摘要
目的探析产后盆底肌肌力康复治疗中采用盆底肌训练及盆底电刺激的临床效果。方法通过随机数字表法将方便选取该院2016年1月—2019年1月收治的82例初产妇分为参照组和试验组,参照组(n=41)采取盆底肌训练,试验组(n=41)在参照组干预基础上加用盆底电刺激。比较两组治疗效果。结果治疗后,试验组总疗效为97.56%,高于参照组的82.93%,差异有统计学意义(χ^2=4.987,P=0.026);试验组治疗后的Ⅰ类肌纤维持续收缩压(49.65±7.96)cmH2O、持续时间(18.76±4.02)s和Ⅱ类肌纤维快速收缩时间(51.19±10.82)cmH2O、收缩个数(10.37±1.07)个优于参照组的(36.48±7.85)cmH2O、(10.54±3.95)s、(32.48±8.26)cmH2O、收缩个数(4.85±0.79)个,差异有统计学意义(t=7.543,P=0.000;t=9.339,P=0.000;t=8.801,P=0.000;t=26.575,P=0.000);试验组治疗后的盆底收缩压(67.50±12.46)mmHg和静息压(51.93±8.57)mmHg均高于参照组的(56.09±11.72)mmHg、(41.23±7.46)mmHg,差异有统计学意义(t=4.2710,P=0.000;t=6.030,P=0.000);两组治疗后的总体生活质量评分对比差异有统计学意义(t=4.905,P=0.000)。结论盆底电刺激及盆底肌训练联用于产后盆底肌肌力康复治疗中疗效可靠,有助于提高产妇的盆底肌肌力,改善生活质量,值得推广。
Objective To explore the clinical effect of pelvic floor muscle training and pelvic floor electric stimulation in postpartum pelvic floor muscle strength rehabilitation.Methods Convenient elect 82 cases of primipara curedin our hospital from January 2016 to January 2019 were divided into a reference group and a experimental group by random number table method.The reference group(n=41)received pelvic floor muscle training,and the experimental group(n=41)received pelvic floor electrical stimulation on the basis of the intervention of the reference group.The therapeutic effects of the two groups were compared.Results After treatment,the total curative effect of the experimental group was 97.56%,higher than 82.93%of the reference group,which was statistically significant(χ^2=4.987,P=0.026).The persistent systolic pressure(49.65±7.96)cmH2O and duration time(18.76±4.02)s of type I muscle and rapid contraction time(51.19±10.82)cmH2O and the number of contractions(10.37±1.07)of typeⅡmuscle in the experimental group were better than those(36.48±7.85)cmH2O,(10.54±3.95)s,(32.48±8.26)cmH2O in the reference group with contraction number(4.85±0.79),the difference was statistically significant(t=7.543,P=0.000;t=9.339,P=0.000;t=8.801,P=0.000;t=26.575,P=0.000);The pelvic floor systolic pressure(67.50±12.46)mmHg and resting pressure(51.93±8.57)mmHg in the experimental group were higher than those(56.09±11.72)mmHg,(41.23±7.46)mmHg in the reference group,the difference was statistically significant(t=4.271,P=0.000;t=6.030,P=0.000);After treatment,the overall quality of life score of the two groups was statistically significantly different(t=4.905,P=0.000).Conclusion Pelvic floor electrical stimulation and pelvic floor muscle training combined in the treatment of postpartum pelvic floor muscle strength rehabilitation is reliable,helpful to improve the maternal pelvic floor muscle strength,improve the quality of life,worthy of promotion.
作者
江絮萍
Jiang Xu-ping(Department of Obstetrics and Gynecology,Fujian General Hospital of the Chinese People’s Armed Police Force,Fuzhou,Fujian Province,350003 China)
出处
《中外医疗》
2019年第34期71-73,共3页
China & Foreign Medical Treatment
关键词
盆底肌肌力
盆底电刺激
康复治疗
盆底肌训练
Pelvic floor muscle strength
Pelvic floor electrical stimulation
Rehabilitation therapy
Pelvic floor muscle training
