摘要
Abstract
Objective To investigate the effect of bioelectricity stimulation technology,biofeedback and Kegel exercises on recurrent vulvovaginal candidiasis (RVVC)and recurrent bacterial vaginosis (RBV),and their effection in the recovery of pelvic floor muscle function and the improvement of pelvic nutrition.Methods Between January 2014 and July 2015,121 cases of RVVC and RBV were selected,and the patients were randomly divided into control group and experimental group.For the control group of RVVC:miconazole suppository and vaginal delivery were utilized in every patient,1 piece per night,the period of treatment was 7 to 14 days;oral intake of fluconazole was used again after 72 hours.Clotrimazole suppository or fluconazole was still chosen for the maintenance treatment:(1) 1 piece per week and lasted 6 months for every case;(2) 400 mg of itraconazole was used,1 time every month or 100 mg was used once a week,the period of treatment lasted for 6 months.RBV:oralintake of metronidazole or clindamycin was chosen.One piece of metronidazole suppository by vaginal utilization was still needed per night,or 2％ clindamycin ointment was used by inunction for 7 days.Experimental group:pelvic floor bioelectric stimulation,biofeedback and Kegel exercises were imitated for the cses with non-acute phase of vagina inflammation,the recurrences of vaginitis within the one year treatment of pelvic floor rehabilitation was summarized.Results Before rehabilitation treatment,there were 4 cases with level 4 or 5 of type Ⅰ muscle strength and 8 cases level 4 or 5 of type Ⅱ muscle strength.After the treatment,there were 59 cases with level 4 or 5 of type Ⅰ muscle,and 60 cases with level 4 or 5 of type Ⅱ muscle(P ＜ 0.001).There were no statistical differences on the treatment of anterior vaginal wall prolapse.Before the treatment,the number of anterior vaginal wall prolapse was 53 cases,the number was 49 cases after treatment(P=0.328).Before treatment,the number of posterior vaginal wall prolapse was 25 cases,the number was 11 cases after treatment (P=0.005).The number of Uterine prolapse was 14 cases,the number was 2 cases after treatment (P=0.002).Compared with the group with drug treatment,the rate of relapse in vaginitis was decreased significantly after pelvic floor rehabilitation within 1 year,61 patients with vaginitis,there were only 2 cases of recurrences were observed after treatment (P ＜ 0.05).Conclusion Pelvic floor rehabilitation treatment could improve the pelvic floor function significantly,and also get significant recovery of sagging and prolapse in vagina which was injured by pregnancy and childbirth.Compared with the drug treatment group,the rate of relapse in RVVC and RBV was decreased significantly after pelvic floor muscle rehabilitation.关键词
盆腔器官脱垂/盆底肌康复/复杂性外阴阴道假丝酵母菌病/复发性细菌性阴道病Key words
pelvic organ prolapse/pelvic floor muscle rehabilitation/recurrent vulvovaginal candidiasis/recurrent bacterial vaginosis分类
医药卫生
