摘要
目的探讨产后盆底功能障碍风险因素，比较生物反馈和电刺激疗法与单独盆底肌肉训练的临床效果。方法收集2016年1月至2017年10月1000例接受规律产检及分娩产妇的临床资料，包括性别、年龄、产次、分娩方式等。统计产后盆底功能障碍疾病的患病率，将符合条件的盆底功能障碍患者420例随机分为2组，各210例，观察组采用生物反馈和电刺激疗法与盆底肌肉训练结合的疗法，对照组仅进行盆底肌肉训练，分别在治疗1个月和3个月后观察并统计两组患者的阴道肌张力、阴道肌电压和夜尿次数。结果两组年龄、BMI、孕周、分娩方式方面差异无统计学意义（P〉0．05），逻辑回归分析结果显示，年龄〉40岁、BMI指数〉24．0、产次〉2次均是产后盆底功能障碍的风险因素（P〈0．05）。治疗1个月和3个月后，与对照组比较，观察组阴道肌张力和阴道肌电压显著增高，而夜尿次数显著降低（P〈0．05），表明观察组恢复情况更好。结论年龄〉40岁、BMI〉24．0、产次〉2次均是产后盆底功能障碍的风险因素。生物反馈和电刺激疗法与盆底肌肉锻炼联合使用比单独盆底肌肉锻炼的临床效果更好。
Objective To study the risk factors for postpartum pelvic floor dysfunction （ PFD ） and to compare the clinical effects of biofeedback and electrical stimulation with pelvic floor muscle training alone. Methods From January 2016 to October 2017, 1000 cases of clinical data were collected, including gender, age, delivery time and delivery mode. The incidence of postpartum pelvic floor dysfunction was counted. 420 patients with the pelvic floor dysfunction were randomly divided into 2 groups, 210 cases in each group. The observation group was treated with biofeedback and electrical stimulation combined with pelvic floor muscle training. The control group only received pelvic floor muscle training. The vaginal muscle tension, vaginal muscle voltage and nocturnal frequency of two groups were detected after treatment with one and three mouths. Results There wos no significant difference in age, BMI, gestational age and mode of delivery between the two groups （P〉0.05） . The results of logistic regression analysis showed that the age older than 40 years, BMI index greater than 24.0, parity more than twice were all risk factors for PFD （ P〈0.05 ） . In addition, after treatment with one and three months, compared with control group, the vaginal muscle tone and vaginal muscle voltage were significantly higher than that in the observation group, and the frequency of nocturnal urination was significantly lower （ P〈0.05 ） , indicated that the observation group recovered better. Conclusion Age older than 40 years, BMI index greater than 24.0, parity more than twice are all risk factors for PFD. Additionally, the clinical effects of biofeedback and electrical stimulation combined with pelvic floor muscle training are better than pelvic floor muscle training used only.
出处
《浙江临床医学》
2018年第7期1229-1230,共2页
Zhejiang Clinical Medical Journal
关键词
盆底功能障碍
盆底肌肉锻炼
生物反馈
电刺激
Pelvic floor dysfunction （ PFD ） Pelvic floor muscle training Biofeedback Electrical stimulation
