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中国初级卫生保健:2023,37(9):95-106
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神经肌肉治疗仪结合盆底肌锻炼治疗 产后盆底功能障碍效果分析
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中文摘要: 摘 要:目的:探讨神经肌肉治疗仪结合盆底肌锻炼治疗盆底功能障碍疾病 (PFD) 的应用效果,为产妇盆底功能康复 训练的开展提供措施依据。方法:2021年2月—2022年12月以广州市黄埔区鱼珠街社区卫生服务中心收治的138例具有不同 程度PFD的经阴道分娩初产妇为研究对象,所有产妇经神经肌肉治疗仪测定后均存在盆底肌力下降到3级及以下。按照随机 数表法将其分为对照组和观察组,每组各69例。对照组采用神经肌肉治疗仪进行治疗,观察组采用神经肌肉治疗仪进行治 疗的基础上结合盆底肌肉锻炼。对比两组产妇治疗8周后盆底肌力、阴道压力和压力性尿失禁发生情况。结果:治疗后,观 察组盆底一、二类综合肌力均为Ⅱ级和Ⅲ级的产妇占比低于对照组,Ⅳ级和Ⅴ级的产妇占比高于对照组;观察组产妇阴道静 息压和阴道收缩压分别为 (31.67±3.64) cmH2O (1 cmH2O=0.098 kPa) 和 (41.34±8.21) cmH2O,均高于对照组,差异有统 计学意义 (F 值分别为 13.832 和 55.158,P 值均<0.05);观察组产妇尿失禁问卷表简表评分为 (3.55±1.12) 分,低于对照 组,差异有统计学意义 (F=10.637,P<0.05);观察组 SF-36 健康状况量表得分高于对照组,差异有统计学意义 (t= 9.807,P<0.05)。结论:神经肌肉电刺激治疗结合盆底肌锻炼对产妇盆底功能障碍的改善具有较好的临床疗效。
Abstract:Abstract: OBJECTIVE To Explore the application effect of neuromuscular therapy instrument combined with pelvic floor mus⁃ cle training in the treatment of pelvic floor diseases. METHODS From February 2021 to December 2022, 138 cases of primipara who underwent pelvic floor disease treatment in our hospital were divided into the control group and the observation group by random number table, with 69 cases in each group. The control group was given neuromuscular therapy instrument; the observation group was given neuromuscular therapy instrument combined with pelvic floor muscle training intervention. All patients showed a decrease in pelvic floor muscle strength to level 3 or below after measurement with a neuromuscular therapy instrument. The pelvic floor mus⁃ cle strength, vaginal pressure and stress Urinary incontinence were compared between the two groups after 8 weeks of treatment. RE⁃ SULTS Post-treatment, in the observation group, the proportion of the first and second class pelvic floor comprehensive muscle strength was lower than that of the control group. The proportion of maternal grade Ⅳ and Ⅴ was higher than that of the control group. Maternal vaginal resting pressure were (31.67 ± 3.64) cmH2O (1 cmH2O = 0.098 kPa) and (41.34 ± 8.21) cmH2O, respective⁃ ly, All were higher than those in the control group, the difference was Statistical significant (t=13.832,55.158, P<0.05). The brief score of the maternal UI questionnaire in the observation group was (3.55 ± 1.12), lower than that in the control group, the difference was Statistical significant(t=10.637, P<0.05). Higher SF-36 health status scale score in the observation group than in the control group, the difference was Statistical significant (t=9.807, P<0.05). CONCLUSION The combination of neuromuscular electrical stim⁃ ulation therapy and pelvic floor muscle exercise has good clinical efficacy in improving pelvic floor dysfunction.
文章编号:3202110029     中图分类号:R711.5    文献标志码:
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袁爱华  
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