目的:探讨电刺激生物反馈疗法联合盆底功能锻炼治疗产后盆腔器官脱垂的临床效果。
方法:将104例产后盆腔器官脱垂患者随机分为两组。对照组52例,给予盆底功能锻炼。研究组52例患者给予电刺激生物反馈治疗联合盆底功能锻炼。临床疗效,盆底压力(收缩压力,静息压力,收缩持续时间),改善盆底脱垂,盆底表面肌肉电位,比较两组性生活质量和生活质量(PFIQ-7评分和PFDI-20评分)。
结果:治疗后,研究组总有效率高于对照组(P<0.05)。收缩压力,两组的静息压力和阴道收缩持续时间均增加,研究组各项指标均高于对照组(P<0.05)。两组盆底脱垂程度趋于0度和I度,研究组改善情况优于对照组(P<0.05)。静息阶段的平均值和最大平均值,两组的耐力测试阶段和休息阶段均增加,和快速的肌肉收缩时间,快速肌肉松弛时间和变异性值均下降,研究组改善情况优于对照组(P<0.05)。性满意度的分数,性焦虑,性交流,性反应,两组的性态度和性身体形象都有所提高,研究组评分高于对照组(P<0.05)。两组的PFIQ-7和PFDI-20得分均下降,研究组评分低于对照组(P<0.05)。
结论:电刺激生物反馈疗法联合盆底功能锻炼疗效显著,可明显缓解盆底脱垂,提高患者的性生活和生活质量。
OBJECTIVE: To investigate the clinical effect of electrical stimulation biofeedback therapy combined with pelvic floor functional exercise on postpartum pelvic organ prolapse.
METHODS: One hundred and four patients with postpartum pelvic organ prolapse were randomly divided into two groups. There were 52 patients in the control group who were given pelvic floor function exercise. Another 52 patients in the study group were given electrical stimulation biofeedback therapy combined with pelvic floor functional exercises. The clinical efficacy, pelvic floor pressure (contraction pressure, resting pressure, contraction duration), improvement of pelvic floor prolapse, pelvic floor surface muscle potential, quality of sex life and quality of life (PFIQ-7 score and PFDI-20 score) were compared between the two groups.
RESULTS: After the therapy, the total effective rate of the study group was higher than that of the control group (P<0.05). The contraction pressure, resting pressure and vaginal contraction duration of the two groups all increased, and the indexes of the study group were higher than those of the control group (P<0.05). The pelvic floor prolapse degree of the two groups tended to be 0 degrees and I light, and the improvement of the study group was better than that of the control group (P<0.05). The average and maximum average values of the resting stage, endurance test stage and re-resting stage of the two groups all increased, and the fast muscle contraction time, fast muscle relaxation time and variability value all decreased, and the improvement of the study group was better than that of the control group (P<0.05). The scores of sexual satisfaction, sexual anxiety, sexual communication, sexual reaction, sexual attitude and sexual body image of the two groups all increased, and the scores of the study group were higher than those of the control group (P<0.05). The scores of PFIQ-7 and PFDI-20 in the two groups all decreased, and the scores of the study group were lower than those of the control group (P<0.05).
CONCLUSIONS: Electrical stimulation biofeedback therapy combined with pelvic floor functional exercise has a noticeable curative effect and can significantly alleviate pelvic floor prolapse and improve the sex life and quality of life of patients.