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电刺激与盆底肌肉训练联合应用于产后盆底康复中的效果分析

Effect of Electrical Stimulation Combined with Pelvic Floor Muscle Train⁃ing on Postpartum Pelvic Floor Rehabilitation
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摘要 目的 探讨电刺激与盆底肌肉训练联合应用对于产后盆底康复的促进作用。方法 便利选取2021年12月—2022年5月期间于宁德师范学院附属宁德市医院行阴道分娩的92例产妇作为研究对象,按照随机数表法将其分为对照组(46例)与研究组(46例)。对照组在产后第42天行盆底肌肉训练,研究组在此基础上联合电刺激治疗。比较两组产妇的盆底功能、盆底肌力、产后盆底功能障碍性疾病(PFD)发生率、生活质量。结果 治疗后,研究组盆底肌平均电压、盆底肌最大电压值、盆底肌力高于对照组,盆底障碍简易问卷(PFIQ-7)评分低于对照组,差异有统计学意义(P<0.05)。研究组产后尿失禁、阴道脱垂的发生率(0.00%、4.35%)均低于对照组(13.04%、19.57%),差异有统计学意义(χ^(2)=4.457、5.060,P<0.05)。结论 电刺激联合盆底肌肉训练对于盆底康复具有积极的促进作用,能够有效改善产妇产后盆底功能与肌力,预防PFD,保障其生活质量。 Objective To explore the promoting effect of electric stimulation combined with pelvic floor muscle train⁃ing on postpartum pelvic floor rehabilitation.Methods 92 pregnant women who underwent vaginal delivery in Ningde City Hospital affiliated to Ningde Normal University from December 2021 to May 2022 were conveniently selected as the study subjects,and were divided into control group(46 cases)and study group(46 cases)according to the random number table.The control group received pelvic floor muscle training on the 42 nd day after delivery,and the study group combined with electrical stimulation on this basis.The pelvic floor function,pelvic floor muscle strength,the in⁃cidence of postpartum pelvic floor dysfunction disease(PFD)and the quality of life were compared between the two groups.Results After treatment,the average pelvic floor muscle voltage,maximum pelvic floor muscle voltage and pel⁃vic floor muscle strength of the study group were higher than those of the control group,and the score of the simple pelvic floor disorder questionnaire(PFIQ-7)was lower than that of the control group,and the difference was statisti⁃cally significant(P<0.05).The incidence of postpartum urinary incontinence and vaginal prolapse in the study group was(0.00%and 4.35%)were lower than those in the control group(13.04%and 19.57%),and the difference was sta⁃tistically significant(χ^(2)=4.457,5.060,P<0.05).Conclusion Electrical stimulation combined with pelvic floor muscle training has a positive promoting effect on pelvic floor rehabilitation,which can effectively improve postpartum pelvic floor function and muscle strength,prevent PFD and guarantee the quality of life of parturients.
作者 黄美娇 贾秀峰 于启霞 HUANG Meijiao;JIA Xiufeng;YU Qixia(Ningde Hospital Affiliated to Ningde Normal University,Ningde,Fujian Province,352100 China)
出处 《中外医疗》 2022年第32期98-101,共4页 China & Foreign Medical Treatment
关键词 电刺激 盆底肌肉训练 产后 盆底康复 Electrical stimulation Pelvic floor muscle training Postpartum Pelvic floor rehabilitation
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