摘要
目的:探讨子宫脱垂患者应用神经肌肉刺激治疗仪结合肌筋膜手法+运动康复指导的效果。方法:选取2021年8月—2023年8月贵州医科大学第二附属医院收治的70例子宫脱垂患者作为研究对象,通过随机数表法将患者分为常规组和观察组,各35例。常规组采取神经肌肉刺激治疗仪行盆底电刺激+电子生物反馈治疗,观察组采取神经肌肉刺激治疗仪结合肌筋膜手法+运动康复指导治疗,比较两组生活质量、炎症因子水平、盆底超声结果、治疗效果、盆底肌功能及尿失禁改善情况。结果:观察组治疗后心理功能、躯体功能、物质生活、社会功能评分、总有效率、盆底肌最大收缩力、持续收缩力高于常规组,转化生长因子β3(TGF-β3)、层粘连蛋白(LN)和松弛素(RLX)水平低于常规组,肛提肌裂孔前后径、横径、面积、膀胱颈角度、旋转角度优于常规组,尿失禁情况优于常规组,差异有统计学意义(P<0.05)。结论:子宫脱垂患者实施神经肌肉刺激治疗仪结合肌筋膜手法+运动康复指导治疗效果显著。
Objective:To explore the effect of neuromuscular stimulation therapy device combined with myofascial manipulation+exercise rehabilitation guidance intervention in patients with uterine prolapse.Method:A total of 70 patients with uterine prolapse who treated in the Second Affiliated Hospital of Guizhou Medical University from August 2021 to August 2023 were selected as the study objects,and they were randomly divided into the conventional group and the observation group using a random number table method,35 cases in each group.The conventional group was given pelvic floor electrical stimulation using the neuromuscular stimulation therapy device and electronic biofeedback treatment,while the observation group was given neuromuscular stimulation therapy device combined with myofascial manipulation+exercise rehabilitation guidance,the quality of life,inflammatory factor levels,pelvic floor ultrasound results,treatment effect,pelvic floor muscle function and improvement of urinary incontinence of two groups were compared.Result:The scores of psychological function,physical function,material life,social function,total effective rate,maximum contraction force and continuous contraction force of pelvic floor muscle in the observation group after treatment were higher than those in the conventional group,the levels of transforming growth factorβ3(TGF-β3),laminin(LN)and relaxin(RLX)were lower than those in the conventional group,the anteroposterior diameter,transverse diameter,area of anal levator hiatus,bladder neck angle and rotation angle were better than those in the conventional group,the urinary incontinence was better than that in the conventional group,and the differences were statistically significant(P<0.05).Conclusion:The application of neuromuscular stimulation therapy device combined with myofascial manipulation+exercise rehabilitation guidance in the treatment of uterine prolapse patients has significant therapeutic effect.
作者
李俊荣
张明峰
龙芹
潘静
LI Junrong;ZHANG Mingfeng;LONG Qin;PAN Jing(The Second Affiliated Hospital of Guizhou Medical University,Kaili 556000,China;不详)
出处
《中外医学研究》
2024年第22期147-151,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
神经肌肉刺激治疗仪
肌筋膜手法
运动康复指导
子宫脱垂
Neuromuscular stimulation therapy device
Myofascial manipulation
Exercise rehabilitation guidance
Uterine prolapse
