生物反馈电刺激治疗促进女性产后盆底功能恢复的疗效研究

摘要

目的:探讨使用生物反馈电刺激治疗对女性产后盆底功能恢复的促进作用.方法:300例产后42d 恶露已经干净的哺乳期妇女,随机分为研究组和对照组各150例.研究组采用盆底康复治疗仪对产妇的盆底肌肉的肌力和肌纤维受损类型进行检测和评估,并进行以生物反馈、电刺激为主的盆底康复治疗,观察并探讨其临床效果.对照组只使用仪器检测并逐一记录,自然恢复,不使用仪器治疗.结果:治疗前盆底肌力分级≤Ⅳ级的259例,占86.3％,治疗1个疗程之后,与对照组相比,治疗组阴道压力、Ⅰ类、Ⅱ类肌纤维肌力等级明显改善(P＜0.05).结论:生物反馈、电刺激为主要治疗方法的盆底康复技术,结合家庭训练,可以有效提高产妇阴道内压力、增强盆底肌强度、提高生活质量.%Objective:To use biological feedback and electrical stimulation to treatment to promote the postpartum pelvic floor function recovery. Methods: 300 women at the rehabilitation of 42 days post delivery,were randomly divided into two groups. The study and the control group was 150 women invidually. The pelvic floor muscles strength and muscle fiber damage type was tested and evaluated,with the biofeedback,electrical stimulation as the main treatment at the rehabilitation,observation and study the clinical effect. Results:Before treatment at the classification level than 4 muscle strength in 259 cases,accounting for 86.3%,after one cause of treatment,compared with the control group,the vaginal pressure,kind I and II muscle strength were significantly improve in the study group(P<0.05). Conclusions:Biofeedback,electrical stimulation as the main treatment at the rehabilitation technology,combined with the family training,can effectively improve maternal vagina,strengthen the pelvic floor muscles pressure strength,improve the quality of life postpartum.