摘要
目的:探讨Glazer盆底表面肌电评估在产后盆底肌功能康复中的应用效果。方法:选取2020年1月-2022年1月在本院门诊就诊的盆底功能障碍产妇120例,随机数字表法分为观察组、对照组各60例。对照组接受常规盆底肌康复治疗,观察组接受基于Glazer盆底表面肌电评估的盆底肌康复治疗,均治疗3个月,比较两组治疗效果。结果:治疗后,观察组耐受测试平均值(25.37±4.21μV)、持续收缩平均值(27.96±2.57μV)、快速收缩平均值(38.67±3.65μV)等肌电评估指标均较治疗前(20.10±4.06μV、19.64±2.54μV、29.76±4.01μV)升高(P<0.05),两组产妇盆底肌力评分、性交流评分、性反应评分、性态度评分、性体像评分、性满意度评分、膀胱顺应性、最大尿道闭合压、腹部漏尿点压均较治疗前升高且观察组高于对照组;两组性焦虑评分、最大尿流率、焦虑自评量表评分、爱丁堡产后抑郁量表评分均较治疗前改善,但观察组(16.69±1.73分、21.43±1.47 ml/s、41.64±4.72分、11.25±4.49分)改善程度优于对照组(21.03±2.12分、19.18±1.52 ml/s、48.73±5.18分、16.10±4.73分)(均P<0.05)。结论:盆底表面肌电评估技术在产后盆底肌功能康复中有较好应用价值,有助于改善患者性生活质量,促进膀胱功能恢复,降低负面情绪,提高治疗效果。
Objective:To explore the application effect of pelvic floor Glazer surface electromyography for evaluating the postpartum rehabilitation of pelvic floor muscle function.Methods:120 parturients suffering from pelvic floor dys-function in outpatient department were selected and divided into two groups(60 cases in each group)according to ran-dom number table method from January 2020 to January 2022.The parturients in the control group received routine pelvic floor muscle rehabilitation treatment for three months,while the parturients in the observation group received pelvic floor muscle rehabilitation treatment based on Glazer pelvic floor surface electromyography evaluation for three months.The treatment effect of the parturients were compared between the two groups.Results:The mean values of tolerance test(25.37±4.21μV),sustained contraction(27.96±2.57μV),and rapid contraction(38.67±3.65μV)of the parturients in the observation group after treatment were significantly higher than those(20.10±4.06μV,19.64±2.54μV,and 29.76±4.01μV)before treatment(P<0.05).The pelvic floor muscle strength score,sexual communication score,sexual response score,sexual attitude score,sexual body image score,sexual satisfaction score,bladder compli-ance,maximum urethral closure pressure,abdominal urine leakage point pressure of the parturients in both groups af-ter treatment had increased significantly,and which of the parturients in the observation group were significantly high-er than those of the parturients in the control group.The sexual anxiety score,the maximum urinary flow rate,and the scores by self-rating anxiety scale and Edinburgh postpartum depression scale of the parturients in both groups after treatment had improved significantly,and which(16.69±1.73 points,21.43±1.47 ml/min,41.64±4.72 points,and.11.25±4.49 points)of the parturients in the observation group were significantly better than those(21.03±2.12 points,19.18±1.52ml/min,48.73±5.18 points,and 16.10±4.73 points)of the parturients in the control gro
作者
温颖能
卢秋莲
王艳
WEN Yingneng;LU Qiulian;WANG Yan(Nanping First Hospital Affiliated to Fujian Medical University,Nanping,Fujian Province,353000)
出处
《中国计划生育学杂志》
2023年第5期1105-1109,共5页
Chinese Journal of Family Planning
关键词
盆底肌功能康复
盆底表面肌电
盆底肌
尿流动力学指标
性生活质量
Pelvic floor functional rehabilitation
Pelvic floor surface electromyography
Pelvic floor
Urodynamic in-dex
Sex life quality
