摘要
Abstract
Objective To analyze the application of myoelectricity stimulation combined with pelvic floor muscle training in reducing incidence of urinary incontinence (UI) in patients with postpartum pelvic floor dysfunction.Methods Ninety patients with postpartum pelvic floor dysfunction treated in obstetrics and gynecology department in Hanchuan People' s Hospital were selected and divided into group A and group B with 45 cases in each group.Patients in group A received pelvic floor muscle training and those in group B underwent myoelectricity stimulation on basis of treatment received in group A.Clinical efficacy and improvement of quality of life were compared between two groups after treatment.Results Pelvic floor type Ⅰ muscle fiber voltage,hand measured pelvic floor muscle force,pelvic floor type Ⅰ muscle fiber fatigue and pelvic floor type Ⅱ muscle fiber voltage in group B were higher than those in group A,and the differences had statistical significance (t value was 3.02,3.95,2.86 and 2.86 respectively,all P ＜ 0.05).Ratio of 0 degree classified by pelvic organ prolapse quantification (POP-Q) in group B was higher than that in group A,and difference was statistically significant (x2 =6.94,P ＜ 0.05),but ratios of Ⅰ and Ⅱ degree in group B were lower than those in group A with statistically significant differences (x2 value was 5.25 and 5.89,respectively,both P ＜ 0.05).Incidence of UI in group B was lower than that in group A and difference was statistically significant (x2 =6.83,P ＜ 0.05).Scores of pelvic floor distress inventory (PFDI-20) and of pelvic floor impact questionnaire (PFIQ-7) in group B after three and nine months of treatment were lower than those in group A,and differences had statistical significance (t value ranged from-3.85 to-2.96,both P ＜0.05).Conclusion Myoelectricity stimulation combined with pelvic floor muscle training can reduce incidence of UI in patients with postpartum pelvic floor dysfunction and improve patients' postoperative pelvic floor function and life quality,so it is worthy of further promotion and application in clinics.关键词
肌电刺激/盆底肌功能锻炼/盆底功能障碍/尿失禁Key words
myoelectricity stimulation/pelvic floor muscle training/pelvic floor dysfunction/urinary incontinence (UI)分类
医药卫生
