摘要
目的探讨盆底肌肉电刺激联合生物反馈,Kegel训练及胸膝卧位治疗子宫脱垂的临床疗效。方法回顾性分析2010年1月至2012年12月因产后子宫脱垂就诊于中山大学孙逸仙纪念医院盆底功能门诊的患者,其中37例患者行盆底肌肉电刺激联合生物反馈,Kegel训练及胸膝卧位治疗为研究组;另选取38例患者行盆底肌肉电刺激联合生物反馈及Kegel训练治疗为对照组;观察两组患者治疗后子宫脱垂程度,并且分为治愈组(治疗后宫颈距处女膜缘的距离>4 cm),有效组(排除治愈及无效组的患者),无效组(治疗前后无变化),及两组治疗前后子宫脱垂疗效程度(本研究以增加腹压状态下治疗前宫颈距处女膜缘的距离与治疗后宫颈距处女膜缘的距离差值的绝对值为观察点)。结果 75例患者,对照组中治愈20例(52.6%),有效15例(39.5%),无效3例(7.9%);研究组中治愈28例(75.7%),有效9例(24.3%),无效0例(0%)。研究组治疗前后子宫脱垂疗效程度的平均值大于对照组,治疗后子宫脱垂程度的平均值小于对照组,其差异均有统计学意义(P<0.05)。结论行盆底肌肉电刺激联合生物反馈,Kegel训练及胸膝卧位治疗产后子宫脱垂具有较好的疗效。
Objective To study clinical curative effect of the pelvic floor muscle joint biofeedback electrical stimulation,Kegel training and knee chest decubitus for the treatment of uterine prolapse.Methods The postpartum uterine prolapse cases of pelvic floor functional outpatient clinic of Sun Yat-sen memorial hospital were analyzed retrospectively from January 2010 to December 2012. 37 cases of patients received pelvic floor muscle electrical stimulation biofeedback,Kegel training and knee chest decubitus treatment,and 38 cases of patients with pelvic floor muscle joint biofeedback electrical stimulation and Kegel training treatment,were selected as the control group. After treatment,patients were divided into cured group（〉4 cm of the cervix apart from the side of the hymen distance）,effective group（excluding cure and invalid group of patients）,and invalid group（no change）before and after the treatment.The curative effect of the two treatment for uterine prolapse degree was evaluated based on the absolute value of the distance between the distance from the hymen and the distance from the hymen of the cervix after treatment. Results In the control group,20 cases were cured（52.6%）,15 cases were effective（39.5%）,and 3 patients showed no effect（7.9%）. For the study group,28 cases were cured（75.7%）,9 cases were effective（24.3%）,and 0 cases had no effect（0%）.The curative effect of the study group was greater than the average of the control group,and the average of the uterine prolapse degree was less than that of the control group after treatment;the differences were statistically significant（P〈0.05）. Conclusion The pelvic floor muscle joint biofeedback electrical stimulation,Kegel training and chest knee decubitus treatment for postpartum uterine prolapse had good curative effect.
作者
冯紫雅
刘颖琳
陈少青
FENG Zi-ya LIU Ying-lin CHEN Shao-qing(Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou , Guangdong 510120, China)
出处
《热带医学杂志》
CAS
2017年第10期1314-1317,共4页
Journal of Tropical Medicine
基金
基金项目:中华预防医学会(20131907)
关键词
子宫脱垂
肌电刺激
生物反馈
胸膝卧位
Uterine prolapse
Electrical stimulation
Biofeedback
Knee chest decubitus
