[1]李宇琪,刘海意,吴媛媛,等.生物反馈联合电刺激和Kegel训练治疗产后盆底功能障碍性疾病疗效观察[J].新乡医学院学报,2017,34(7):619-622.[doi:10.7683/xxyxyxb.2017.07.017]
　LI Yu-qi,LIU Hai-yi,WU Yuan-yuan,et al.Effect of biofeedback combined with electrical stimulation and Kegel training in the treatment of postpartum pelvic floor dysfunction[J].Journal of Xinxiang Medical University,2017,34(7):619-622.[doi:10.7683/xxyxyxb.2017.07.017]
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生物反馈联合电刺激和Kegel训练治疗产后盆底功能障碍性疾病疗效观察
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年7
页码:
619-622
栏目:
临床研究
出版日期:
2017-07-05

文章信息/Info

Title:
Effect of biofeedback combined with electrical stimulation and Kegel training in the treatment of postpartum pelvic floor dysfunction
作者:
李宇琪; 刘海意; 吴媛媛; 龚　洵
（华中科技大学同济医学院附属同济医院妇产科，湖北　武汉　430030）
Author(s):
LI Yu-qi; LIU Hai-yi; WU Yuan-yuan; GONG Xun
（Department of Obstetrics and Gynecology，Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430030，Hubei Province，China）
关键词:
盆底功能障碍性疾病; 压力性尿失禁; 盆腔器官脱垂; 生物反馈; 电刺激; Kegel训练
Keywords:
pelvic floor dysfunction; stress urinary incontinence; pelvic organ prolapse; biofeedback; electrical stimulation; Kegel training
分类号:
R323.3
DOI:
10.7683/xxyxyxb.2017.07.017
文献标志码:
A
摘要:
目的　探讨生物反馈联合电刺激和Kegel训练治疗产妇盆底功能障碍性疾病（PFD）的临床效果。方法　选择2015年9月至2016年12月华中科技大学同济医学院附属同济医院收治的产后PFD患者156例，根据治疗方法分为观察组（n=81）和对照组（n=75），2组患者均于产后6周起开始治疗，观察组患者给予生物反馈联合电刺激治疗，同时配合Kegel训练；对照组患者仅给予Kegel训练。对治疗前后2组产妇的盆底肌肉表面肌电参数值、压力性尿失禁（SUI）及盆腔器官脱垂（POP）症状改善情况进行比较。结果　治疗前2组患者盆底肌肉表面肌电值比较差异无统计学意义（P>0.05）；2组患者治疗后盆底肌肉表面肌电值在静息阶段、快肌评估阶段、10 s慢肌阶段及60 s慢肌阶段显著高于治疗前（P<0.05），但2组患者治疗前后盆底肌肉表面肌电值在后静息阶段比较差异无统计学意义（P>0.05）；治疗后，观察组患者盆底肌肉表面肌电值在快肌评估阶段、10s慢肌阶段及60s慢肌阶段显著高于对照组（P<0.05），但2组患者盆底肌肉表面肌电值在静息阶段、后静息阶段比较差异无统计学意义（P>0.05）。对照组和观察组治疗前SUI患者分别为53、60例，治疗后分别为21、15例，观察组SUI患者治疗效果显著优于对照组（χ2=5.06，P<0.05）。对照组治疗前POP Ⅰ度25例，Ⅱ度5例；治疗后POP Ⅰ度15例，Ⅱ度4例。观察组治疗前POP Ⅰ度26例，Ⅱ度6例；治疗后POP Ⅰ度8例，Ⅱ度3例。观察组POP患者治疗效果显著优于对照组（χ2=13.96，P<0.05）。结论　生物反馈联合电刺激和Kegel训练能显著改善PFD患者盆底肌张力，降低SUI及POP发生率。
Abstract:
Objective　To investigate the clinical effect of biofeedback combined with electrical stimulation and Kegel training on pelvic floor dysfunction （PFD） in puerpera.Methods　A total of 156 patients with postpartum PFD were selected from September 2015 to December 2016 in Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology.The patients were divided into observation group （n=81） and control group （n=75） according to the treatment methods.The patients in the two groups were treated at 6 weeks after childbirth.The patients in the observation group were treated with biofeedback combined with electrical stimulation and Kegel training，and the patients in the control group received Kegel training only.The pelvic floor electromyography parameters，stress urinary incontinence （SUI） and pelvic organ prolapse（POP） symptoms were compared between the two groups before and after treatment.Results　There was no significant difference in surface myoelectric voltages of pelvic floor muscles between the two groups before treatment （P>0.05）.The surface myoelectric voltages of pelvic floor muscles at the resting phase，the rapid muscle evaluation phase，the 10 s slow muscle phase and the 60 s slow muscle phase after treatment were significantly higher than those before treatment in the two groups （P<0.05）.However，there was no significant difference in surface myoelectric voltage of pelvic floor muscles at the post-resting stage between the two groups before and after treatment （P>0.05）.The surface myoelectric voltages of pelvic floor muscles at the rapid muscle evaluation phase，the 10 s slow muscle phase and the 60 s slow muscle phase in the observation group were significantly higher than those in the control group after treatment （P<0.05）.However，there was no significant difference in surface myoelectric voltage of pelvic floor muscles at the restingstage and the post-resting stage between the two groups after treatment （P>0.05）.There were 53 and 60 cases of SUI in the control group and observation group before treatment,and there were 21 and 15 cases of SUI in the control group and observation group after treatment,the curative effect of SUI patients in the observation group was better than that in the control group （χ2=5.06，P<0.05）.There were 25 cases of grade Ⅰ POP and 5 cases of grade Ⅱ POP in the control group before treatment,and there were 15 cases of grade Ⅰ POP and 4 cases of grade Ⅱ POP in the control group after treatment.There were 26 cases of grade Ⅰ POP and 6 cases of grade Ⅱ POP in the observation group before treatment,and there were 8 cases of grade Ⅰ POP and 3 cases of grade Ⅱ POP in the observation group after treatment.The curative effect of POP patients in the observation group and better than that in the control group（χ2=13.96，P<0.05）.Conclusion　Biofeedback combined with electrical stimulation and Kegel training can significantly improve pelvic floor muscle tension and reduce the incidence of SUI and POP in PFD patients.

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更新日期/Last Update: 2017-07-05