stimulation combined with biofeedback training and pelvic floor muscle training on female postpartum recovery. Methods: 59 primiparas were randomly divided into three groups: study group, control group 1 and control group 2. All of the objects were evaluated by the pelvic floor muscle strength, incidence of stress urinary incontinence (SUI) and bladder neck mobility 42 days after delivery and 8 weeks after training. Results: After training, the incidence of SUI had no significant difference among the three groups (P0??05); the bladder neck angle and the bladder neck rotation angle of the study group and control group 1 were smaller than those of control group 2, with significant differences (P0??05). Conclusion: The electromyography stimulation combined with biofeedback training and pelvic floor muscle training can promote postpartum pelvic floor recovery, and prevent pelvic floor dysfunction. 　　【Key words】Vaginal delivery; Pelvic floor dysfunction (PFD); Electromyography stimulation combined with biofeedback training 　　【中图分类号】R711.5【文献标志码】A 　　 　　盆底功能障碍性疾病（PFD）主要包括盆底器官脱垂、压力性尿失禁，其严重影响中老年女性的生活质量。研究表明，女性PFD与妊娠和分娩密切相关，尤其是第一次妊娠和分娩\[1\]。有学者认为，正常阴道分娩不会导致盆底的不可逆损伤\[2\]。而产后是女性盆底康复的重要时期\[3\]，故本研究对在我院分娩的初产妇进行产后康复，对PFD进行早期干预。 　　1方法 　　1