生物反馈电刺激疗法联合盆底肌训练治疗高龄产妇产后盆底功能障碍的临床效果

电刺激生物反馈联合盆底肌训练治疗产后盆底肌功能障碍的效果观察

发表时间：2017-06-22T16:42:43.707Z 来源：《航空军医》2017年第8期 作者： 张清英 王丽2（通讯作者）

[导读] 托衬盆底结构，维持盆腔器官的正常位置、阴道的紧缩度、尿道括约肌及直肠括约肌是盆底肌肉的作用的正常功能。

（1.厦门大学附属第一医院思明分院妇产科 福建厦门 361001；

2.厦门大学附属第一医院手术室 福建厦门 361003）

摘要：目的 探讨应用电刺激生物反馈疗法治疗女性产后盆底功能障碍的临床疗效。方法 选取产后盆底功能障碍患者230 例，按治疗方式的不同分为观察组 110 例和对照组 120 例，对照组给予常规的盆底肌肉功能锻炼康复治疗，观察组在对照组的基础上加用电刺激生物反

馈治疗。观察并对比 2 组患者的盆底肌肌力、尿失禁、盆腔脏器脱垂的改善情况。结果 2 组盆底肌肌力、子宫脱垂、尿失禁均较治疗前明

显改善；观察组的治疗有效率明显高于对照组（P <0.05）。结论 电刺激生物反馈疗法治疗女性产后盆底功能障碍临床疗效显著，值得临

床推广。

关键词：盆底肌功能障碍；电刺激生物反馈疗法；康复治疗

Abstract：Objective To investigate the clinical efficacy of biofeedback therapy in the treatment of postpartum pelvic floor dysfunction.

Methods 230 cases of patients with postpartum pelvic floor dysfunction，according to the different treatment of the observation group 110

cases and control group 120 cases，control group received pelvic floor muscle exercise routine rehabilitation，observation group in the

中国药物与临床2019年1月第19卷第1期ChineseRemedies&Clinics，January2019,Vol.19,No.1

盆底功能障碍性疾病（孕云阅）是产后妇女常见疾病，主要临床表现为压力性尿失禁、盆腔脏器脱垂或（和）性功能障碍等，严重影响患者健康和生活质量［员］。妊娠期与分娩期女性盆底往往会出现生理及解剖的变化，影响盆底的结构和功能，进而造成孕云阅的发生［圆］。目前，孕云阅的主要治疗方法有外科手术、盆底肌功能训练和生物反馈肌电刺激等。由于外科手术治疗创伤较大，多数产妇选择保守的康复疗法。传统的盆底肌训练是临床使用较为广泛的康复训练方式，但其康复效果有限［猿］。生物反馈电刺激疗法是近几年出现的治疗孕云阅的新型治疗方法。本研究通过观察盆底功能训练联合生物反馈电刺激对经阴道分娩产妇盆底功能的改善情况，进而为产妇PFD的治疗提供参考依据。员资料与方法员援员研究对象：本研究选取圆园员远年苑月至圆园员苑年员圆月在我院产科住院分娩，且产后远周复查时被诊断为孕云阅的产妇作为研究对象。入选标准：淤产妇年龄为圆园耀猿缘岁，足月、单胎、经阴道分娩；于盆底肌力为园耀圆级；盂无既往盆腔手术史、无泌尿系统及生殖系统感染、未装心脏起搏器、无神经系统疾病的产妇。本研究均取得患者及家属的知情同意。员援圆研究方法：将调查对象按照入院先后顺序，采取随机分组和自愿入组相结合的原则进行分组，其中观察组员圆源例，对照组员员远例。对照组产妇给予传统的盆底功能训练治疗；观察组在康复训练的基础上，给予电刺激垣生物反馈康复治疗，即采用盆底生物反馈治疗仪进行盆底肌肉训练，每周圆次，每次训练员缘耀猿园皂蚤灶，持续治疗圆园耀圆缘次。员援猿评价指标：对入组产妇在产后远周（康复治疗前）及产后远个月（康复治疗后）时进行盆底肌肉玉类和域类肌纤维肌力和肌肉疲劳度的测定，同时对产妇盆底功能改善情况（子宫脱垂、尿失禁、性生活质量等方面）进行评价。员援源统计学处理：采用杂孕杂杂员怨援园软件,定量资料采用x依s表示，采用贼检验进行两组间比较；计数资料采用百分率表示，两组比较采用字2检验；以孕约园援园缘为差异有统计学意义。圆结果圆援员2组产妇一般情况比较：2组产妇在年龄、产次、孕周、孕期增重、产程及新生儿体质量方面差异无统计学意义，说明2生物反馈电刺激疗法联合盆底肌训练对产后盆底肌力及盆底功能康复的效果评价贺文丽

- 144 -Chinese and Foreign Medical Research Vol.21, No.11 April, 2023综合医学 Zongheyixue 《中外医学研究》第21卷 第11期（总第559期）2023年4月

①广州市越秀区妇幼保健院　广东　广州　510030电刺激及生物反馈疗法联合凯格尔运动治疗

产后盆底功能障碍性疾病的效果

󰀁陈红艳①　张秀枝①

【摘要】　目的：探讨电刺激及生物反馈疗法联合凯格尔（Kegel）运动治疗产后盆底功能障碍性疾病的效果。方法：选取2021年1—12月广州市越秀区妇幼保健院收治的81例产后盆底功能障碍性疾病患者。根据随机数表法将其分为对照组（n=40）和观察组（n=41）。对照组采用Kegel运动，观察组在对照组基础上给予电刺激及生物反馈疗法。比较两组干预4周后盆底肌肌力、子宫脱垂分级情况，干预前、干预4周后盆底肌纤维肌电压及疲劳度、尿失禁情况。结果：干预4周后，观察组盆底肌肌力优于对照组，差异有统计学意义（P<0.05）。干预4周后，观察组Ⅰ类、Ⅱ类肌纤维肌电压均高于干预前，疲劳度低于干预前，且观察组Ⅰ类、Ⅱ类肌纤维肌电压均高于对照组，疲劳度低于对照组，差异有统计学意义（P<0.05）。干预4周后，观察组子宫脱垂分级情况优于对照组，差异有统计学意义（P<0.05）。干预4周后，观察组尿失禁发生率低于对照组，差异有统计学意义（字2=4.699，P=0.030）。结论：电刺激及生物反馈疗法联合Kegel运动能够增强产后盆底功能障碍性疾病患者盆底肌肌力，改善子宫脱垂分级程度，降低尿失禁发生率。 【关键词】　电刺激　生物反馈疗法　凯格尔运动　盆底功能障碍性疾病　盆底功能 doi：10.14033/ki.cfmr.2023.11.037 文献标识码　B 文章编号　1674-6805（2023）11-0144-04

Effect of Electric Stimulation and Biofeedback Therapy Combined with Kegel Exercise in the Treatment of Postpartum Pelvic Floor Dysfunction Disease/CHEN Hongyan, ZHANG Xiuzhi. //Chinese and Foreign Medical Research, 2023, 21(11): 144-147 [Abstract]　Objective: To explore the effect of electric stimulation and biofeedback therapy combined with Kegel exercise in the treatment of postpartum pelvic floor dysfunction disease. Method: A total of 81 postpartum patients with pelvic floor dysfunction disease admitted to Guangzhou Yuexiu District Maternal and Child Health Hospital from January to December 2021 were selected. According to the random number table method, they were divided into control group (n=40) and observation group (n=41). The control group was given Kegel exercise, and the observation group was given electrical stimulation and biofeedback therapy on the basis of the control group. The pelvic floor muscle muscle strength, uterine prolapse grading condition after 4 weeks of intervention, pelvic floor muscle fiber muscle voltage, fatigue degree and urinary incontinence before intervention and after 4 weeks of intervention were compared between the two groups. Result: After 4 weeks of intervention, the pelvic floor muscle muscle strength of the observation group was better than that of the control group, and the difference was statistically significant (P<0.05). After 4 weeks of intervention, the muscle voltage of type Ⅰ and type Ⅱ muscle fibers in the observation group were higher than those before intervention, and the fatigue degree was lower than that before intervention, and the muscle voltage of type Ⅰ and type Ⅱ muscle fibers in the observation group were higher than those in the control group, and the fatigue degree was lower than that in the control group, and the differences were statistically significant (P<0.05). After 4 weeks of intervention, the uterine prolapse grading condition in the observation group was better than that in the control group, and the difference was statistically significant (P<0.05). After 4 weeks of intervention, the incidence of urinary incontinence in the observation group was lower than that in the control group, the difference was statistically significant (字2=4.699, P=0.030). Conclusion: Electric stimulation and biofeedback therapy combined with Kegel exercise can enhance the muscle strength of pelvic floor muscle, improve the grading degree of uterine prolapse and reduce the incidence of urinary incontinence in postpartum patients with pelvic floor dysfunction disease. [Key words]　Electrical stimulation　Biofeedback therapy　Kegel exercise　Pelvic floor dysfunction disease　Pelvic floor function First-author's address: Guangzhou Yuexiu District Maternal and Child Health Hospital, Guangzhou 510030, China

电刺激生物反馈疗法联合盆底肌肉锻炼对女性盆底功能障碍性疾病的治疗效果研究

发表时间：2019-06-14T15:57:43.930Z 来源：《医药前沿》2019年12期 作者： 马俊 颜为红 陈葵喜 马超

[导读] 采用电刺激生物反馈疗法与盆底肌肉锻炼联合干预女性盆底功能障碍性疾病患者效果显著。

（四川江油市九〇三医院妇产科 四川 江油 621700）

【摘要】目的：分析在女性盆底功能障碍性疾病患者中行电刺激生物反馈疗法与盆底肌肉锻炼联合干预的效果。方法：以随机法将

2016年6月—2017年6月我院收治的266例女性盆底功能障碍性疾病患者分为对照组（行盆底肌肉锻炼）与实验组（增加电刺激生物反馈疗法），比较两组临床干预情况。结果：实验组盆底肌功能得分、尿失禁得分、子宫脱垂得分、有效率与对照组比较，差异有统计学意义（P

＜0.05）。结论：采用电刺激生物反馈疗法与盆底肌肉锻炼联合干预女性盆底功能障碍性疾病患者效果显著。

【关键词】电刺激生物反馈疗法；盆底肌肉锻炼；女性盆底功能障碍性疾病

【中图分类号】R711 【文献标识码】A 【文章编号】2095-1752（2019）12-0070-02 Effect of electrical stimulation biofeedback therapy combined with pelvic floor muscle exercise on female pelvic floor dysfunction Ma Jun,Yan Weihong,Chen Kuixi,Ma Chao. Department of Obstetrics and Gynecology,Jiuyi Third Hospital,Jiangyou,Sichuan 621700,China

【Abstract】Objective To analyze the effect of combined electrical stimulation biofeedback therapy and pelvic floor muscle exercise in femalepatients with pelvic floor dysfunction.Methods A total of 266 female pelvic floor dysfunction patients from June 2016 to June 2017 were randomlydivided into a control group (pelvic floor muscle exercise) and an experimental group (increased electrical stimulation biofeedback therapy).Theclinical interventions of the two groups were calculated and analyzed.Results The pelvic floor muscle function score, urinary incontinence score,