摘要
目的:探讨内脏调理术联合盆底康复运动和神经肌肉电刺激治疗子宫脱垂的临床效果。方法:选取2022年1月至2024年5月于上饶市人民医院就诊的84例子宫脱垂患者为研究对象,根据随机数表法分为观察组(42例,内脏调理术联合盆底康复运动、神经肌肉电刺激治疗)和对照组(42例,盆底康复运动、神经肌肉电刺激治疗),比较两组患者的Glazer盆底表面肌电、盆底肌力牛津分级、盆腔器官脱垂定量(POP-Q)分度法评分、盆底彩色多普勒超声以及临床疗效。结果:治疗后两组患者耐受测试值、持续收缩值、快速收缩值均升高,且观察组高于对照组,差异具有统计学意义(P<0.05);治疗后观察组盆底肌力牛津分级Ⅲ级及以上占比高于对照组,差异具有统计学意义(P<0.05);治疗后两组患者POP-Q评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05);治疗后两组患者肛提肌裂孔面积、左右径和前后径均降低,且观察组低于对照组,差异具有统计学意义(P<0.05);观察组患者治疗总有效率为88.10 %,高于对照组的64.29 %,差异具有统计学意义(P<0.05)。结论:内脏调理术联合盆底康复运动和神经肌肉电刺激治疗子宫脱垂,可以提高盆底肌收缩功能,改善子宫脱垂症状,具有良好的治疗效果。
Objective To explore the clinical efficacy of visceral regulation combined with pelvic floor rehabilitation exercises and neuromuscular electrical stimulation in the treatment of uterine prolapse.Methods A total of 84 patients with uterine prolapse who visited Shangrao People’s Hospital from January 2022 to May 2024 were selected as the research subjects.According to random number table method,they were randomly divided into an observation group(42 cases,treated with visceral regulation combined with pelvic floor rehabilitation exercises and neuromuscular electrical stimulation)and a control group(42 cases,treated with pelvic floor rehabilitation exercises and neuromuscular electrical stimulation).The Glazer pelvic floor surface electromyography,Oxford grade of pelvic floor muscle strength,pelvic organ prolapse quantification(POP-Q)scoring,pelvic floor color Doppler ultrasound,and clinical efficacy were compared between the two groups.Results After treatment,the tolerance test values,sustained contraction values,and rapid contraction values increased in both groups,with the indexes of the observation group higher than those of the control group,and the differences were statistically significant(P<0.05).The proportion of patients with Oxford grade III or above in the observation group was higher than that in the control group after treatment,and the difference was statistically significant(P<0.05).The POP-Q score decreased in both groups after treatment,with the score of the observation group lower than that of the control group,and the difference was statistically significant(P<0.05).The area of the levator hiatus and the left-right and anterior-posterior diameters decreased in both groups after treatment,with the indexes of the observation group lower than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 88.10%,which was higher than 64.29%in the control group,and the difference was statistically significant(P<0.05).Conclusion Visceral regulation combined with pelvic floor rehabilitation exercises and neuromuscular electrical stimulation in the treatment of uterine prolapse can improve pelvic floor muscle contraction function and alleviate uterine prolapse symptoms,demonstrating good therapeutic effects.
作者
王萍
郑强
徐小妹
杨珊
WANG Ping;ZHENG Qiang;XU Xiaomei;YANG Shan(Department of rehabilitation medicine,Shangrao People’s Hospital,Jiangxi Shangrao 334000)
出处
《深圳中西医结合杂志》
2024年第23期5-8,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
上饶市科技计划一般项目(2023CZDX/53)。
关键词
子宫脱垂
内脏调理术
盆底康复运动
神经肌肉电刺激
Uterine prolapse
Visceral regulation
Pelvic floor rehabilitation exercises
Neuromuscular electrical stimulation
