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生物反馈电刺激联合盆底肌锻练对产后盆底器官康复的研究 被引量:29

Study on effect of bio-feedback electric stimulation combined with pelvic floor muscle exercise on recovery of pelvic organs after delivery
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摘要 目的:探讨生物反馈电刺激联合盆底肌锻练促进产后盆底组织器官功能恢复的效果观察。方法:245例初产妇随机分为观察组和对照组,对照组120例在产后第7天进行盆底肌训练,观察组125例在对照组基础上于产后42天进行生物反馈电刺激;产后3个月进行盆底组织器官评定。结果:观察组产妇盆底Oxford肌力评分、压力性尿失禁与对照组进行比较,差异有统计学意义(P<0.01);观察组产妇子宫复旧不良、子宫脱垂、阴道壁膨出、痔疮的发生率比对照组明显低(P<0.01),子宫后倾后屈、腰骶痛的发生率也比对照组低(P<0.05),膀胱膨出、腰围恢复孕前两组差异无统计学意义(P>0.05)。结论:生物反馈电刺激联合盆底肌训练有利于产后盆底组织器官功能的恢复,降低盆底功能障碍性疾病(PFD)的发生。 Objective: To explore the effect of bio - feedback electric stimulation combined with pelvic floor muscle exercise on recovery of pelvic organs after delivery. Methods : 245 primiparous women were divided into observation group and control group randomly, 120 primiparous women in control group received pelvic floor muscle exercise on the seventh day after delivery, while 125 primiparous women in observation group received bio -feedback electric stimulation on the 42nd day on the basis of control group ; then pelvic organs were evaluated on the third month after delivery. Results: There was significant difference in Oxford score of pelvic floor muscle and incidence of stress urinary incontinence between observation group and control group (P 〈 0. 01 ) ; the incidences of subinvolution of uterus, uterine prolapse, vaginal wall prolapse and hemorrhoids in observation group were significantly lower than those in control group (P 〈 0. 01 ) ; the incidences of uterine retroversio flexio and lumbosacral pain in observation group were significantly lower than those in control group ( P 〈 0. 05 ) ; there was no significant difference in incidence of cystocele and time of waist circumference back to pre - pregnancy between the two groups ( P 〉 0. 05 ) . Conclusion: Bio - feedback electric stimulation combined with pelvic floor muscle exercise is beneficial to recovery of pelvic organs after delivery, which may reduce the incidence of pelvic floor dysfunction (PFD) .
机构地区 河北省人民医院
出处 《中国妇幼保健》 CAS 北大核心 2010年第10期1419-1421,共3页 Maternal and Child Health Care of China
基金 河北省科学技术厅专项课题(062761217)
关键词 生物反馈电刺激 盆底肌训练 盆底组织器官 压力性尿失禁 Biofeedback electric stimulation Pelvic floor muscle exercise Pelvic organs Stress urinary incontinence
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参考文献14

  • 1郎景和,朱兰.女性盆底功能障碍的手术治疗评价[J].中国实用妇科与产科杂志,2005,21(4):204-205. 被引量:54
  • 2Strini T, BukoviD, RojeD et al. Epidemiology of pelvic floor disorders between urban and rural female inhabitants [ J] . Coil Antropol, 2007, 31 (2) : 483.
  • 3梁群,张倩平,黄敏,陶玉玲,张莉萍.盆底肌电刺激联合生物反馈盆底肌训练治疗女性压力性尿失禁的疗效观察[J].实用中西医结合临床,2008,8(5):34-35. 被引量:25
  • 4Laycock J, Haslam J. Therapeutic management of incontinence and pelvic pain [ M ] . London : Springer Vartag, 2002 : 45 - 49.
  • 5王小榕 翟桂荣 马乐.妊娠和分娩对产后尿失禁的影响.国外医学:妇产科学分册,2004,31(1):59-59.
  • 6周卫阳,吴二平,潘映红,陈月英.盆底肌功能训练预防和治疗产后尿失禁[J].中国妇幼保健,2007,22(13):1768-1769. 被引量:37
  • 7Viktrup L. The risk of lower urinary tracts symptoms five years after the first delivery [J]. Neourol Urodyn, 2002, 21 (1) : 2.
  • 8Anne D, Walling. Exercise to treat postpartum urinary incontinence [J].Am Fam Physician, 2002, 65 (7) : 1457.
  • 9Jonasson A, Larsson B, Pschera H. Testing and training of the pelvic floor muscles after childbirth [J]. Acta Obstet Gynecol Stand, 1989, 68 (4): 301.
  • 10McLennan MT, Melick CF, Alten Bet al. Patients knowledge of potential pelvic floor changes associated with pregnancy and delivery [J]. Int Urogyneeol J Pelvic Floor Dysfunct, 2006, 17 ( 1 ) : 22.

二级参考文献27

  • 1廖碧珍,周勤,徐晓阳,姚珍薇.产后系统指导盆底肌功能锻炼效果观察[J].护理学杂志(综合版),2004,19(14):72-73. 被引量:45
  • 2冯静,陈庚敏,张晓红,王建六.压力性尿失禁患者盆底电刺激治疗临床分析[J].中国妇产科临床杂志,2006,7(1):5-8. 被引量:52
  • 3杨勇,王晓康,姚启盛,陈立新,陈从波.功能性电刺激联合生物反馈盆底肌肉锻炼治疗女性压力性尿失禁[J].山东医药,2006,46(33):51-51. 被引量:21
  • 4Dietz HP,Wilson PD.Childbirth and pelvic floor trauma.Best Pract ResClin Obstet Gynaecol.2005 Dec; 19 (6):913~24.Epub 2005Sep 22
  • 5Dietz HP,Lanzarone V.Levator trauma after vaginal delivery.Obstet Gynecol.2005 oct,106 (4):707~12
  • 6Resnick NM.Voiding dysfunction in the elderly.Neurology and Urodynamics:Principles and Practice.New York,Macmillan,1988:34~37
  • 7Wilson PD,Herbison RM,Herbison GP.Obstetric practice and the prevalence of urinary incontinence three months after delivery.Br J Obstet Gynaecol.1996 Feb; IO3 (2):154~61
  • 8Morkved S,Bo K.Prevalence of urinary incontinence during pregnancy and postpartum.Int Urogynecol J Pelvic Floor Dysfunct,1999,10(6):394~8
  • 9Sultan AH,gongan AK,Stanton SL.The pelvic floor sequelae of childbirth.BrJ Hosp Med,1996,55:575~577
  • 10Handa VL,Harris TA,Ostergard DR.Protecting the pelvic floor:obstetric management to prevent incontinence and pelvic organ prolapses.Obstet Gynaecol,1996,88:470~478

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