生物反馈、电刺激联合盆底肌锻炼对产后盆底康复的疗效观察The effect observation of biofeedback,electrical stimulation combined with pelvic floor muscle exercises for postpartum pelvic floor rehabilitation
储小燕;黄欧平;周江妍;娄俊;张倩平;梁群;黄敏;
摘要(Abstract):
目的:探讨生物反馈、电刺激联合盆底肌锻炼对产后盆底康复的疗效。方法:选择2010年6月至2011年6月江西省妇幼保健院产后6周的初产妇609例,肌力为Ⅱ~Ⅳ级,随机分为8组:锻炼组、电刺激组、生物反馈组、两两联合组(3组)、三者联合组、对照组。用Phenix盆底治疗仪检测各组产妇治疗前后Ⅰ、Ⅱ类盆底肌纤维及肌电位均值和疲劳度情况;采用ICI-Q-SF问卷、POP-Q量表、FSFI问卷分别判定产妇的尿失禁(SUI)、盆腔器官脱垂(POP)及性生活质量情况。结果:治疗后,各组盆底肌电位均值明显升高、疲劳度明显降低(P<0.01);三者联合组盆底脱垂情况较对照组明显改善(P<0.0042);盆底肌锻炼联合生物反馈、电刺激联合生物反馈、三者联合组SUI发生率较对照组显著降低(P<0.0042);两两联合、三者联合组性生活质量较对照组明显提高(P<0.0042)。结论:单纯、联合康复治疗对产后盆底康复均有疗效,其中电刺激联合生物反馈治疗、三者联合治疗具有协同效应。
关键词(KeyWords): 盆底肌锻炼;电刺激;生物反馈;产后康复;盆底功能障碍性疾病
基金项目(Foundation): 江西省科技厅计划支撑项目(No:2010BSA15400);; 江西省卫生厅科技攻关项目(No:20084006)
作者(Authors): 储小燕;黄欧平;周江妍;娄俊;张倩平;梁群;黄敏;
DOI: 10.13283/j.cnki.xdfckjz.2012.09.008
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