摘要
目的:探讨盆底肌肉锻炼(PFME)联合仿生物电刺激(BES)对阴道分娩产妇产后盆底肌功能康复效果。方法:回顾性分析2021年12月-2023年12月本院阴道分娩产后盆底功能障碍患者102例临床资料。根据治疗方案的不同分组,采用PFME治疗者纳入对照组(n=53),采用PFME联合BES治疗者纳入观察组(n=49)。两组均于产后42~50d开始治疗,持续治疗1个月。比较两组治疗前后盆底肌肌力(Oxford压力手测法)、肌电波幅、疲乏程度(盆底肌电变异系数)、超声参数(膀胱颈活动度、尿道旋转角度)。结果:治疗后,两组盆底肌各参数指标均得到改善,且观察组盆底肌肌力(3.37±1.02)和电位活动值均高于对照组(2.98±0.88),盆底肌疲乏度、膀胱颈活动度(12.47±3.34 mm)、尿道旋转角度(25.65±6.90)°均低于对照组[14.39±3.70 mm、(29.26±7.21)°](均P<0.05)。结论:PFME联合BES可更有效恢复阴道分明产妇产后盆底肌收缩功能,增强盆底肌张力并改善疲乏度,纠正膀胱颈及尿道结构,从而减轻盆底肌障碍。
Objective:To explore the effect of the postpartum pelvic floor(PF)function rehabilitation of the pelvic floor muscle exercise(PFME)combined with the bionic electrical stimulation(BES)for treating puerperae with vaginal delivery(VD).Methods:The clinical data of 102 puerperae with VD and postpartum pelvic floor dysfunction from December 2021 to December 2023 were analyzed retrospectively.According to the different treatment regimens,these puerperae were divided 53 puerperae with treatment of PFME in control group and 49 puerperae with treatment of PFME combined with BES in observation group.The puerperae in both groups were begun to treat in 42-50 days after delivery and were continued treatment for 1 month.The PF muscle strength by Oxford pressure hand test,the electromyography amplitude of PF muscle,the fatigue degree of PF muscle evaluated by pelvic floor electromyography variation coefficient and the ultrasound parameters of PF muscle,such as bladder neck mobility and urethral rotation angle,of the puerperae before and after treatment were compared between groups.Results:The parameters values of PF muscle of the puerperae in the two groups after treatment had improved significantly,and the PF muscle strength(3.37±1.02)of the PF muscle of the puerperae in the observation group was significantly higher than that(2.98±0.88)of the puerperae in the control group and the potential activity value of the PF muscle in the observation group was also significantly higher.The degree of the pelvic PF fatigue of the puerperae in the observation group was significantly lower than that of the puerperae in the control group,and the bladder neck mobility(12.47±3.34 mm)and the urethral rotation angle(25.65±6.90°)of the puerperae in the observation group were significantly lower than those(14.39±3.70 mm and 29.26±7.21°)of the puerperae in the control group(all P<0.05).Conclusion:PFME combined with BES for treating the puerperae with VD can effectively restore their PF muscle systolic function,enhance their PF muscle tension and improve their PF muscle fatigue and can correct the structure of their bladder neck and urethra construction,and thus can relieve their PF muscle disorder.
作者
厉巧兰
吴单
王露芽
LI Qiaolan;WU Dan;WANG Luya(Zhejiang University of Traditional Chinese Medicine,Hangzhou,Zhejiang Province,310000;Dongyang People's Hospital,Jinhua,Zhejiang Province)
出处
《中国计划生育学杂志》
2024年第6期1364-1369,共6页
Chinese Journal of Family Planning
关键词
阴道分娩产后
产后盆底功能障碍
盆底肌肉锻炼
仿生物电刺激
盆底肌参数
康复效果
Postpartum women with vaginal delivery
Postpartum pelvic floor dysfunction
Pelvic floor muscle exercise
Bionic electrical stimulation
Pelvic floor muscle parameters
Rehabilitation effect
