电刺激与生物反馈康复治疗对改善产妇产后盆底肌力、疲劳度的临床效果分析
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摘要
目的探讨产妇接受电刺激与生物反馈康复治疗对改善其产后盆底肌力、疲劳度的临床效果。方法以2017年5月～2018年5月本院100例初产妇为研究对象,通过计算机随机化法分为实验组(n=50)和对照组(n=50),对照组实施盆底肌锻炼治疗,实验组则实施电刺激与生物反馈康复治疗,分析两组产妇干预后盆底肌疲劳度、盆底肌肉张力的差异。结果实验组产妇Ⅱ、Ⅲ、Ⅳ级肌力的Ⅰ类、Ⅱ类肌纤维疲劳度值均低于对照组,差异有统计学意义(P<0.05);实验组产妇的阴道收缩压、阴道静息压均高于对照组,其收缩持续时间长于对照组,差异有统计学意义(P<0.05)。结论产妇接受电刺激与生物反馈康复治疗,可有效改善其产后盆底肌力以及疲劳度。
Objective To investigate the clinical effects of electrical stimulation and biofeedback rehabilitation on improving postpartum pelvic floor muscle strength and fatigue in puerperas. Methods 100 primiparas in our hospital from May 2017 to May 2018 were selected as experimental subjects. The patients were divided into experimental group(n=50)and control group(n=50) according to computerized randomization method. The control group was treated with pelvic floor muscle strength exercise therapy, and the experimental group was treated with electrical stimulation and biofeedback rehabilitation treatment. The difference in intervention pelvic floor muscle fatigue and pelvic floor muscle tension between two groups after intervention was analyzed. Results The fatigue values of type Ⅰ and type Ⅱ muscle fibers of the Ⅱ, Ⅲ and Ⅳ muscles in the experimental group were lower than those in the control group, and the difference was statistically significant(P<0.05). The vaginal systolic pressure and vaginal rest pressure in the experimental group were higher than those of the control group, and the contraction duration in the experimental group was longer than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Electrical stimulation and biofeedback rehabilitation received inpuerperascan effectively improve their postpartum pelvic floor muscle strength and fatigue.
Objective To investigate the clinical effects of electrical stimulation and biofeedback rehabilitation on improving postpartum pelvic floor muscle strength and fatigue in puerperas. Methods 100 primiparas in our hospital from May 2017 to May 2018 were selected as experimental subjects. The patients were divided into experimental group(n=50)and control group(n=50) according to computerized randomization method. The control group was treated with pelvic floor muscle strength exercise therapy, and the experimental group was treated with electrical stimulation and biofeedback rehabilitation treatment. The difference in intervention pelvic floor muscle fatigue and pelvic floor muscle tension between two groups after intervention was analyzed. Results The fatigue values of type Ⅰ and type Ⅱ muscle fibers of the Ⅱ, Ⅲ and Ⅳ muscles in the experimental group were lower than those in the control group, and the difference was statistically significant(P<0.05). The vaginal systolic pressure and vaginal rest pressure in the experimental group were higher than those of the control group, and the contraction duration in the experimental group was longer than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Electrical stimulation and biofeedback rehabilitation received inpuerperascan effectively improve their postpartum pelvic floor muscle strength and fatigue.
引文
[1]孙智晶,朱兰,郎景和,等.产后盆底康复锻炼对女性盆底功能障碍性疾病的预防作用[J].中华妇产科杂志,2015,63(6):420-427.
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[12]欧阳才颜,周小燕,罗一平,等.盆底肌力强度在产后压力性尿失禁发生的预测和干预中的作用研究[J].中国实用医药,2016,11(27):149-150.
[13]刘艾欣.生物反馈电刺激疗法及盆底肌锻炼对产后盆底肌力康复的影响[J].护理实践与研究,2018,15(19):81-83.
[14]袁苗,刘广丽,姜卫国,等.产后早期电刺激与生物反馈治疗对盆底功能的影响[J].山东医药,2015,55(45):29-31.
[15]刘青,程慧,井松梅,等.生物反馈电刺激联合盆底肌肉康复训练对产后盆底肌肉功能的影响[J].护理研究,2018,32(17):2781-2783.
[2]史红梅,龚林,董玉楠,等.电刺激联合生物反馈治疗用于产妇产后盆底康复的临床效果观察[J].中国临床护理,2018,10(4):317-319,322.
[3]袁光辉,潘思安,包正军,等.心理护理干预联合生物反馈电刺激对产后盆底肌肌力恢复的临床疗效观察[J].护士进修杂志,2017,32(22):2075-2078.
[4]付丽侠.妊娠和分娩对盆底功能的影响及早期生物反馈联合电刺激治疗的近期和远期疗效观察[J].中国妇幼保健,2016,31(23):4959-4961.
[5]兰红霞,成玲芳,邓燕妮,等.生物反馈联合电刺激及盆底肌锻炼对产妇盆底康复的影响[J].护理实践与研究,2017,14(22):74-75.
[6]刘馨,邵琳,刘巍,等.分析生物反馈电刺激结合盆底肌训练对初产妇产后盆底肌功能康复的效果[J].中国妇幼保健,2018,33(11):2432-2434.
[7]王晓阳,杨丽霞.孕期联合产后盆底锻炼对预防盆底功能障碍性疾病的研究[J].护士进修杂志,2016,31(6):495-498.
[8]刘浏,张妤,卫兵,等.3种盆底康复训练治疗产后盆底肌力的疗效分析[J].安徽医学,2015,36(5):522-525.
[9]林蓓蓓,祖月娥,范幸,等.盆底肌锻炼联合电刺激及生物反馈治疗产后盆底肌力下降的疗效分析[J].中华生物医学工程杂志,2015,21(6):545-548.
[10]韦筱梦.电刺激与生物反馈康复治疗对改善产妇产后盆底肌力、疲劳度的临床效果分析[J].中国社区医师,2017,33(7):168-169.
[11]覃惠萍.产后存在盆底功能障碍的产妇进行盆底生物反馈电刺激康复治疗的效果探讨[J].当代医药论丛,2017,15(2):68-69.
[12]欧阳才颜,周小燕,罗一平,等.盆底肌力强度在产后压力性尿失禁发生的预测和干预中的作用研究[J].中国实用医药,2016,11(27):149-150.
[13]刘艾欣.生物反馈电刺激疗法及盆底肌锻炼对产后盆底肌力康复的影响[J].护理实践与研究,2018,15(19):81-83.
[14]袁苗,刘广丽,姜卫国,等.产后早期电刺激与生物反馈治疗对盆底功能的影响[J].山东医药,2015,55(45):29-31.
[15]刘青,程慧,井松梅,等.生物反馈电刺激联合盆底肌肉康复训练对产后盆底肌肉功能的影响[J].护理研究,2018,32(17):2781-2783.