摘要
目的分析探讨生物反馈联合电刺激疗法对阴道分娩产妇产后盆底肌张力、性功能和压力性尿失禁发生的影响。方法选取台州恩泽医疗中心(集团)恩泽医院于2016年7月至2018年2月期间收治的167例接受阴道试分娩产妇,按照随机数字表法将所有患者随机分为对照组和试验组两组,对照组产妇给予单纯盆底肌锻炼,试验组产妇在此基础上联合生物反馈联合电刺激疗法进行治疗,分别记录两组产妇在产后2个月和产后4个月的女性性功能量表评分和抑郁自评量表评分、焦虑自评量表评分以及盆底肌张力测试等级、尿失禁发生率等。结果在产后1个月时两组产妇的盆底肌张力等级分布并无明显差异(Z=0.075,P>0.05),在产后4个月时试验组产妇的盆底肌张力等级分布情况显著优于对照组产妇(Z=4.192,P<0.05)。产后2个月时两组产妇的FSFI、性交痛、性生活满意度、性高潮、阴道润滑、性唤起及性欲望评分并无明显差异(t值分别为1.17、0.42、0.24、0.98、0.06、0.80、0.85,均P>0.05);产后4个月时试验组产妇的女性性功能量表评分显著高于对照组产妇(t值分别为10.31、12.77、12.54、11.69、6.44、3.51、5.28,均P<0.05)。产后1个月时两组产妇的抑郁自评量表评分和焦虑自评量表评分均无显著性差异(t值分别为0.453、0.047,均P>0.05);产后4个月时试验组产妇的抑郁自评量表评分和焦虑自评量表评分均显著低于对照组产妇(t值分别为5.963、4.586,均P<0.05)。在产后4个月内试验组产妇并未出现压力性尿失禁症状,而对照组产妇中则有7例(8.43%)出现压力性尿失禁,但是两组数据比较差异并不具有统计学意义(χ^2=1.38,P>0.05)。结论对阴道分娩产妇采取生物反馈联合电刺激疗法进行治疗能够有效改善其产后盆底肌张力和性功能状况,有效缓解产妇产后压力性尿失禁的发生率,并且在缓解和消除产妇的产后不良情绪方面具有�
Objective To analyze and explore the effects of biofeedback combined with electrical stimulation therapy on pelvic floor muscle tension, sexual function and stress urinary incontinence after vaginal delivery. Methods A total of 167 parturients undergoing vaginal delivery in Enze Hospital of Taizhou Enze Medical Center(Group) during July 2016 to February 2018 were selected. All parturients were randomly divided into control group and experimental group according to random number table method. The parturients in the control group were given pelvic floor muscle exercise only, while on this basis the parturients in the experimental group were treated with extra biofeedback combined with electrical stimulation. The scores of Female Sexual Function Index(FSFI), Self-rating Depression Scale, Self-rating Anxiety Scale, Pelvic floor Muscle Tension Test Grade and incidence of urinary incontinence were recorded in 2 and 4 months after delivery. Results There was no significant difference in the distribution of pelvic floor muscle tension between two groups at 1 month after delivery(Z=0.075, P>0.05). The distribution of pelvic floor muscle tension in the experimental group was significantly better than that in the control group(Z=4.192, P<0.05) at 4 months after delivery. There were no significant differences in FSFI, intercourse pain, sexual life satisfaction, orgasm, vaginal lubrication, sexual arousal and sexual desire scores between two groups at 2 months after delivery(t value was 1.17, 0.42, 0.24, 0.98, 0.06, 0.80, and 0.85, respectively, all P>0.05), while the scores of FSFI in the experimental group were significantly higher than those in the control group at 4 months after delivery(t value was 10.31, 12.77, 12.54, 11.69, 6.44, 3.51 and 5.28, respectively, all P<0.05). There was no significant difference in the scores of Self-rating Depression Scale and the Self-rating Anxiety Scale between two groups at 1 month after delivery(t value was 0.453 and 0.047, respectively, both P>0.05), while at 4 months after delivery,
作者
胡小秋
王丽君
郑琴
HU Xiaoqiu;WANG Lijun;ZHENG Qin(Department of Obstetrics and Gynecology, Enze Hospital of Taizhou Enze Medical Center (Group), Zhejiang Taizhou 318050, China)
出处
《中国妇幼健康研究》
2019年第7期888-891,共4页
Chinese Journal of Woman and Child Health Research
关键词
阴道分娩产妇
生物反馈
电刺激
性功能
盆底肌张力
vaginal delivery
biofeedback
electrical stimulation
sexual function
pelvic floor muscle tension
