| 沈建军,谢可.低频脉冲反馈电刺激联合盆底功能康复训练对预防盆底功能障碍的影响.[J].中南医学科学杂志.,2017,(1):94-97. |
| 低频脉冲反馈电刺激联合盆底功能康复训练对预防盆底功能障碍的影响 |
| Effect of low-frequency pulse feedback electrical stimulation combined with pelvic floor function rehabilitation training on prevention of pelvic floor dysfunction |
| 投稿时间：2017-03-20 修订日期：2017-12-18 |
| DOI：10.15972/j.cnki.43-1509/r.2017.01.024 |
| 中文关键词: 低频脉冲反馈电刺激 盆底功能康复训练 盆底功能障碍 预防效果 |
| 英文关键词:low-frequency pulse feedback electrical stimulation pelvic floor function rehabilitation training pelvic floor dysfunction prevention effect |
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| 中文摘要: |
| 目的 探讨低频脉冲反馈电刺激联合盆底功能康复训练对预防盆底功能障碍的影响。方法将188例足月阴道分娩产妇回顾性分成研究组和对照组各94例。对照组予以产后盆底功能康复训练方案,研究组在对照组基础上联合低频脉冲反馈电刺激治疗。观察比较两组产妇产后6个月时盆底肌力分级、性功能[女性性功能评分量表(FSFI)]评估结果及尿动力学指标[最大尿流率(Qmax)、尿流时间(VT)、最大尿道压(MUP)]检测结果差异,记录其产后6个月内盆底功能障碍、性功能障碍、尿失禁发生情况。结果研究组产妇中途失联2例,对照组产妇中途失联4例(P＞0.05)。产后6个月时,研究组产妇盆底肌力分级正常率、Qmax、MUP检测结果均明显高于对照组(P＜0.05),FSFI评分也明显高于对照组[(88.7±5.3)分vs(72.8±4.8)分,P＜0.05],VT水平及产后盆底功能障碍、性功能障碍、尿失禁等发生率则明显低于对照组,差异均有显著性(P＜0.05)。结论产后予以低频脉冲反馈电刺激联合盆底功能康复训练干预,对促进产妇盆底功能、性功能及泌尿功能恢复具有积极意义。 |
| 英文摘要: |
| Objective To explore the effect of low-frequency pulsefeedback electrical stimulation combined with pelvic floor function rehabilitation training on prevention of pelvic floor dysfunction.Methods188 women undergoing full-term vaginal delivery were divided into study group and control group by the random number table method,with 94 cases in each group. The control group was given postpartum pelvic floor rehabilitation training. On the basis,the study group was treated with low-frequency pulse feedback electrical stimulation.6 months after delivery,the pelvic floor muscle strength grade,evaluation results of sexual function [female sexual function index (FSFI) and detection results of urodynamic indexes [maximum urinary flow rate (Qmax),voiding time (VT),maximum urethral pressure (MUP)] were compared between the two groups,and the incidence rates of postpartum pelvic floor dysfunction,sexual dysfunction and urine incontinence were recorded.ResultsThere were 2 cases and 4 cases respectively lost to follow up in the study group and the control group (P>0.05) . At 6 months after delivery,the rate of normal pelvic floor muscle strength grade,Qmax and MUP in the study group were significantly higher than those in the control group (P< 0.05),and FSFI score was significantly higher than that of the control group [(88.7±5.3) vs (72.8±4.8),P<0.05] while VT level and incidence rates of postpartum pelvic floor dysfunction,sexual dysfunction and urinary incontinence were significantly lower than those in control group (P<0.05).ConclusionThe low-frequency pulse feedback electrical stimulation combined with pelvic floor function rehabilitation training after delivery is of positive significance in promoting recovery ofpelvic floor function,sexual function and urinary function. |
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