摘要
目的探究盆底康复治疗联合盆腹协调训练干预对盆底功能障碍(pelvic floor dysfunction,PFD)患者肌力恢复的改善作用。方法选择常州市新北区春江人民医院2020年12月—2021年9月收治的94例PFD患者进行研究,按照随机数表法进行分组,对照组(n=47)给予盆腹协调训练干预,观察组(n=47)在对照组基础上另给予盆底康复治疗,对比两组患者治疗效果。结果治疗后,观察组盆底肌肌力分级中5级有20例高于对照组的10例,差异有统计学意义(χ^(2)=4.896,P=0.027);治疗后,观察组ICIQ-SF评分为(3.56±1.01)分、I-QOL评分为(70.59±9.65)分低于对照组的(5.26±1.27)分、(62.39±8.15)分,差异有统计学意义(t=7.182、4.451,P<0.05);治疗后,观察组活力(86.67±6.15)分、情感功能(83.37±6.45)分、肌体疼痛(81.28±7.56)分、心理卫生(86.42±6.51)分、社会功能(85.65±6.95)分、心理功能(84.78±7.43)分、生理功能(85.26±8.45)分、总体健康(84.36±6.45)分均高于对照组,差异有统计学意义(t=7.094、5.989、3.616、7.028、6.116、10.029、3.029、4.574,P<0.05)。结论采用盆底康复治疗、盆腹协调训练有利于提高PFD患者盆底肌肌力分级,提高生活质量,降低降尿失禁严重程度。
Objective To investigate the improvement effect of pelvic floor rehabilitation therapy combined with pelvic-abdominal coordination training intervention on muscle strength recovery in patients with pelvic floor dysfunc?tion(PFD).Methods Ninety-four patients with PFD admitted from December 2020 to September 2021 in Chunjiang People’s Hospital,Xinbei District,Changzhou City were selected for the study.Grouped according to the random number table method,the control group(n=47)was given pelvic-abdominal coordination training intervention,and the observation group(n=47)was additionally given pelvic floor rehabilitation treatment.The treatment effects of patients in the two groups were compared.Results After treatment,20 cases in the observation group had higher pelvic floor muscle strength classification of grade 5 than 10 cases in the control group,and the difference was statistically signifi?cant(χ^(2)=4.896,P=0.027);after treatment,the ICIQ-SF score(3.56±1.01)points and I-QOL score(70.59±9.65)points of the observation group were lower than those of the control group(5.26±1.27)points and(62.39±8.15)points,and the differences was statistically significant(t=7.182,4.451,P<0.05).After treatment,the observation group had vitality(86.67±6.15)points,emotional function(83.37±6.45)points,muscular pain(81.28±7.56)points,mental health(86.42±6.51)points,social function(85.65±6.95)points,psychological function(84.78±7.43)points,physical function(85.26±8.45)points and overall health(84.36±6.45)points scores were higher than those of the control group,and the differences were statistically significant(t=7.094,5.989,3.616,7.028,6.116,10.029,3.029,4.574,P<0.05).Conclusion The use of pelvic floor rehabilitation therapy and pelvic-abdominal coordination training is conducive to improving the pelvic floor muscle strength grading in patients with PFD,improving the quality of life,and reducing the severity of urinary incontinence.
作者
刘丽琴
LIU Liqin(Department of Obstetrics and Gynecology,Chunjiang People's Hospital,Xinbei District,Changzhou,Jiangsu Province,213000 China)
出处
《系统医学》
2022年第19期168-171,175,共5页
Systems Medicine
关键词
盆底康复治疗
盆腹协调训练
盆底功能障碍
肌力
Pelvic floor rehabilitation therapy
Pelvic-abdominal coordination training
Pelvic floor dysfunction
Muscle strength
