摘要
目的:观察盆底磁刺激联合内脏松弛术在剖宫产术后盆底肌高张中的疗效。方法:本次临床研究拟选取2023年1月—2025年1月就诊于上饶市人民医院的剖宫产术后盆底肌高张患者80例作为研究对象,按随机数字表法将其分为对照组(n=40)和观察组(n=40),其中对照组给予盆底磁刺激治疗,观察组在对照组的基础上联合应用内脏松弛术治疗。对比两组盆底肌及盆骨带VAS评分、Ⅰ和Ⅱ类肌纤维肌力、盆底功能情况(前后静息电位、快慢肌收缩肌电位)、女性性功能指数量表(female sexual function index,FSFI)评分及最大尿流率(maximum urinary flow rate,Qmax)和排尿后残余尿量(post-void residual urine volume,PVR)水平。结果:治疗3个月后,相较于对照组,观察组的盆底肌及骨盆带VAS评分均较低(P<0.05);相较于对照组,观察组Ⅰ、Ⅱ类肌纤维肌力水平均较高(P<0.05);在盆底表面肌电方面,治疗3个月后两组均有明显改善(P<0.05),相较于对照组,观察组治疗3个月后的前、后静息电位均较低(P<0.05);两组快、慢肌收缩电位差异无统计学意义(P>0.05);治疗3个月后,相较于对照组,观察组FSFI中性欲、性唤起、阴道湿润度、性高潮、性生活满意度、性交疼痛评分水平均较高(P<0.05);相较于对照组,治疗3个月后,观察组Qmax水平较高,PVR较低(P<0.05);两组患者均未发现并发症。结论:盆底磁刺激联合内脏松弛术治疗剖宫产术后盆底肌高张能够有效缓解盆底肌及盆骨带疼痛程度、提升肌纤维肌力及改善盆底肌电静息电位及排尿情况,并且在性功能改善方面也更具优势,安全性良好。
Objective:To observe the efficacy of pelvic floor magnetic stimulation combined with visceral relaxation surgery in treating pelvic floor muscle hypertonia after cesarean section.Method:A total of 80 patients with pelvic floor muscle hypertonia after cesarean section who attended Shangrao People's Hospital from January 2023 to January 2025 were enrolled.They were randomly allocated by random-number table to a control group(n=40)and an observation group(n=40).Only pelvic-floor magnetic stimulation was received by the control group,while additional visceral relaxation technique was received by the observation group.Comparisons were made on pelvic-floor and pelvic-girdle VAS scores,strength of typeⅠand typeⅡmuscle fibers,surface electromyography(anterior and posterior resting potentials,fast-/slow-twitch contraction potentials),female sexual function index(FSFI)scores,maximum urinary flow rate(Qmax)and post-void residual urine volume(PVR).Result:After 3 months of treatment,VAS scores for pelvic-floor and pelvic-girdle pain in the observation group were lower than those in the control group(P<0.05);strength of typeⅠand typeⅡmuscle fibers in the observation group were higher than those in the control group(P<0.05);in terms of pelvic floor surface electromyography,both groups showed significant improvement after 3 months of treatment(P<0.05),the anterior and posterior resting potentials in the observation group after 3 months of treatment were lower than those in the control group(P<0.05);there were no statistically significant differences in the contraction potentials of fast and slow muscles between the two groups(P>0.05);after 3 months of treatment,the scores of sexual desire,sexual arousal,vaginal lubrication,orgasm,sexual satisfaction,and dyspareunia in the FSFI in the observation group were higher than those in the control group(P<0.05);after 3 months of treatment,the Qmax level in the observation group was higher than that in the control group,while the PVR in the observation group was lower than that in the control group(P<0.05).No complications were observed in either group of patients.Conclusion:Pelvic floor magnetic stimulation combined with visceral relaxation surgery effectively relieves pelvic floor and pelvic-girdle pain,increases muscle strength,improves resting electromyography parameters and voiding function,and offers superior sexual function improvements,with good safety,in patients with pelvic floor muscle hypertonia after cesarean section.
作者
邱阿芳
何家欣
李志雄
翁俊
陈玉霞
QIU Afang;HE Jiaxin;LI Zhixiong;WENG Jun;CHENYuxia(Anorectal and Pelvic Floor Surgery of Shangrao People's Hospital,Shangrao 334000,China;不详)
出处
《中国医学创新》
2025年第36期89-94,共6页
Medical Innovation of China
关键词
盆底磁刺激
内脏松弛术
剖宫产
术后盆底肌高张
Pelvic floor magnetic stimulation
Visceral relaxation surgery
Cesarean section
Postoperative pelvic floor muscle hypertonia
