摘要
目的探讨电刺激生物反馈联合阴道哑铃训练改善产后女性功能的临床疗效。方法选取2019年3月至2020年6月产后复查有盆底功能障碍的阴道分娩产妇90例。采用随机数字表法将其分成两组,对照组采取常规盆底肌训练,研究组在常规盆底肌训练基础上实施电刺激生物反馈联合阴道哑铃训练。以改良牛津肌力分级测试为基准,评定两组盆底功能障碍患者护理前后的盆底肌肌力;以生物刺激反馈仪,评估两组盆底功能障碍患者的相关数据,包括盆底肌肌力、盆底表面肌电;采用盆底功能障碍问卷,对两组盆底功能障碍患者的治疗依从性及康复锻炼依从性进行比较;采用FSFI(女性性功能)量表,评估两组盆底功能障碍患者护理前后的相关数据,包括:性唤起、性生活满意度、阴道润滑、性欲望、性高潮、性交痛;随访6个月,比较两组盆底功能障碍患者在此期间的相关数据,包括:盆底功能障碍复发、性交障碍、尿失禁。结果两组盆底功能障碍患者护理前的治疗依从性及康复锻炼评分数据无差异(P>0.05);护理后研究组治疗依从性及康复锻炼评分数据显著高于对照组,组间比有差异(P<0.05)。护理后两组的盆底肌肌力、盆底表面肌电评估各项数据均有所改善,但研究组改善效果均优于对照组,组间比有差异(P<0.05)。两组盆底功能障碍患者护理前盆底功能评分数据无差异(P>0.05);护理后研究组患者的盆底功能障碍问卷得分优于对照组,组间比有差异(P<0.05)。两组盆底功能障碍患者护理前的性高潮、性交痛等FSFI量表数据无差异(P>0.05);护理后两组性高潮、性交痛等FSFI量表数据均有所改善,但明显研究组改善效果优于对照组,组间比有差异(P<0.05)。研究组随访过程中发生性功能障碍及尿失禁等数据均低于对照组,组间比有差异(P<0.05)。结论对产后女性实施电刺激生物反馈联合阴道哑铃训练,可促进改善产后盆底功能,同时配合相应的护理措施,可提高其依从性,使其恢复速度加快,也有助于性功能的提升,降低了后续尿失禁等并发症的发生,建议临床应用。
Objective To explore the clinical efficacy of electrical stimulation biofeedback combined with vaginal dumbbell training in improving postpartum female function.Methods 90 pregnant women with pelvic floor dysfunction were selected from March 2019 to June 2020.They were randomly divided into two groups.The control group received routine pelvic floor muscle training,and the study group received electrical stimulation biofeedback combined with vaginal dumbbell training on the basis of routine pelvic floor muscle training.Based on the modified Oxford muscle strength grading test,the pelvic floor muscle strength of the two groups of patients with pelvic floor dysfunction before and after nursing was evaluated;The relevant data of patients with pelvic floor dysfunction in the two groups were evaluated by biological stimulation feedback instrument,including pelvic floor muscle strength and pelvic floor surface electromyography;Pelvic floor dysfunction questionnaire was used to compare the treatment compliance and rehabilitation exercise compliance of patients with pelvic floor dysfunction between the two groups;FSFI(female sexual function)scale was used to evaluate the relevant data of patients with pelvic floor dysfunction before and after nursing,including sexual arousal,sexual life satisfaction,vaginal lubrication,sexual desire,orgasm and sexual intercourse pain;followed up for 6 months,the relevant data of patients with pelvic floor dysfunction in the two groups were compared,including recurrence of pelvic floor dysfunction,sexual intercourse disorder and urinary incontinence.Results there was no difference in treatment compliance and rehabilitation exercise score between the two groups before nursing(P>0.05);After nursing,the scores of treatment compliance and rehabilitation exercise in the study group were significantly higher than those in the control group(P<0.05).After nursing,the pelvic floor muscle strength and pelvic floor surface electromyography evaluation data of the two groups were improved,but the improvement effect of the study group was better than that of the control group(P<0.05).There was no difference in pelvic floor function score between the two groups before nursing(P>0.05);After nursing,the score of pelvic floor dysfunction questionnaire in the study group was better than that in the control group,and there was a difference between the groups(P<0.05).There was no difference between the two groups in the data of FSFI scale such as orgasm and sexual intercourse pain before nursing(P>0.05);After nursing,the FSFI scale data of orgasm and sexual intercourse pain in the two groups were improved,but the improvement effect of the study group was significantly better than that of the control group(P<0.05).The data of sexual dysfunction and urinary incontinence in the study group were lower than those in the control group(P<0.05).Conclusion The implementation of electrical stimulation biofeedback combined with vaginal dumbbell training for postpartum women can promote the improvement of postpartum pelvic floor function.At the same time,combined with corresponding nursing measures,it can improve their compliance,speed up their recovery,improve their sexual function and reduce the occurrence of subsequent complications such as urinary incontinence.It is suggested to be used in clinical practice.
作者
林丽琴
LIN Liqin(Department of Obstetrics and Gynecology,Zhangzhou Maternal and Child Health Hospital,Zhangzhou 363000,China)
出处
《中国医药指南》
2022年第15期1-4,共4页
Guide of China Medicine
关键词
电刺激
生物反馈
治疗依从性
恢复效果
阴道哑铃
Electrical stimulation
Biofeedback
Compliance with treatment
Recovery effect
Dumbbell of vagina
