摘要
目的:观察盆底康复训练联合生物电刺激对不同分娩方式产妇盆底功能障碍的治疗效果。方法:本院2016年9月—2018年5月收治的206例产后盆底功能障碍产妇分组,经阴道分娩并接受盆底康复训练(54例)、联合生物电刺激(50例)组,剖宫产盆底康复训练(50例)、联合生物电刺激(52例)。对比各组临床疗效。结果:治疗后总有效率联合生物刺激组高于盆底功能组,总肌电值、I与Ⅱ类肌纤维肌电值、II类肌纤维疲劳值各组均优于治疗前,且阴道分娩孕妇联合生物电刺激组最优(P<0.05),而I类肌纤维疲劳值与治疗前无差异(P>0.05);③阴道静息压、收缩压阴道分娩孕妇组低于剖宫产(P<0.05),且阴道分娩联合生物电刺激组最优(P<0.05)。结论:阴道分娩产妇盆底功能障碍程度高于剖宫产产妇,而盆底康复联合生物电刺激治疗不同分娩方式产妇盆底功能障碍均能取得显著的效果,且均优于单独盆底康复,且阴道分娩产妇盆底功能障碍恢复情况优于剖宫产产妇。
Objective:To observe the effect of pelvic floor rehabilitation training combined with bioelectrical stimulation for treating parturients with pelvic floor dysfunction after different delivery modes.Methods:From September 2016 to May 2018,206 parturients with pelvic floor dysfunction were divided into group A1 (n=54,underwent vaginal delivery and pelvic floor rehabilitation training),group A2 (n=50,underwent vaginal delivery and pelvic floor rehabilitation training combined with bioelectrical stimulation),group B1 (n=50,underwent cesarean section and pelvic floor rehabilitation training),and group B2 (n=52,underwent cesarean section and pelvic floor rehabilitation training combined with bioelectrical stimulation) according to different delivery modes and treatment method.The clinical efficacy of parturients was compared among the four groups.Results:After treatment,the total effective rate of parturients in group A2 and group B2 was significant higher than that of parturients in group A1 and group B1 (P <0.05).The total electromyographic value,class I and class II muscle fiber electromyographic values,and class II muscle fiber fatigue degrees of all parturients were significant better than those of parturients before treatment (P <0.05),and those of parturients in group A2 were the best (P <0.05),but there was no significant difference in class II muscle fiber fatigue degrees of parturients between before and after treatment (P >0.05).The vaginal rest pressure and systolic blood pressure of parturients in group A1 and group A2 were significant lower than those of parturients in group B1 and group B2 (P <0.05),and and those of parturients in group A2 were the lowest (P <0.05).Conclusion:The pelvic floor dysfunction degree of parturients underwent vaginal delivery is worse than that of parturients underwent cesarean section women.The pelvic floor rehabilitation training combined with bioelectrical stimulation for the treating parturients with pelvic floor dysfunction after different delivery modes is better than that of parturients treated by pelvic floor rehabilitation training alone.Moreover,after treatment,the situation of parturients underwent vaginal delivery is better than that of parturients underwent cesarean section.
作者
许敏
XU Min(The First Hospital of Wuhan City,Hubei Province,430022)
出处
《中国计划生育学杂志》
2019年第4期453-456,共4页
Chinese Journal of Family Planning
关键词
盆底功能障碍
盆底康复训练
生物电刺激
Pelvic floor dysfunction
Pelvic floor rehabilitation training
Bioelectrical stimulation
