[1]冯立雪,王　丹,高淑丽.盆底康复治疗仪联合盆底肌肉锻炼治疗女性盆底功能障碍疗效观察[J].新乡医学院学报,2021,38(7):634-638.[doi:10.7683/xxyxyxb.2021.07.007]
　FENG Lixue,WANG Dan,GAO Shuli.Effect of pelvic floor rehabilitation therapy instrument combined with pelvic floor muscle exercise in the treatment of female pelvic floor dysfunction[J].Journal of Xinxiang Medical University,2021,38(7):634-638.[doi:10.7683/xxyxyxb.2021.07.007]
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盆底康复治疗仪联合盆底肌肉锻炼治疗女性盆底功能障碍疗效观察
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年7
页码:
634-638
栏目:
临床研究
出版日期:
2021-07-05

文章信息/Info

Title:
Effect of pelvic floor rehabilitation therapy instrument combined with pelvic floor muscle exercise in the treatment of female pelvic floor dysfunction
作者:
冯立雪; 王　丹; 高淑丽
（新乡市中心医院孕妇儿童体检中心，河南　新乡　453000）
Author(s):
FENG Lixue; WANG Dan; GAO Shuli
（Physical Examination Center for Pregnant Women and Children，Xinxiang Central Hospital，Xinxiang 453000，Henan Province,China）
关键词:
盆底康复治疗仪; 盆底肌肉锻炼; 女性盆底功能障碍
Keywords:
pelvic floor rehabilitation therapy instrument; pelvic floor muscle exercise; female pelvic floor dysfunction
分类号:
R711.5
DOI:
10.7683/xxyxyxb.2021.07.007
文献标志码:
A
摘要:
目的　探讨盆底康复治疗仪联合盆底肌肉锻炼治疗女性盆底功能障碍的临床疗效。方法　选择 2018年10月至2020年2月新乡市中心医院收治的70例女性盆底功能障碍患者为研究对象，采用随机数字表法将患者分为对照组和观察组，每组35例。对照组患者施以盆底肌肉锻炼治疗，观察组施以盆底康复治疗仪联合盆底肌肉锻炼治疗。治疗2个月后，比较2组患者的临床治疗总有效率、盆底肌力评分、生活质量评分、性功能障碍缓解率、尿失禁缓解率、慢性盆腔痛缓解率及临床治疗满意度。结果　观察组患者的临床治疗总有效率显著高于对照组（χ2=7.467，P<0.05）。治疗前，观察组患者手测盆底肌力评分、盆底Ⅰ类肌纤维肌电值、盆底Ⅱ类肌纤维肌电值、盆底Ⅰ类肌纤维疲劳度评分、盆底Ⅱ类肌纤维疲劳度评分与对照组比较差异无统计学意义（P>0.05）。治疗2个月后，2组患者手测盆底肌力评分、盆底Ⅰ类肌纤维肌电值、盆底Ⅱ类肌纤维肌电值均显著高于治疗前（P<0.05），盆底Ⅰ类肌纤维疲劳度评分、盆底Ⅱ类肌纤维疲劳度评分均显著低于治疗前（P<0.05）。治疗2个月后，观察组患者手测盆底肌力评分、盆底Ⅰ类肌纤维肌电值、盆底Ⅱ类肌纤维肌电值显著高于对照组（P<0.05），盆底Ⅰ类肌纤维疲劳度评分及盆底Ⅱ类肌纤维疲劳度评分显著低于对照组（P<0.05）。治疗2个月后，观察组患者躯体化强迫、人际关系、敌对、抑郁、恐怖、焦虑、偏执、精神病性方面评分均显著低于对照组（P<0.05）；观察组患者的性功能障碍缓解率、尿失禁缓解率、慢性盆腔痛缓解率均显著高于对照组（P<0.05）。观察组患者的临床治疗总满意度显著高于对照组（P<0.05）。结论　盆底康复治疗仪联合盆底肌肉锻炼治疗对女性盆底功能障碍患者具有良好的临床疗效，能够有效提高临床治疗有效率，改善患者盆底肌力状况，提升患者生活满意度。
Abstract:
Objective　To investigate the clinical effect of pelvic floor rehabilitation therapy instruments combined with pelvic floor muscle exercise in the treatment of female pelvic floor dysfunction.Methods　A total of 70 female patients with pelvic floor dysfunction admitted to Xinxiang Central Hospital from October 2018 to February 2020 were selected as the research objects.The patients were randomly divided into the control group and observation group，with 35 cases in each group.The patients in the control group received pelvic floor muscle exercise therapy，and the patients in the observation group received pelvic floor rehabilitation therapy instruments combined with pelvic floor muscle exercise therapy.After two months of treatment,the total effective rate，pelvic floor muscle strength score,quality of life score,rate of sexual dysfunction remission，rate of urinary incontinence remission,rate of chronic pelvic pain remission and patients′ satisfaction for clinical treatment were compared between the two groups.Results　The total effective rate of clinical treatment in the observation group was significantly higher than that in the control group (χ2=7.467,P<0.05).Before treatment,there was no significant difference in the hand-measured pelvic floor muscle strength score，myoelectric value of pelvic floor type Ⅰ muscle fiber，myoelectric value of pelvic floor type Ⅱ muscle fiber，pelvic floor type Ⅰ muscle fiber fatigue score，and pelvic floor type Ⅱ muscle fiber fatigue score of patients between the control group and observation group (P>0.05).After two months of treatment，the hand-measured pelvic floor muscle strength score,myoelectric value of pelvic floor type Ⅰ muscle fiber and myoelectric value of pelvic floor type Ⅱ muscle fiber of patients were significantly higher than those before treatment in the two groups (P<0.05),the pelvic floor type Ⅰ muscle fiber fatigue score and pelvic floor type Ⅱ muscle fiber fatigue score of patients were significantly lower than those before treatment in the two groups (P<0.05).After two months of treatment，the hand-measured pelvic floor muscle strength score，myoelectric value of pelvic floor type Ⅰ muscle fiber and myoelectric value of pelvic floor type Ⅱ muscle fiber of patients in the observation group were significantly higher than those in the control group (P<0.05)，the pelvic floor type Ⅰ muscle fiber fatigue score and pelvic floor type Ⅱ muscle fiber fatigue score were significantly lower than those in the control group (P<0.05).After two months of treatment,the scores of compulsiveness，interpersonal relationship，hostility，depression，horror，anxiety，paranoia and psychosis of patients in the observation group were significantly lower than those in the control group (P<0.05).After two months of treatment,the remission rate of sexual dysfunction，urinary incontinence and the chronic pelvic pain of patients in the observation group were significantly higher than those in the control group (P<0.05),the total satisfaction with clinical treatment in the observation group was significantly higher than that in the control group (P<0.05).Conclusion　The pelvic floor rehabilitation therapy instrument combined with pelvic floor muscle exercise therapy has a good clinical effect on female patients with pelvic floor dysfunction，which can effectively increase the clinical treatment efficiency，improve the patient′s pelvic floor muscle strength，and preomote the patient′s life satisfaction.

参考文献/References:

［1］　ROMEIKIEN E·K E，BARTKEVI CˇIEN E·D.Pelvic-floor dysfunction prevention in prepartum and postpartum periods ［J］.Medicina (Kaunasp)，2021，57(4):387.
［2］　TENNFJORD M K，ENGH M E，B K.The influence of early exercise postpartum on pelvic floor muscle function and prevalence of pelvic floor dysfunction 12 months postpartum ［J］.Phys Ther,2020,100(9):1681-1689.
［3］　WU J M,HUNDLEY A F,FULTON R G,et al.Forecasting the prevalence of pelvic floor disorders in U.S.Women:2010 to 2050 ［J］.Obstet Gynecol,2009,114(6):1278-1283.
［4］　孟晓静,李旻,王少为.中老年女性盆底功能障碍性疾病的临床研究进展［J］.中国老年保健医学，2021，19(2):94-97.
［5］　FATTON B,AMBLARD J,DEBODINANCE P,et al.Transvaginal repair of genital prolapse:preliminary results of a new tension-free vaginal mesh (prolift technique)：a case series multicentric study［J］.Int Urogynecol J Pelvic Floor Dysfunct,2007,18(7):743-752.
［6］　于云燕.盆底康复治疗仪结合盆底肌肉锻炼治疗女性盆底功能障碍的疗效分析［J］.临床医药文献电子杂志，2020，7(23):19.DOI:10.16281/j.cnki.jocml.2020.23.017.
［7］　陈新明,巴静,邓颖莹.盆底康复治疗仪联合盆底肌肉锻炼治疗女性盆底功能障碍的临床效果［J］.中国当代医药，2020，27(2):117-119,123.
［8］　杨延玲,孙凤艳,李天珍.盆底康复治疗仪结合人工按摩治疗女性盆底功能障碍及急迫性尿失禁的疗效观察［J］.临床护理杂志,2016,15(6):35-37.
［9］　BAG SOYTAS R,SOYTAS M,DANACIOGLU Y O,et al.Relationship between the types of urinary incontinence，handgrip strength，and pelvic floor muscle strength in adult women ［J］.Neurourol Urodyn,2021,Online ahead of print.DOI:10.1002/nau.24699.
［10］　潘玲佩,倪旭红,朱敏.盆底生物反馈电刺激和盆底肌肉锻炼治疗产后女性性功能障碍的疗效［J］.中国妇幼保健,2021,36(9):2022-2025.
［11］　许盛飞,秦保龙,杜广辉,等.经尿道联合经阴道Smooth模式铒激光照射治疗女性压力性尿失禁的疗效评价［J］.临床泌尿外科杂志,2021，36(6):481-484.
［12］　张庆华,余妙玲.经皮低频脉冲电刺激联合药物治疗盆腔炎性疾病所致女性慢性盆腔痛的效果评价［J］.临床医学工程,2018,25(6):705-706.
［13］　张利.电刺激联合生物反馈治疗女性盆底功能障碍性疾病的效果观察［J］.实用医技杂志，2021，28(5):634-635.
［14］　张璐,郑萍,孙如意,等.生物反馈联合电刺激在女性盆底功能障碍性疾病治疗中的临床应用［J］.现代生物医学进展,2017，17(7):1263-1265,1285.
［15］　WALLACE S L,MILLER L D,MISHRA K.Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women［J］.Curr Opin Obstet Gynecol,2019，31(6):485-493.
［16］　夏欢.雌激素联合盆底康复治疗仪在女性盆底功能障碍中的应用［J］.护理实践与研究，2020，17(16):97-98.
［17］　赖雪梅,邓雨峰,张海燕,等.生物反馈-电刺激对产后盆底脏器脱垂的效果研究［J］.西南大学学报(自然科学版)，2021，43(3):24-29.
［18］　SIGURDARDOTTIR T，STEINGRIMSDOTTIR T，GEIRSSON R T,et al.Can postpartum pelvic floor muscle training reduce urinary and anal incontinence:an assessor-blinded randomized controlled trial［J］.Am J Obstet Gynecol,2020，222(3):247.
［19］　杨欣.盆底康复治疗仪在女性盆底功能障碍中的应用［J］.中国医疗器械信息,2021,27(8):20-21,98.
［20］　段文艳,李倩,王嵩川.盆底肌康复治疗产后女性性功能障碍的疗效观察［J］.中国临床医生杂志，2018，46(1):94-96.

更新日期/Last Update: 2021-07-05