摘要
目的探究Kegal法联合电刺激生物反馈疗法治疗女性盆底功能障碍性疾病的临床疗效。方法选取2018年7月至2020年7月本院收治的150例盆底功能障碍患者作为研究对象,按随机数字表法分为对照组和观察组,各75例。对照组进行Kegal法训练治疗,观察组在对照组基础上联合电刺激生物反馈疗法治疗。比较两组临床疗效、盆腔器官脱垂定量分度法(POP-Q)分度情况、尿失禁情况、抑郁焦虑情绪评分、生命质量、性生活质量评分。结果观察组治疗总有效率为96.00%,高于对照组的84.00%,差异有统计学意义(P<0.05)。治疗后,两组POP-Q分度0度占比高于治疗前,观察组POP-Q分度Ⅰ度、Ⅱ度占比均低于治疗前,且观察组盆腔器官脱垂度优于对照组,差异有统计学意义(P<0.05)。治疗后,两组24 h尿失禁次数和尿失禁占比均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组健康调查量表36(SF-36)评分、女性性功能量表(FSFI)评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论Kegel法联合电刺激生物反馈疗法治疗女性盆底功能障碍性疾病疗效显著,可改善POP-Q分度及尿失禁情况,提升患者生命质量及女性性生活,改善其负面情绪,值得临床推广应用。
Objective To explore the clinical effect of Kegal method combined with electrical stimulation biofeedback therapy on female pelvic floor dysfunction.Methods 150 patients with pelvic floor dysfunction admitted to our hospital from July 2018 to July 2020 were selected as the research subjects,they were divided into control group and observation group according to random number table method,with 75 cases in each group.The control group was treated with Kegal method training,and the observation group was treated with electric stimulation biofeedback therapy on the basis of the control group.The clinical efficacy,pelvic organ prolapse quantification(POP-Q),urinary incontinence,depression and anxiety scores,quality of life,and quality of sexual life scores were compared between the two groups.Results The total effective rate of treatment in the observation group was 96.00%,which was higher than 84.00% in the control group,and the difference was statistically significant(P<0.05).After treatment,the proportion of the 0 degree of POP-Q score in the two groups was higher than that before treatment,The proportions of POP-Q gradesⅠandⅡin the observation group were lower than those before treatment,and the pelvic organ prolapse degree in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).After treatment,the number of urinary incontinence and the proportion of urinary incontinence in the two groups were lower than before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).After treatment,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than those before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).After treatment,the scores of short form 36(SF-36)and female sexual function inventory(FSFI)in the two groups were higher than those before treatment,and the o
作者
覃芹
许兴艳
张小丽
QIN Qin;XU Xingyan;ZHANG Xiaoli(Department of Obstetrics and Gynecology,Zhijiang Maternal and Child Health Hospital,Yichang,Hubei,443200,China)
出处
《当代医学》
2022年第35期16-19,共4页
Contemporary Medicine