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电刺激生物反馈治疗仪联合盆底肌训练对初次顺产产妇产后盆底功能的影响

Effect of electrostimulation biofeedback therapy combined with pelvic floor muscle training on postpartum pelvic floor function in first vaginal birth women

    摘要
  • 摘要:
    目的 探究电刺激生物反馈治疗仪联合盆底肌训练对初次顺产产妇产后盆底功能的影响。
    方法 回顾性分析初次顺产产妇的临床资料, 对照组49例予以盆底肌训练治疗，观察组49例在对照组基础上予以电刺激生物反馈治疗仪治疗。比较治疗前和治疗10周后2组产妇的子宫动脉血流指标子宫动脉收缩期峰值流速(PSV)、子宫动脉阻力指数(RI)、搏动指数(PI)、血清学指标C反应蛋白(CRP)、白细胞介素-6(IL-6)、盆底超声指标(膀胱颈移动度、肛提肌裂孔前后径、肛提肌裂孔容积)、盆底功能盆底功能障碍问卷(PFDI-20)、盆底肌肌力、生活质量生活质量测定量表简表(SF-36)。治疗结束后比较2种治疗方式的费用。
    结果 治疗10周后, 2组的PSV、Ⅰ类肌肌电位值、Ⅱ类肌肌电位值、SF-36评分均较治疗前提高，且观察组高于对照组，差异有统计学意义(P < 0.05); 2组的RI、PI、CRP、IL-6、膀胱颈移动度、肛提肌裂孔前后径、肛提肌裂孔容积和PFDI-20评分均较治疗前降低，且观察组低于对照组，差异有统计学意义(P < 0.05)。治疗后，观察组的治疗费用高于对照组，差异有统计学意义(P < 0.05)。
    结论 电刺激生物反馈治疗仪联合盆底肌训练能够有效改善初次顺产产妇产后子宫动脉血流指标、血清学指标、盆底超声指标、盆底肌肌力，促进盆底功能恢复。

     

    Abstract:
    Objective To explore the impact of electrostimulation biofeedback therapy combined with pelvic floor muscle training on postpartum pelvic floor function in first vaginal birth women.
    Methods A retrospective analysis was conducted on the clinical data of in first vaginal birth women. The control group (n=49) received pelvic floor muscle training, while the observation group (n=49) received electrostimulation biofeedback therapy in addition to pelvic floor muscle training. Comparisons were made between the two groups before treatment and 10 weeks after treatment in terms of uterine artery blood flow indicatorspeak systolic velocity (PSV), resistance index (RI), and pulsatility index (PI) of uterine artery, serological indicatorsC-reactive protein (CRP), interleukin-6 (IL-6), pelvic floor ultrasound indicators (bladder neck mobility, anteroposterior diameter of levator hiatal area, levator hiatal volume), pelvic floor function Pelvic Floor Distress Inventory-20 (PFDI-20), pelvic floor muscle strength, and quality of lifeShort Form-36 Health Survey (SF-36). The costs of the two treatments were compared at the end of treatment.
    Results Ten weeks after treatment, PSV, muscle potential values of type I and type II muscles, and SF-36 scores were significantly increased in both groups compared with those before treatment, with the observation group showing higher values than the control group (P < 0.05). RI, PI, CRP, IL-6, bladder neck mobility, anteroposterior diameter of levator hiatal area, levator hiatal volume, and PFDI-20 scores were decreased in both groups compared with those before treatment, with the observation group showing lower values than the control group (P < 0.05). After treatment, the treatment cost in the observation group was significantly higher than that in the control group (P < 0.05).
    Conclusion Electrostimulation biofeedback therapy combined with pelvic floor muscle training can effectively improve postpartum uterine artery blood flow indicators, serological indicators, pelvic floor ultrasound indicators, pelvic floor muscle strength, and promote pelvic floor function recovery in first vaginal delivery women.

     

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