盆底肌功能锻炼与电刺激联合生物反馈治疗在全子宫切除术后的应用
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摘要
目的探究盆底肌功能锻炼与电刺激联合生物反馈治疗在全子宫切除术后的应用。方法选取2014年8月至2015年12月于广西桂平市人民医院盆底康复科就诊的全子宫切除术患者,分为研究组与对照组,每组60例,对照组行盆底肌功能锻炼治疗,研究组行盆底肌功能锻炼与电刺激联合生物反馈治疗。治疗后6个月观察两组问卷调查得分、盆底综合收缩力、盆腔器官脱垂分度、压力性尿失禁。结果研究组性生活质量平均得分为(111.4±9.3)分,明显高于对照组的(83.5±11.1)分,差异有统计学意义(P<0.001);研究组尿失禁生活质量平均得分为(89.3±7.5)分,明显高于对照组的(73.1±6.2)分,差异有统计学意义(P<0.001)。术前两组盆底综合收缩力、盆腔器官脱垂程度、压力性尿失禁情况比较差异无统计学意义(P>0.05);治疗后6个月,研究组盆底综合收缩力、压力性尿失禁情况明显优于对照组,差异有统计学意义(P<0.05),两组患者在盆腔器官脱垂程度比较,差异无统计学意义(P>0.05)。结论盆底肌功能锻炼与电刺激联合生物反馈治疗能够改善全子宫切除术后患者的盆底综合收缩力、压力性尿失禁情况,具有一定的应用价值。
Objective To explore application of pelvic floor muscle function training and electrical stimulation combined with biofeedback therapy after panhysterectomy.Methods Patients who underwent panhysterectomy and came to visit Pelvic Floor Rehabilitation Department of Guangxi Guiping People's Hospital from August,2014 to December,2015 were selected and divided into study group and control group with 60 cases in each group.The control group were given pelvic floor muscle function training,and based on which the study group were given electrical stimulation combined with biofeedback therapy.After 6 months of treatment,scores of questionnaire survey,comprehensive contraction force of pelvic floor,degree of pelvic organ prolapse and stress urinary incontinence of the two groups were observed.Results The average score of sex life quality in the study group was( 111.4±9.3),which was evidently higher than that of the control group( 83.5± 11.1),so difference was statistically significant( P<0.001).The average score of quality of life of patients who suffered stress urinary incontinence in the study group was( 89.3±7.5),which was evidently higher than that( 73.1±6.2) in the control group,so difference was statistically significant( P< 0. 001). There was no statistically significant difference in comprehensive contraction force of pelvic floor,degree of pelvic organ prolapse and stress urinary incontinence between the two groups before operation( P>0.05).However,6 months after treatment,comprehensive contraction force of pelvic floor and stress urinary incontinence of the study group were better than those of the control group,so difference was statistically significant( P< 0.05). Difference of degree of pelvic organ prolapse between the two groups was not statistically significant( P > 0. 05). Conclusion Pelvic floor muscle function training and electrical stimulation combined with biofeedback therapy can improve patients' comprehensive contraction force of pelvic floor and stress urinary incontinence after panhysterectomy,which has certain application value.
Objective To explore application of pelvic floor muscle function training and electrical stimulation combined with biofeedback therapy after panhysterectomy.Methods Patients who underwent panhysterectomy and came to visit Pelvic Floor Rehabilitation Department of Guangxi Guiping People's Hospital from August,2014 to December,2015 were selected and divided into study group and control group with 60 cases in each group.The control group were given pelvic floor muscle function training,and based on which the study group were given electrical stimulation combined with biofeedback therapy.After 6 months of treatment,scores of questionnaire survey,comprehensive contraction force of pelvic floor,degree of pelvic organ prolapse and stress urinary incontinence of the two groups were observed.Results The average score of sex life quality in the study group was( 111.4±9.3),which was evidently higher than that of the control group( 83.5± 11.1),so difference was statistically significant( P<0.001).The average score of quality of life of patients who suffered stress urinary incontinence in the study group was( 89.3±7.5),which was evidently higher than that( 73.1±6.2) in the control group,so difference was statistically significant( P< 0. 001). There was no statistically significant difference in comprehensive contraction force of pelvic floor,degree of pelvic organ prolapse and stress urinary incontinence between the two groups before operation( P>0.05).However,6 months after treatment,comprehensive contraction force of pelvic floor and stress urinary incontinence of the study group were better than those of the control group,so difference was statistically significant( P< 0.05). Difference of degree of pelvic organ prolapse between the two groups was not statistically significant( P > 0. 05). Conclusion Pelvic floor muscle function training and electrical stimulation combined with biofeedback therapy can improve patients' comprehensive contraction force of pelvic floor and stress urinary incontinence after panhysterectomy,which has certain application value.
引文
[1]欧璐,黄浩,王小婕.电刺激联合生物反馈治疗全子宫切除术后患者的疗效观察[J].中国中医药科技,2014,21(z1):62.
[2]张晓红,王建六,魏丽惠.盆腔器官脱垂的定量分度法及其临床应用[J].中华妇产科杂志,2005,40(3):203-205.
[3]任佳.盆底肌锻炼与电刺激联合生物反馈治疗对产后妇女盆底康复的效果观察[J].实用中西医结合临床,2014,14(6):45-46.
[4]杨梅.电刺激联合生物反馈治疗产后盆底肌康复效果分析[J].广西医科大学学报,2012,29(2):291-292.
[5]龙敏,董玉楠.电刺激联合生物反馈治疗压力性尿失禁患者的护理干预[J].护理实践与研究,2014,11(8):69-70.
[6]陈丽影,王燕婷.电刺激联合生物反馈治疗在产后盆底肌康复训练中的疗效[J].现代医药卫生,2015,31(Suppl2):37-39.
[7]赖影.盆底肌功能锻炼与电刺激联合生物反馈治疗产后盆底功能障碍的临床研究[J].黑龙江医学,2015,39(3):280-281.
[8]谢佳,武子先,周娅,等.电刺激联合生物反馈治疗对产妇产后盆底功能恢复的影响研究[J].临床合理用药杂志,2013,6(1B):99.
[9]康红,周利梅.电刺激联合生物反馈促进产后盆底功能恢复评估体系的建立[J].中华临床医师杂志:电子版,2015,9(8):1348-1351.
[10]梁荣丽,杨友好,欧阳小平.电刺激联合生物反馈治疗盆底脏器脱垂32例临床分析[J].海南医学,2010,21(12):87-88,86.
[2]张晓红,王建六,魏丽惠.盆腔器官脱垂的定量分度法及其临床应用[J].中华妇产科杂志,2005,40(3):203-205.
[3]任佳.盆底肌锻炼与电刺激联合生物反馈治疗对产后妇女盆底康复的效果观察[J].实用中西医结合临床,2014,14(6):45-46.
[4]杨梅.电刺激联合生物反馈治疗产后盆底肌康复效果分析[J].广西医科大学学报,2012,29(2):291-292.
[5]龙敏,董玉楠.电刺激联合生物反馈治疗压力性尿失禁患者的护理干预[J].护理实践与研究,2014,11(8):69-70.
[6]陈丽影,王燕婷.电刺激联合生物反馈治疗在产后盆底肌康复训练中的疗效[J].现代医药卫生,2015,31(Suppl2):37-39.
[7]赖影.盆底肌功能锻炼与电刺激联合生物反馈治疗产后盆底功能障碍的临床研究[J].黑龙江医学,2015,39(3):280-281.
[8]谢佳,武子先,周娅,等.电刺激联合生物反馈治疗对产妇产后盆底功能恢复的影响研究[J].临床合理用药杂志,2013,6(1B):99.
[9]康红,周利梅.电刺激联合生物反馈促进产后盆底功能恢复评估体系的建立[J].中华临床医师杂志:电子版,2015,9(8):1348-1351.
[10]梁荣丽,杨友好,欧阳小平.电刺激联合生物反馈治疗盆底脏器脱垂32例临床分析[J].海南医学,2010,21(12):87-88,86.