摘要
目的探讨生物反馈电刺激联合穴位推拿对产后盆底功能障碍性疾病(pelvic floor dysfunction,PFD)患者盆底肌肌力及盆底功能的影响。方法选择2022年1月至12月简阳市妇幼保健院160例产后PFD患者,根据随机数字表法分为对照组和观察组,每组80例。对照组采用生物反馈电刺激治疗,观察组在对照组的基础上配合穴位推拿,治疗8周后评估临床疗效。于治疗前及治疗后采用生物反馈电刺激治疗仪评估患者的盆底肌肌力。采用盆底功能障碍问卷-20(PFDI-20)、盆度障碍影响简易问卷-7(PFIQ-7)、盆腔脏器脱垂/尿失禁性功能问卷-12(PISQ-12)和盆腔脏器脱垂量化分期(POP-Q)评估患者的盆底功能、性功能及盆腔脏器脱垂情况。结果治疗8周后,对照组总有效率(67.50%)明显低于观察组(81.25%),差异有统计学意义(P<0.05)。治疗后,观察组的快肌RMS、综合肌RMS和慢肌RMS、PISQ-12评分均明显高于对照组,而PFDI-20评分和PFIQ-7评分均明显低于对照组,且观察组POP-Q改善程度优于对照组(P<0.05)。结论采用穴位推拿与生物反馈电刺激联合治疗产后PFD可有效改善盆底肌力,促进盆底功能恢复,值得临床推广应用。
Objective To investigate the effects of biofeedback electrical stimulation combined with acupoint tuina on pelvic floor muscle strength and pelvic floor function in patients with postpartum pelvic floor dysfunction(PFD).Methods A total of 160 postpartum PFD patients in Jianyang Maternal and Child Health Hospital from January to December 2022 were selected and divided into control group and observation group according to the random number table method,with 80 cases in each group.The control group was treated with biofeedback electrical stimulation,while the observation group was treated with acupoint tuina on the basis of the control group,the clinical efficacy was evaluated after 8 weeks of treatment.The pelvic floor muscle strength of the patients was evaluated by biofeedback electrical stimulation therapy instrument before and after treatment.The Pelvic Floor Dysfunction Questionnaire-20(PFDI-20),Pelvic Floor Impact Questionnaire-7(PFIQ-7),Pelvic Instrument Prolapse/Urinary Incontinence Sexual Function Questionnaire-12(PISQ-12),and Pelvic Instrument Prolapse Quantitative Staging(POP-Q)were used to assess the patients'pelvic floor function,sexual function,and pelvic organ prolapse.Results After 8 weeks of treatment,the total effective rate of the control group(67.50%)was significantly lower than that of the observation group(81.25%),and the difference was statistically significant(P<0.05).After treatment,the fast muscle RMS,integrated muscle RMS and slow muscle RMS,and PISQ-12 scores of the observation group were significantly higher than those of the control group,while the PFDI-20 scores and PFIQ-7 scores were significantly lower than those of the control group,and the degree of improvement of the POP-Q in the observation group was better than that in the control group(P<0.05).Conclusion The combination of acupoint tuina and biofeedback electrical stimulation in the treatment of postpartum PFD can effectively improve pelvic floor muscle strength and promote the recovery of pelvic floor function,which is worthy
作者
罗玉华
陶颖
钟红霞
Luo Yuhua;Tao Ying;Zhong Hongxia(Department of Postpartum Health Care,Jianyang Maternal and Child Health Hospital,Jianyang Sichuan 641400,P.R.China)
出处
《中国计划生育和妇产科》
2024年第10期86-89,共4页
Chinese Journal of Family Planning & Gynecotokology
基金
四川省医学青年创新课题(项目编号:S20012A)。
关键词
盆底功能障碍性疾病
盆底功能训练
生物反馈电刺激
中医穴位推拿
盆底肌肌力
pelvic floor dysfunction
pelvic floor function training
biofeedback electrical stimulation
traditional Chinese medicine acupoint tuina
pelvic muscle strength
